HIV exposure risk

[madridman663]

Hi doctors, I have read many of the threads about the possible exposure risks to HIV, but I would like to have your opinion and advice about a specific incident. Please forgive inclusion of the details, I don't know if they are important.
A few days ago I went to a club in Madrid (by the name of Flowers) and ended up having sex with a Brazilian girl (that is what she said she was, she spoke Portuguese better than Spanish and some English).
Anyway, she put a condom on me with her mouth and then sucked me for a while. Then, we had vaginal sex, first with her on top, then me on top and then doggy style. I then wanted her to finish me with a blow job so I asked her to change the condom (thinking that she would prefer this after the other one had been used for vaginal sex). We took off the original condom (which was intact), at which point she thought that I was asking her for an unprotected  blow job - which she said she wouldn't do, so I explained that we needed to put on another condom, which she did, again using her mouth. We then did pretty much more of the same as before - oral, then vaginal, with me finishing by coming inside the condom during vaginal sex. When I withdrew the (second) condom was intact. I then washed myself in the shower.
My questions are these:
-is there any risk of an HIV infection from this?
-should I get tested for anything?
Thank you so much in advance for your help.

[Edward W Hook, MD]

It is far less important but it would still not be a bad idea.   EWH

[Edward W Hook, MD]

Welcome to the Forum.  Even if your partner had HIV and this is unlikely, the exposures you describe were condom protected and therefore did not put you at risk for HIV.  The fact that your partner put the condom on your penis with her mouth does not change this.  After all, oral sex without a condom is virtually no risk and placing the condom on you with her mouth was less of an exposure than if she had performed unprotected oral sex.  I see no need for concern and no medical reason for testing.

I hope this comment is helpful to you. Take care. EWH

[madridman663]

Thanks.

[madridman663]

Thanks for the information. A small clarification - if the sex is protected (ie with a condom) do you still recommend annual testing?

[Edward W Hook, MD]

This is not a paranoid question. Other STDs are far more common than HIV and they can be present without symptoms. Although the risk from any single sexual encounter is low, we do recommend screening for most of our clients, even if asymptomatic, on an annual basis.  We recommend periodic STD "screening (testing in the absence of symptoms) because you have had unprotected sex with a new partner in the past year.  As a matter of personal protection, we recommend annual testing for anyone who has had new or two or more sex partners in the past year (we consider this to be health maintenance- we also recommend you get your blood pressure and cholesterol checked regularly).  EWH

[madridman663]

Hi, thank you for your response, I feel very reassured.
Sorry to sound paranoid, but I have one more question - should I get checked out for anything else?