Hello Dr.! I am a 31 y.o. male living in Sao Paulo, Brazil. I´ve lost my father to AIDS when I was 13. I have mild depression and OCD, and that´s why I am on fluoxetin (20mg/day). The problem is that on friday I had sex with a female sex worker. She had long fingernails. I have putted the condom in my penis and rejected receiving oral sex (fearing her teeth would rupture the condom), then she putted her fingers on the tip of the condom, rolling them on it (maybe verifying remaining air there). My fear is that while verifying if there was air in the tip of the condom, she has made some kind of hole in it. I have tested the same type of condom at home (the manufacturer is a big multinational corporation) using my fingernails and i´ve noted that I have produced small holes in it, so that when I fill it with water it leaked squirting, without completely breaking the condom even if high pressure were applied making the condom look like a ballon. Questions are:
1.Are there any chances that her fingernails have made small holes on the condom that allowed HIV to contact me? The condom wasn´t broken at the end of the vaginal coitus.
2. I know doctors use to say that if a condom fail, they fail catastrophically, although my experience showed the contrary. What do you say about my experience using my nails, water and pressure without completely breaking or tearing the condoms?
3. Do I need HIV testing?
Thanks for your attention, and I must say that kind of thoughts kills me! Thanks for your beatiful work helping people with their anxieties!