1-2 seconds of condom break

[Naija1001]

First of all, I want to congratulate the HIV prevention community for Its incessant effort to help people suffering from medically related situation.
I want to as much as possible describe my encounter with the required explanations and conditions.
I live in Nigeria which I in a way consider as being a low income country(I said this because risk evaluations of low income countries happen to be differnt from high income countries, so you should take note of that).
On an unfortunate day while I was having sex with a CSW, I in not more than 4mins of the process noticed that the condom broke, so after a second or two, I pulled out (after the very thrust that broke the condom I didn't go into her again) noticing a tiny bit of the ripped condom covering my urethral opening but don't know how perfectly it was covering it. I asked if she had HIV but she told me that she doesn't, so I'm assuming she lied.

Here are my questions:
1. I will take a test after 3months but how would you assess my risk, practically and theoretically?
2. Why is the risk in low income countries usually higher?
3. Have you heard of anyone within or outside this forum who got HIV from a similar encounter or who knows anyone who has heard of one?

[shaunw84]

I didn't keep a copy of it.  

But the thing to keep in mind is that you had an exposure.  You have some risk.   I will PM you the link if I find it.

[Naija1001]

Could you share the web report?

[Naija1001]

I indeed appreciate your help. I understand that even if there is a 1 in 1,000,000,000 probability, that single unlucky person, still exists and could be anyone of the one billion who involved in the act.
About the poor standard of living of the low income countries which you suggested could have accounted for the rationale behind the higher risk of infection, together with the presence of STDs, I quite agree with you on that, but I feel Its more about the STDs than living conditions, and even much more to do with faulty statistics.
  

[shaunw84]

The thinking about higher risk in low income countries is that people are more likely to have existing STDs.  Also poorer living conditions can mean poorer health and thus higher risk of transmission.   But that's just a guess.

If you want statistics they are in the 1/1000 range.   But this risk assumes  sex.  You had protected sex most of the time and only had a brief exposure.  So your risk should be lower.  (This also assumes she was HIV+, which she may or may not have been.)

Also, keep in mind that there are men who have sex with HIV+ women for years and never contract HIV at all.

I have heard of someone getting HIV this way.  It's a web report written by an HIV doctor.

Please, If it has been less than 3 days (72 hours), then you need to know about PEP.   PEP is HIV drugs that you take for 1 month.  It can keep you from getting HIV.

Please find out more about PEP -- for your own benefit and the benefits of your friends.  You can tell them about it.   Your doctor may not know about PEP.  But you can have him look at hiv sites on the web about PEP.

PEP is 3 drugs.  In the US and Europe it's Truvada + Isentress for 28 days.  But other drugs like AZT etc which are more readily available have been used.

Please help spread the word about PEP.

Be well.