Aa
Risk of HIV
Hello,
Last night, I had sex with a woman I just met same day online, and she revealed to me that she was from an aboriginal reserve. The reason for mentioning this is that HIV rates on reserves where I am from (Canada) are several times higher than the rest of the population. She has claimed she has no STDs (says she was tested 6 months ago), and that she does not use drugs. However, she also said that hadn't had sex in a long time, which I found hard to believe given how easily we had had sex.
The incident that occurred was kissing, her performing oral sex on me twice (before and after sex) and penetrative vaginal sex with a condom for about 5 minutes. I ensured the condom did not have ruptures by filling it with water afterwards.
My questions are as follows:
1. The risk statistics say that the risk for insertive vaginal sex is anywhere from 1/500 to 1/2500, with modifying variables such as viral load etc. If we were to assume her to be HIV positive and a high viral load, then what is the actual risk that occurred?
2. A second concern I had was that I was concerned how easily the condom came off when I pulled. While my penis was very wet from her saliva prior to applying the condom, I did not think there was that much liquid in there. Perhaps the additional liquid was my ejaculate. I wanted to ask whether vaginal secretions can enter the condom from the base of the condom during sex. I.e. under the condom? Secondly, if this is the case, what is the risk of infection?
3. This question is regarding which HIV tests are reliable. I have read conflicting information on the internet. I am considering the following tests: RNA test at 12 days, P24 test at 14 days, and Antibody test at 30 days. How accurate are these tests at these time frames?
4. Any other thoughts or advice that you think would be helpful is welcome.
Hopefully one of the doctors can answer here as well. Thanks in advance for your assistance.
Last night, I had sex with a woman I just met same day online, and she revealed to me that she was from an aboriginal reserve. The reason for mentioning this is that HIV rates on reserves where I am from (Canada) are several times higher than the rest of the population. She has claimed she has no STDs (says she was tested 6 months ago), and that she does not use drugs. However, she also said that hadn't had sex in a long time, which I found hard to believe given how easily we had had sex.
The incident that occurred was kissing, her performing oral sex on me twice (before and after sex) and penetrative vaginal sex with a condom for about 5 minutes. I ensured the condom did not have ruptures by filling it with water afterwards.
My questions are as follows:
1. The risk statistics say that the risk for insertive vaginal sex is anywhere from 1/500 to 1/2500, with modifying variables such as viral load etc. If we were to assume her to be HIV positive and a high viral load, then what is the actual risk that occurred?
2. A second concern I had was that I was concerned how easily the condom came off when I pulled. While my penis was very wet from her saliva prior to applying the condom, I did not think there was that much liquid in there. Perhaps the additional liquid was my ejaculate. I wanted to ask whether vaginal secretions can enter the condom from the base of the condom during sex. I.e. under the condom? Secondly, if this is the case, what is the risk of infection?
3. This question is regarding which HIV tests are reliable. I have read conflicting information on the internet. I am considering the following tests: RNA test at 12 days, P24 test at 14 days, and Antibody test at 30 days. How accurate are these tests at these time frames?
4. Any other thoughts or advice that you think would be helpful is welcome.
Hopefully one of the doctors can answer here as well. Thanks in advance for your assistance.
You had protected vaginal sex and the condom did not break. NO RISK FOR HIV AND NO NEED TO TEST.
As for doing the "water test" to check for a broken condom, that is a total waste of time. When a condom fails, it fails catastrophically! There is virtually nothing left of it but a few shreds and the ring at the base of your penis. You would have absolutely no doubt it had broken. If there was enough left of your condom to hold water, trust me, it was NOT broken!
Kissing, including French kissing, is NOT a risk for HIV.
Oral sex is NOT a risk for HIV. Human saliva contains bacteria and enzymes that render the virus inactive. (Unable to infect)
There has NEVER been a documented case of anyone acquiring HIV from oral sex and you will not be the first.
Oral sex DOES put you at risk for other sexually transmitted disease like chlamydia, gonorrhea, syphilis, Hep B, Hep C, herpes, etc. and you should have a full STD panel done at the appropriate window periods. Ask you doctor or an HIV clinic for the testing protocols.
As for the "statistics" you cited in question #1, those refer to UNPROTECTED INSERTIVE sex. I can cite some stats for you, but like yours, these all refer to unprotected sexual activity.................
Probabilities of HIV transmission per exposure to the virus are usually expressed in percentages or as odds For example, the average risk of contracting HIV through sharing a needle one time with an HIV-positive drug user is 0.67 percent, which can also be stated as 1 in 149 or, using the ratios the CDC prefers, 67 out of 10,000 exposures. The risk from giving a blowjob to an HIV-positive man not on treatment is at most 1 in 2,500 (or 0.04 percent per act). The risk of contracting HIV during vaginal penetration, for a woman in the United States, is 1 per 1,250 exposures (or 0.08 percent); for the man in that scenario, it's 1 per 2,500 exposures (0.04 percent, which is the same as performing fellatio)
MY response is that assuming the latex or polyurethane condom was used properly and did not fail (break), your HIV risk would be essentially nonexistent. HIV cannot permeate intact latex or polyurethane. No way. No how. However, it's important to note that condoms are not always used properly! So you've got "operator error" and the very rare condom failure.
There is no such thing as 100% safe sex beside abstinence, but condoms come pretty close.
Question #2 Some condoms come off very easily and some are like playing tug of war. You said your penis was "very wet" from the oral sex and perhaps you had an abundance of semen (amounts DO change) so that is most likely why it came off so easily. The ring at the base of the penis is tight enough to prevent vaginal fluids from entering the condom. Stop looking for all these "what if" scenarios! The condom did NOT break, you were completely protected from HIV, so please let this go.
You NEVER had a risk for HIV and DO NOT NEED TO TEST FOR HIV! Discussing all the various tests and their pros and cons at this point is moot. If you ALWAYS use a condom and use it correctly, you will never have to worry about testing.
There are ONLY three ways you can acquire HIV:
1) UNPROTECTED INSERTIVE ANAL/VAGINAL SEX WITH AN HIV+ PARTNER
2) SHARING DRUG WORKS (IV NEEDLES) WITH AN HIV+ PERSON
3) AN HIV+ WOMAN TO HER UNBORN CHILD
Since #3 does not apply to you, if you ALWAYS follow rules #1 and #2, you will NOT CONTRACT HIV.
The only other thoughts or advice I would give you is to spend time educating yourself about HIV, STD's and safe sex.
If you want to play in the Big Leagues, you need to know the rules.
Our doctors are no longer answering questions, (which you had to pay for) but if you go to the box on the upper right hand side that says "RELATED FORUMS," click on the tab for "EXPERTS," that will take you to the doctor's archives and you will undoubtedly be able to find answers to all your questions.
You do NOT have HIV. You do NOT need to test for HIV. You DO need to test for other (NON-HIV) STD's.
I wish you the best
RubyWitch
As for doing the "water test" to check for a broken condom, that is a total waste of time. When a condom fails, it fails catastrophically! There is virtually nothing left of it but a few shreds and the ring at the base of your penis. You would have absolutely no doubt it had broken. If there was enough left of your condom to hold water, trust me, it was NOT broken!
Kissing, including French kissing, is NOT a risk for HIV.
Oral sex is NOT a risk for HIV. Human saliva contains bacteria and enzymes that render the virus inactive. (Unable to infect)
There has NEVER been a documented case of anyone acquiring HIV from oral sex and you will not be the first.
Oral sex DOES put you at risk for other sexually transmitted disease like chlamydia, gonorrhea, syphilis, Hep B, Hep C, herpes, etc. and you should have a full STD panel done at the appropriate window periods. Ask you doctor or an HIV clinic for the testing protocols.
As for the "statistics" you cited in question #1, those refer to UNPROTECTED INSERTIVE sex. I can cite some stats for you, but like yours, these all refer to unprotected sexual activity.................
Probabilities of HIV transmission per exposure to the virus are usually expressed in percentages or as odds For example, the average risk of contracting HIV through sharing a needle one time with an HIV-positive drug user is 0.67 percent, which can also be stated as 1 in 149 or, using the ratios the CDC prefers, 67 out of 10,000 exposures. The risk from giving a blowjob to an HIV-positive man not on treatment is at most 1 in 2,500 (or 0.04 percent per act). The risk of contracting HIV during vaginal penetration, for a woman in the United States, is 1 per 1,250 exposures (or 0.08 percent); for the man in that scenario, it's 1 per 2,500 exposures (0.04 percent, which is the same as performing fellatio)
MY response is that assuming the latex or polyurethane condom was used properly and did not fail (break), your HIV risk would be essentially nonexistent. HIV cannot permeate intact latex or polyurethane. No way. No how. However, it's important to note that condoms are not always used properly! So you've got "operator error" and the very rare condom failure.
There is no such thing as 100% safe sex beside abstinence, but condoms come pretty close.
Question #2 Some condoms come off very easily and some are like playing tug of war. You said your penis was "very wet" from the oral sex and perhaps you had an abundance of semen (amounts DO change) so that is most likely why it came off so easily. The ring at the base of the penis is tight enough to prevent vaginal fluids from entering the condom. Stop looking for all these "what if" scenarios! The condom did NOT break, you were completely protected from HIV, so please let this go.
You NEVER had a risk for HIV and DO NOT NEED TO TEST FOR HIV! Discussing all the various tests and their pros and cons at this point is moot. If you ALWAYS use a condom and use it correctly, you will never have to worry about testing.
There are ONLY three ways you can acquire HIV:
1) UNPROTECTED INSERTIVE ANAL/VAGINAL SEX WITH AN HIV+ PARTNER
2) SHARING DRUG WORKS (IV NEEDLES) WITH AN HIV+ PERSON
3) AN HIV+ WOMAN TO HER UNBORN CHILD
Since #3 does not apply to you, if you ALWAYS follow rules #1 and #2, you will NOT CONTRACT HIV.
The only other thoughts or advice I would give you is to spend time educating yourself about HIV, STD's and safe sex.
If you want to play in the Big Leagues, you need to know the rules.
Our doctors are no longer answering questions, (which you had to pay for) but if you go to the box on the upper right hand side that says "RELATED FORUMS," click on the tab for "EXPERTS," that will take you to the doctor's archives and you will undoubtedly be able to find answers to all your questions.
You do NOT have HIV. You do NOT need to test for HIV. You DO need to test for other (NON-HIV) STD's.
I wish you the best
RubyWitch
5 Comments
I will be getting tested. Thank you for the detailed reply!
Could you clarify one thing though. What does "proper use" of a condom mean? I put the condom on, it stayed on, and I removed it when I finished.
There's more to using a condom than most people think.......especially if you want to be smart and safe. I've added a link here to a YouTube video, but if you can't access it, you can Google "Using a Condom Correctly" and find a number of good and informative sites. Let me know if you can't find any and I'll send you text info. Play safe!
RW
https://www.youtube.com/watch?v=6eZ9GG1prDU
RW
https://www.youtube.com/watch?v=6eZ9GG1prDU
Thanks! Useful video.
Your welcome! And don't feel bad about not knowing there really IS a right way and a wrong way to put on a condom.......very few people do and I wonder why the condom companies don't make that information more available. Anyway, I hope I was able to help in some small way.
Be safe out there
RubyWitch
Be safe out there
RubyWitch
Have an Answer?
You are reading content posted in the HIV Prevention Community
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
Can I get HIV from surfaces, like toilet seats?
Can you get HIV from casual contact, like hugging?
Frequency of HIV testing depends on your risk.
Post-exposure prophylaxis (PEP) may help prevent HIV infection.
