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Condom Slippage/HIV symptoms

3 years ago I had vaginal sex with a commercial sex worker in the USA.  I had a condom on during sex and the woman was on top.  Intercourse lasted approrximately 10 minutes and I did not climax.  After she stood up, I looked down and realized the condom was no longer on my penis.  The woman reached down and removed the condom from her vagina with what appeared to be minimal effort.  This incident scarred me and I have refrained from having sex ever since.  I did not get tested because I was and am too scared but I tried to move on from the event.  

A year after the event I described I woke up one night with a very itchy rash on my leg, and then on my arms.  This event lasted approximately 24 hours of on and off itchy rash.

Lastly, my mother was diagnosed with essential tremor long ago.  I am only 34 years old but have always had some tremor in my hands and suspect that I also have the condition.  In the last month, I've had a few instances during which the tremor was noticeable in my hands and even neck/head.  The tremor symptoms are similar to what I've read about parkinsonism, a condition which evidently can be an indication of HIV infection.  

Aside from the itchy rash 12 months after the vaginal sex event, and the recet tremor, I haven't experienced any
1.  Does the itchy 24 hour rash episode 12 months after the vaginal sex event indicate possible HIV infection?
2.  Is tremor/parkinsonism an indication of possible HIV infection barring any other symptoms?  
3.  Based on the description that I gave of the condom slipping, how likely is it that I was infected from HIV?  Are there any documented cases during which a male was infected by an HIV positive female from a single vaginal sex event like the one I am describing?  

Thank you.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
No.
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Avatar universal
Doctor,

If an HIV positive woman has bacterial vaginosis is it more likely that she would transmit HIV to a negative male through vaginal sex?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
The home self tests are accurate and pretty much foolproof.  If they were not, FDA would not have approved them to be marketed.

There are no medical conditions that significantly alter reliability of HIV testing.  You can easily find online claims about cancer, immunosuppressive drugs, and illnesses associated with immune system disorders like Hashimoto.  However, there are no proved instances of actual known interference.  Don't worry about it.
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Avatar universal
Thank you for the response.

Are the at home tests reliable?  

Also, can having the Hashimoto's antibody cause a false positive for HIV or vice versa?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

You were at little or no risk for HIV from the exposure described.  Condom slippage does not mean condom failure; as long as the head of the penis and urethral opening are covered, HIV will not be transmitted.  Second, the odds are your partner wasn't infected; in most areas of the US, under 1% of female sex workers have HIV.  And neither neither tremor nor a rash, occurring by themselves or together, suggests HIV or AIDS.

Since you are worried, have an HIV test.  I'm sure you don't have it, but the negative result will reassure you more effectively than anything I can say.  To your specific questions:

1,2) No.  These symptoms do not suggest HIV.

3) Has there ever been a case of HIV acquired from an exposure like yours?  I suppose so, but if so, it is exceedingly rare.

Feel free to return to let me know your HIV test result.  But since there is no point in speculating, or in prolonging your worry, when the answer is so easily available, I won't have any other comments or advice until then. Stay relaxed in the meantime.  Based on the information you have provided, there is no way it will be positive.

Best wishes--  HHH, MD
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