Aa
Condom broke..
Doc my question is I had protected sex with a sex worker and the sex last not more than 45 seconds, but unfortunate when I was about to ejaculate the condom broke when I noticed that in less then 15 seconds I removed my penis but I saw menstruated blood on my penis, I quickly wash up so I want to know if I was at high risk, but again the sex was about 45 second and about 15 second unprotected what are my chances of hiv
MEDICAL PROFESSIONAL
Welcome to the forum.
You don't provide enough information for me to judge your risk of HIV. Is the sex worker male or female? What country and city are you in? What's the nature of your partner's sex work? (Expensive escort? Street walker? Bar pick-up?) Do you have reason to suspect she is at particular high HIV risk, other than being a sex worker (e.g., injection drug use)?
In most of the US, under 1% (often uner 1 in 1,000) female sex workers have HIV; and the average transmission risk for a single episode of unprotected vagina sex in around once every 2,000 events. Your risk probably would be even lower than that, given the brief exposure after the condom broker. Menstrual blood makes little if any difference in risk.
To be maximally safe, you should consider being tested for HIV and the main treatable STDs (gonorrhea, chlamydia, syphilis) in a few weeks. But stay relaxed in the meantime. Most likely you are at little or no risk for HIV, and fairly small risk for the others.
Perhaps I'll have more to say if you would like to fill in some of the missing information.
Best wishs-- HHH, MD
You don't provide enough information for me to judge your risk of HIV. Is the sex worker male or female? What country and city are you in? What's the nature of your partner's sex work? (Expensive escort? Street walker? Bar pick-up?) Do you have reason to suspect she is at particular high HIV risk, other than being a sex worker (e.g., injection drug use)?
In most of the US, under 1% (often uner 1 in 1,000) female sex workers have HIV; and the average transmission risk for a single episode of unprotected vagina sex in around once every 2,000 events. Your risk probably would be even lower than that, given the brief exposure after the condom broker. Menstrual blood makes little if any difference in risk.
To be maximally safe, you should consider being tested for HIV and the main treatable STDs (gonorrhea, chlamydia, syphilis) in a few weeks. But stay relaxed in the meantime. Most likely you are at little or no risk for HIV, and fairly small risk for the others.
Perhaps I'll have more to say if you would like to fill in some of the missing information.
Best wishs-- HHH, MD
MEDICAL PROFESSIONAL
Thanks for all the additional information.
This was a quite high risk exposure. HIV is 10-20 times more common in African Americans than in whites, and urban Maryland and DC are among the places with the highest rates of all in AA populations. A sex worker who picks up people in public places (street, buses, bars, etc) is probably at especially high risk.
As noted above, HIV is transmitted less than one time in a thousand from a single episode of unprotected sex, even if the woman has HIV. And the brief period of exposure after the condom broke is strongly in your favor.
Still, many experts would prescribe post-exposure prophylaxis (PEP) in this situation, i.e. treatment with anti-HIV drugs to further reduce the chance of infection. However, to be effective, PEP ideally is started within a day or two, and is not likely to be effective if more than 72 hours have passed. You don't say when this event occurred, but if under 72 hr ago, you should immediately visit a clinic or doctor with experience in STD/HIV prevention. Your local health department STD clinic would be a good option (the Baltimore City health dept clinic is excellent); or Johns Hopkins Medical Center or other academic center; or DC's Whitman Walker Clinic would all be excellent options for this.
Don't panic. While this isn't the news you wanted to hear, the odds are very high you weren't infected and perhaps not even exposed. But better safe than sorry!
Another option, if you are able to identify and contact the sex worker, is to ask her to be (re) tested; you could go together to the same clinic. If you both have negative tests at this time, you can both stop worrying about it.
In case you are interested in more discussion of HIV in African Americans, including explanation of the reasons for it, see the threads below. You can find still others by searching for "African American" in this forum.
http://www.medhelp.org/posts/show/1261996
http://www.medhelp.org/posts/show/717093
I'll be interested to hear the outcome after you have been professionally evaluated.
This was a quite high risk exposure. HIV is 10-20 times more common in African Americans than in whites, and urban Maryland and DC are among the places with the highest rates of all in AA populations. A sex worker who picks up people in public places (street, buses, bars, etc) is probably at especially high risk.
As noted above, HIV is transmitted less than one time in a thousand from a single episode of unprotected sex, even if the woman has HIV. And the brief period of exposure after the condom broke is strongly in your favor.
Still, many experts would prescribe post-exposure prophylaxis (PEP) in this situation, i.e. treatment with anti-HIV drugs to further reduce the chance of infection. However, to be effective, PEP ideally is started within a day or two, and is not likely to be effective if more than 72 hours have passed. You don't say when this event occurred, but if under 72 hr ago, you should immediately visit a clinic or doctor with experience in STD/HIV prevention. Your local health department STD clinic would be a good option (the Baltimore City health dept clinic is excellent); or Johns Hopkins Medical Center or other academic center; or DC's Whitman Walker Clinic would all be excellent options for this.
Don't panic. While this isn't the news you wanted to hear, the odds are very high you weren't infected and perhaps not even exposed. But better safe than sorry!
Another option, if you are able to identify and contact the sex worker, is to ask her to be (re) tested; you could go together to the same clinic. If you both have negative tests at this time, you can both stop worrying about it.
In case you are interested in more discussion of HIV in African Americans, including explanation of the reasons for it, see the threads below. You can find still others by searching for "African American" in this forum.
http://www.medhelp.org/posts/show/1261996
http://www.medhelp.org/posts/show/717093
I'll be interested to hear the outcome after you have been professionally evaluated.
We both African American she s on her 20's, but she told me she's disease free, just in case she is +, what would my risk be
MEDICAL PROFESSIONAL
And what about race/ethnicity, for both you and your partner? I ask because HIV risks are a lot higher in African Americans than in whites or Asians (with intermediate risks in Latinos and Native Americans).
Correction, the sex worker is a female and we perfom vaginal sex no anal, in the state of Maryland, I met her on the bus.. And again we perfom vagina sex for about 45 second and when the condom broke I noticed that about 15 seconds, my main worry is that saw her menstrual blood on the condom and my penis that's when I quickly wash up
You are reading content posted in the HIV - Prevention Forum
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