Welcome to the forum.
First, the large majority of female sex workers in the US don't have HIV. Second, even if she did, the average transmission risk with UNprotected vaginal sex is around once for every 1,000 exposures. Third, condoms work -- you had safe sex! Finally, itchiness and sore throat are not, by themsleves, symptoms of HIV or other STDs. To your specific questions:
1) "Was I at risk?" No. Considering the factors above, there is virtually no chance you caught HIV.
2) "Should I get tested?" Yes, of course have an HIV test. Not because there is any real risk, but for reassurance. A negative test result will convince you more effectively than anything I can say. You don't need to wait; 4 weeks is enough for a definitive duo test (for both HIV antibody and antigen). While you're at it, have a urine test for gonorrhea and chlamydia and a syphilis blood test. You can also expect these to be negative.
3) Yes, 4+ weeks is too late for onset of HIV symptoms. Generally it's 10-15 days.
If somehow I were in your shoes, I would never have stopped having sex with my wife. You can safely do it now -- or if you want to wait until you have been tested, you should be able to have the results within a day or two.
I hope this has helped. Best wishes-- HHH, MD
*Sigh*
Exactly what did you think I meant by the last sentence of my last reply?
There is no such thing as microscopic condom leaks that allow HIV transmisison, and an obvious break would be, well, obvious!
Stop overthinking this. Carefully re-read all my comments above. End of story unless and until you report an HIV test result.
I have questions regarding the condom. I didnt inspect it so I couldnt tell if it broke. So my questionsis are 1. If the condom would have broken would i have felt it? 2. If there was a tear or whole in the condom would I be at risk? 3. If the condom was broken and continued with the intercourse for this single exposure what is my risk? Just curious because she provided the condom and it was not in the wrapper when she took it out of her bra.
ARS rash almost always occurs in association with fever and other symptoms, and in the 10-20 time frame -- rash is one of the earlier manifestations or ARS, not later. And it doesn't itch.
I think you should be tested. This question implies that you're going to worry about every little twinge, itch, or anything else that comes up. A negative HIV test is usally more reassuring than expert opinion. In any case, that will close this thread unless/until you decide to be tested and want to report the result.
I actually had another question. The HIV rash would not appear alone correct? Does it usually come with a fever? I have read other forums and material and it all varies from 2-4 weeks and 2-6 weeks. This past week was actually the 5th week and ive noticed redness but no bumps. Also itchiness. Does that rash usually itch? Just still concerned doctor. Thank you
Thank you doctor. If you are sure that i am not at risk i dont want to be tested i will be reassured with your advice. Why do you think she used the alcohol after taking the condom off?