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Scared

by lionsfourme, 1 minute ago
Had sex with a stripper with not a great past sexually. Lots of drugs (cocain) alcohol.. I tried to use protection during the sexual encounter but the condom slipped off during the act. Might have been 1-2 minutes of exposure. I stopped and put a new condom on and completed with the condom on. What is my risk for HIV? Should I consider PEP since I'm in the window period. She actually tested for HIV this past Saturday and will get the results this week but might be out of the window period. What should I do? I have a primary care physican who is a infefection disease specialist Should I consult him ASAP? You answer will be greatly appriciated.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
As I'm sure your own doctor told you, this is 100% reassuring.  Clearly she doesn't have HIV and you don't either.  You don't need any additional tests.
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Avatar universal
Hi Doctor,
I'm curretnly talking with my primary care provider about this subject but wanted to get your opinion on this as well.
So the break down is the girl got tested for HIV on the Decmember 24 2009 with a negative result. She had unprotected sex on Decmeber 20 2009 and tested negative 53 days out (results came last week)  for all STDS except for HSV2 (which i belive is a new infection). Would this last test be conclusive that she does not have HIV? All HIV test were blood tests the last one being from Quest.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Yes.  With standard HIV tests in current use, almost all new infections are detected by 6 weeks (42 days).  When the exposures is particularly high risk -- for example, if it turns out your partner has HIV -- some experts recommend testing be extended to 3 months.

I stress again:  follow your primary/ID provider's advice about whether and when to be tested.
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Avatar universal
So a blood test for HIV 48 days out from last exposure should be a good indicator or conclusive test of a persons status?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Most strippers don't have HIV, and when a woman does have HIV, the chance of transmission to her male partner is around 1 in 2,000 for each episode of vaginal sex.  (That's equivalent to having unprotected sex with HIV infected women once a day for 5 years and maybe never catching it.)  So in my opinion, this exposure is not sufficiently high risk to warrant PEP.  However, since your primary care physician is an ID specialst, I suggest you speak with him and follow his advice.

Regards--  HHH, MD
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