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Safe Sex Gone Bad

just recently I had sex with a sex worker(female) I used protection during intercourse. the problem is that when I ejaculated I notice that the condom ripped. I checked the condom several times before this happen to see if it had any rips. I am positive that the condom ripped as soon as i ejaculated. Well after ejaculating I must of stayed in there for at the most 10 seconds maybe more or less. The rip on the condom was pretty big by the way. Ofcourse I panicked after I found out that the condom ripped and she told me not to worry that she doesnt have hiv or aids. she then said that she will just take the morning after pill to prevent pregnancy. She told me to call her anytime.

So my question is what is my risk of hiv? Should i consider PEP?
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Congratulations of using safe sex.  Sorry to hear of the mishap.  Please don't let this event keep you from practicing safe sex in the future.  

If you came to see me and asked for me to provide PEP, I would not do so because your risk is so low and the risk of you suffering side effects from the PEP medications is far greater than your likelyhood of getting HIV.  Here are the reasons why your risk of HIV is virtually non-existent:

1.  She told you she did not have HIV.  Most peole do tell the truth.
2.   Most people do not have HIV.  In the U.S. her probability of having HIV is substantially less than 1 in 3000.
3.  If she did have HIV (remember, this is already very unlikely), you odds of getting HIV form a single episode of unprotected sex is less than 1 in 1000 and, in your case, likely even lower since the exposure was so brief.  

My thoughts, you certainly do not need PEP and probably do not need testing for the episode you describe.  Hope this helps.  Do not set yourself up for an adverse drug reaction.  EWH
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Avatar universal
thanks doc
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