Vaginal fluids contact with Penis head

[billykidman]

Dear Doctors,

Please this is killing me at the movement. Sorry for my English, I'm not from an English speaking native.
I had a sex with a Prostitute. I was very careful to have safer sex. But the lady was a street walker in Hong Kong and seems the lowest class one. Most possibly she must have infected with HIV, and seems, she is not very careful too.
She took some KY gel and started to finger her vagina herself. Then she opened the condom and put it to the Penis and we had Protected Oral and vaginal sex. She was not careful to put on the condom. The way she held the condom, I'm sure she contaminated inside of the condom with the vaginal fluids in her fingers. The time difference between fingering and touching the condom and put in the condom is less than 10 seconds. For me it is like vaginal fluids inside the condom touching tip of the penis. Because she did some deep fingering and definitely condom must have contaminated with her fluids.
My wife will come here after two week and, I don't have enough time to get tested.

My questions are

1. Am I at risk of HIV or other STDs?
2. is this like an unprotected sex or like mutual masturbation with fluid exchange
3. This happens 3 weeks ago and after two weeks I start to feel headache time to time and it lasted about a week. No rashes Fevers etc.
4. Do I need to test?
5. Is it ok to have unprotected sex with my wife?
6. What are the chances of getting HIV from this type of Exposure?

Thank you very much....

[Edward W Hook, MD]

No.  Never.

And no need to repeat myself again. This will end this thread. There will be no further answers.  EWH

[billykidman]

Dear Dr,

One last question, Have ever ever seen somebody get infected this way? Is this still valid as a proper usage of condom?

Thank you very much...

[Edward W Hook, MD]

Glad to help. Take care.  EWH

[billykidman]

Hi Dr. Hook

Thank you very much.
I fell bit better now, But I will go for that test.

[Edward W Hook, MD]

No risk means no risk.  If she were infected, her viral load would be irrelevant.  A 4 week 4th generation test that tests for both the p24 antigen of HIV and HIV antibody would be completely reliable and the results should be believed.  (They will be negative).  EWH

[billykidman]

Thank you very much Dr. Hook.

I have seen this comment in few archives, when you say it is not a risk, does it compare with a lady with HIV and very very high viral load?
I'm worrying about my headaches.
How accurate will be 4th generation antibody test at 4 week's? will it be conclusive for this type of exposure?

Thank you very much.

[Edward W Hook, MD]

Welcome to our Forum. You are not at risk from the exposure that you describe an do not need to worry.  Even among "lower class" commercial sex workers, most are not infected with HIV.  Even if she was, her actions would not have put you at risk for HIV.  As you know, condom protected sex is safe sex and that she might have transferred some of her vaginal secretions to the inside of the condom as she put it on you does not change this.  HIV is not effectively transferred from person to person on hands and transfer from her genitals to her hand to the condom to you is just not a risk.

You do not need to worry, you really do not need to test except perhaps for your peace of mind and you do not need to worry about exposing your wife to HIV as a result of this exposure.  

I hope this comment is helpful.  You are not at risk for HIV from the activities you describe.  EWH