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Condom Slipped Off

Dr Hook

I had an HIV test and was negative.  Months later I had a brief one time vaginal intercourse with an escort in the USA w/condom and did not ejaculate.  She was on top.

I didn't hold base of condom and the condom was not on my penis when she got off. I quick looked around and didn't see it and told the escort and she removed it from her vagina while she was standing up.  She reach down and remove very fast.  

Is this one time event risk enough to test again?  I am very very scared that she gave me hiv and afraid to get test. I think I have it.  Very anxious.  This was the one and only time anything like this.
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Avatar universal
Test came back negative
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
It is a silly question. Your risk is low and you should not worry.  We have no means of verifying what happens to our clients.  EWH
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Avatar universal
I apologize for the silly question.  I was only trying to draw a comparison of the odds that you provided and the frequency or lack thereof of real life cases of infection after a single vaginal sex event.  
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Avatar universal
Perhaps i should have been more specific and asked if you in your experience practicing and responding to posts on this forum have ever encountered someone who turned out to be HIV positive after a single vaginal sex exposure.

I suppose that is neither here nor there at this point.  You provide a very nice service.  Thank you.
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Second question which is a silly one.  Yes, of course there are peole who have gotten HIV after a single exposure, just as there are people who win the lottery while playing it once.  

Testing is not a big deal and I think everyone should be testing from time to time.  How often is also a personal choice.  Your risk for infection forllowing the events you describe are quite low.  I personally doubt, from what you say, that you were exposed but you were there and need to make the choice about testing as well.  The big question is when did hte condom come off.  EWH
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Avatar universal
Two follow up questions and I will have the information I need to move forwards.

From a medical perspective, are the odds in the scenario I am describing alone high enough to recommend I get tested?  

In your career, have you encountered any known female to male infections from a ONE time vaginal sex event?
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to our Forum.  I will try to help.  As you think about your risk here there are several things to consider.  These include, did your partner have HIV and when did the condom come off.

With regard to the first question, it is statistically unlikely that your partner had HIV.  Most commercial sex workers do not.  If she did not have HIV, then there was no risk for HIV.

For the second question, from the sounds of things the condom may have come off as you came out of her vagina.  If this was the case, then the condom did its job, preventing contact during sex and there was no risk for HIV.  When condoms come off during sex (as opposed to at the time of withdrawal) they typically go deep into the vagina and are a bit difficult to remove.  

I suggest you consider these possibilities.  Testing is easy to do but even if your sex was unprotected, your risk for infection, IF your partner had HIV (and it is unlikely that she did) is less than 1 in 1000.  If the condom was in place and only came off as you withdrew, then the risk is much much lower than that.  Either way, I would not worry – the odds are very much in your favor that you did not get HIV.  EWH
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