Condom Slippage

[datewithemalways]

Hello Doctor,
I have done the most stupid thing ever in my life this week is to have sex with a commercial sex worker in manila. Its been 2 days now..
After doing some oral with condom, she was on top of me for 3 minutes and while after I had finished and was taking out, I had noticed the condom still inside her.
I had cleaned my penis extensively after this encounter.
I haven't asked her if she is HIV positive as she was not able to understand english.I am very very much worried about the chances of catching HIV with this xperience. Could you help know what will be the chances of HIV for me if at all she is HIV positive?
I am very very anxious on this. Pls help me......

[lookingforadvice423]

Dr. Hook,

When you say, "The risk of acquiring and STD or HIV after a single exposure, if the sex partnet is infected, is low," are you referring to: (1) this person's exposure specifically, (2) a "single exposure in general, (3) just vaginal and oral sex, or (4) any type of sex includeing vaginal, oral, and anal both recpetive and insertive?  

[Edward W Hook, MD]

The risk of acquiring and STD or HIV after a single exposure, if the sex partner is infected, is low.  For HIV, the risk is among the lowest for all STDs, less than 1 in 1000.  There is no research on how much the protective benefit of using a condom declines if it slips off during intercourse.  In your case, with or without a condom, the risk from oral sex is almost 0.  For the vaginal sex, if she was infected (and statistically she probably was not), it is logical to think that the condom may have still offered some protection.  Putting these facts together, the chance that you acquired HIV during this exposure are exceedingly low.  Getting tested for HIV at this time is of little benefit.  If you remain concerned, getting a blood test for HIV in 6-8 weeks.  When that comes back negative as I feel sure it will, you can be completely confident you did not get HIV from this exposure.  Hope this is helpful.
EWH

[datewithemalways]

I'll be the happeist if this is going to be the answer from the doc. i would also like to know what will be the specific symptoms I need to be looking at the first few days....
Thanks you very much...........

[jenkinjimmy]

First, you need to relax. The doc will tell you that your chances of getting HIV from a single encounter of unprotected sex are 1 in 2000, and thats assuming that the other person was infected. It sounds like you were probably protected for the most part since you did use a condom and you only did it for 3 minutes. As far as oral sex goes, your risk was zero. You may want to get tested after 6-8 weeks from the day of potential exposure. Until then, try to relax. I'm sure you'll be negative.