Risk from cut on penis shaft worried!!

[1830coco]

I had sex for the first time outside of my marriage with an unknown status of a women. The sex was protected with a condom. She was a CSW and I was nervous about it but the temptation was there. She stayed on top the whole time which lasted about ten minutes. She didn't have an orgasm and I didn't ejaculate either. During the sex I felt a pinch and kinda move my pants down some more. After it was over she removed the condom and I washed myself and hadn't noticed a cut. When I got back later to my room I felt a sting because the a/c wasn't working and I started sweating I felt a sting. I looked under near the base of my penis and that's when I saw a small cut which I think happened from my penis rubbing against my zipper. I didn't see any blood anywhere but it worries me that her fluid may have came in touch with my cut.  It's been 5 weeks and I feel great just stressed and feeling regret.  Please advise and tell me my risk your help is greatly appreciated.  I haven't been happy since this happened. Never again!! Thanks for any advice and you time.

[Edward W Hook, MD]

Welcome to the Forum.  I'll be pleased to comment. the exposure you describe was virtually no risk for HIV or for other STIs and should not worry you.  Most commercial sex workers do not have STIs, including HIV and most exposure to infected partners do not lead to infection. For HIV on average only one infection occurs for every 1000 sexual exposures and in your case your exposure was condom protected effectively making it a no risk event.

I suspect that the "cut" you noticed was simply the result of friction that occurred during sex.  Even if your partner's genital secretions got onto the wound, there would not be risk for HIV from the surface contamination.

From a medical perspective there is no reason for testing related to this exposure,  however, if you wish to test for peace of mind, then do so- once.  At this time, 5 weeks after an exposure over 95% of recent exposures would have led to positive tests.  In your case, should you chose to test, I anticipate it will be negative.  Please do not worry. EWH

[Edward W Hook, MD]

There is no need for further testing.  You have no reason to be concerned.  EWH

[1830coco]

Dr. Hook i thank you for your time.  The last month i have bumps in the back of my neck near the edge of my hairline that i never had before.  Folliculitis is what i read it could be.  Does this mean that i should test again and not trust my results?  I know you can read anything  on the internet and it seems to be sites saying this is hiv related.  Some say it's a later stage but i only had this one exposure so now I'm stressed again.  Please Advise and your time is greatly appreciated.

[Edward W Hook, MD]

The results you have are conclusive. There is no need for re-testing.  EWH

[1830coco]

Dr. Hook i have a question for you.  I took an oraquick hiv home test just now and it came back negative.  Today makes 10 weeks 2 days to be exact. Should i rely that these are good results are re test in a week and five days?  While i am happy for what i saw today i just want you expertise.

[1830coco]

Thanks for your help!!

[Edward W Hook, MD]

1.  The lesion you describe does not sound like HSV.  I see little reason to test.

2.  No, it would not change my opinion or advice if the cut enter your partner's vagina.  EWH

[1830coco]

Thanks for your input!! I have two questions.
1) I had a red spot about two weeks ago on my penis that last for two days and never came back. I freak out and was wondering should i test for herpes?? I'm really not sure what to test for but just need correct guidance.

2) the cut may have entered into the vagina would that change your assessment??

That is my two questions I'm just trying to take all this information in after making this huge mistake. Thanks again!!