Am I infected? Please help me. I am on verge of breakdown.

[rkumar_guj]

I already asked this in help forum but still couldnt stop asking to you Dr. :

I am from Gujarat India. This episode of mistake and foolishness happened on last thursday i.e. 30th June, 2011. I had an encounter with a Commercial Sex Worker from Bombay. First I fingered her. Then we went on to have bath. After the bath I touched her clits with the unprotected tip of my penis. Then we went on to have protected vaginal sex. The first condom slipped a bit so I changed and put another one. This act was her upon me. Still I didnt reach orgasm so I removed protection and she sucked me unprotected and I came a bit in her mouth. Then finally she gave me a hand job. Theteafter in about next three hours I sucked her breasts thrice and deep fingered her vagina during that time. I dont know her HIV and STD status. I am having mild headache, loss of appetite, indigestion, sweating, feeling restless and sleepness since the day I was with her. My questions are :

1. What are the chances of me being infected if she was HIV positive?
2. When earliest can i get tested? What test should I take for early results since waiting for 3 months would kill me.
3. What best I should do so that I dont infect my two kids and wife?

The last few days have been very scary and it looks like I am drifting towards death. Please help and give me correct guidance and information so that I can start medicines if required. Please help me doctor. It has been difficult time all through. Waiting eagerly for your reply DR.

[help123799]

A related discussion, hiv testing was started.

[Edward W Hook, MD]

No need to repeat myself or you to repeat my answer to me.

EWH

[rkumar_guj]

Thank you very much. I am relieved. Now waiting for the test but u have given assurance that its going to be negative so will be to back up my confidence. Am I right?

[Edward W Hook, MD]

Please re-read my answer above as to when yu can get the testing that I have already told you you do not need and be positive that your results are at a time when, if you had been infected, you could be confident of the result.  No need to repeat myself or you to repeat my answer to me.

India is too large a nation to provide you with statistics relavant to your no risk exposure. EWH

[rkumar_guj]

And what are the statistics of female to male infection in india. Thoughts of infection just dont move out of mind. I am waiting for reply of my two queries. Thanks.

[rkumar_guj]

Thanks for your reply. What earliest can i be tested?? Which test I should take? Sorry for asking again but are you sure i am safe even if in india??

[Edward W Hook, MD]

Welcome to the Forum. Even if your partner had HIV, which is unlikely, most commercial sex workers, including in India, do not have HIV.  In addition, the activities you describe are virtually no risk and not something to be concerned about.  There are no cases in which HIV has been spread through unprotected oral sex and if you did not penetrate her unprotected, no risk there either.  With regard to your specific questions:

1.  As noted above and on the HIV Prevention Community site responses, your risk for HIV from the activities you describe is virtually zero.
2.  Testing with a combined HIV p24 antigen/HIV antibody test will provide definitive evidence of the presence or absence (in your case, the absence) of infection at 4 weeks.  These tests (so-called "DUO" tests) are available in India.  Even standard, antibody only tests provide definitive information about infection at 8 weeks following exposure.
3.  You are not at risk for infection.  I would not worry.  Further, your children are not at risk as HIV is not spread by casual contact, only by sex.

Hope these comments are helpful.  Take care. EWH

[rkumar_guj]

Please consider indian context and s enario.