Unprotected Sex with a Chinese Prostitute

Dear Doc,

I m writing this with high hopes, seeing the way you have helped many people about hiv/aids.

I had unprotected sex with a chinese prostitute around 3 days back.
I am a uncircumcised male aged 24 yrs from India.
I had about 5-8 minutes of unprotected penetrative vaginal intercourse with that girl in 2-3 intermittent sessions.
NO ANAL penetration at all.
She seemed to be a drug user as I saw some spots/marks on her thighs.
I had absolutely no cuts or sores on my penis. (the only way for virus to enter my body could be the opening on top of penis)
I throughly washed my penis for 2-3 times with warm water & soap solution immediately after the act.
Obviously, I dont know her HIV status.

Now, I am terribly worried about myself getting HIV. ( I came to know about the details of HIV just minutes after I had sex and then started searching the internet for the same)

Please explain this scenario as to what it looks to you in terms of my odds / chances of getting hiv, & further line of action ... what should I do next (tests, precautions, etc)

What risk does a man face on 1 single act of unprotected exposure to a CSW (they are generally expected to have this disease, specially those using drugs) -- i mean -female to male infection when the female is a CSW- she could be HIV+.

Please keep in consideration she is a CSW from China, I am an Indian guy with reasonably good immune system, I dont get cold or fever that often and am usually resistant to mild infections/dust, etc

Would be very thankful if you could provide some facts about the same relative to the disease in my region (india, china, south east asia)

Thanking you in advance !

Sudeshph

[Edward W Hook, MD]

Welcome to our Forum.  Your decision to have sex with this commercial sex worker without protection was not a wise decision but it is still unlikely that you acquired HIV from this exposure.  As you know commercial sex workers and drug users have higher than average rates of HIV infection. Even so. most CSWs do not have HIV.  furthermore, even if she did, your risk of HIV is only 1 infection for every 1,00o sexual exposures, thus the chances are good that you did not get HIV from this exposure.  You should get tested.  A DUO (Combined HIV p24 antigen/HIV antibody) test performed at 4 weeks following your exposure will give you definitive information on whether or not you got infected through this exposure.

I hope this comment is helpful to you.  Please used condoms in the future.  EWH

[sudeshph]

Dear Dr. Hook,

Many thanks for the response.
The comment is indeed helpful to me.

I m sorry to seek further clarification on this, but I think I really need to know the below things.

Did the figure of 1/1000 is after considering the facts & details I mentioned or it is general data ? (like nationality of partners, condition during intercourse, etc)

Do I need to take any precautions till the window period is over ?

Can you suggest something that can relieve me of the stress and anxiety that's building up because of this ?

I do have very slight pain intermittently in the abdomen/grion area. Has it got any connection to this exposure ?

Thanking you again for the advise.

[Edward W Hook, MD]

These are rather silly questions. Of course I considered the details you provided.  Did you think I did not read your questions.  

Your risk is low but if you have concerns you should take precautions until you have been tested.  You need to be the judge of this but the safest course of action is for you to take precautions.  

Your abdominal stress is not a manifestation of HIV.

You need to figure out what to do about your stress.,  It is more likely to be due to your guilt than any real risk.  EWH

[sudeshph]

Dear Dr. Hook,

I am sorry for any stupidity as I am out of my mind with stress as it is with any person who knows he has exposed himself to such a condition.
Noted that you had considered all the facts.

Many thanks for your help.
I'll take precautions.

[sudeshph]

Dear Doc.,

Just 1 more thing that I forgot to tell previsously.

I am a G6PD deficient person, it was diagnosed about 10 yrs back when I had acute jaundice.

Pls do tell that can G6PD & HIV be related to each other in any sense ?
Does presense of G6PD Deficiency affect/influence the chances to get HIV in an act like mine ?

Thankful to you for all the help !

[Edward W Hook, MD]

There is no association between your G6PD and your risk of getting HIV.  No relationship of any sort.  EWH

[sudeshph]

Dear Dr. Hook,

I am extremely thankful to you for clarifying this to me further.
Wishing you a great weekend ahead.

Your advise & support has indeed helped me a lot like it has done to many people across this forum.

Thanks again.....

Take Care.

Sudeshph

[sudeshph]

A related discussion, Tested for HIV was started.