teak or somebody that knows what there talking about

My girlfriend that I have known for about 7 years is HIV positive. We have refrained from having intercoarse until about a year and a half ago, we a sero discordant couple. When we have intercoarse it is always condom protected  however last night the condom we used had slippage, It remained on the head of my penis but I am an uncircumsized male and I did see vaginal secretions on my foreskin, we had vaginal and anal sex. I have read numerous sites and even contacted my doctor but he is unsure of the statistical reality that I have contracted HIV from this exposure, hes not an expert on the disease. The web sites I read have all been so confusing. Please give me some info any expert please!!!!

[joggen]

The average risk of female to male transmission is 1:1000; the risk for an uncircumsized males is roughly double (1:500).

However, if your girlfriend's HIV infection is well-controlled with HAART your risk is far lower.

Go to the Expert forum and search the archives- I'm sure you can probably find threads relevant to your situation (this is not the Expert forum).

[joggen]

Sorry, those estimates were for vaginal sex. I just noticed you included anal sex (its late).The quote risk for anal sex for the insertive partner is much higher, I believe 1:100; being uncircumcized would make it 1:50.

However, all those estimates assume NO protection- you were at least partially protected so your risk should be lower. And again, risk would decrease further if GF viral load is undetectable.







And again, risk would decrease substantially if GF's viral load is undetectable.

[Teak]

As long as the condom remained over the head of your penis you were never at risk.

[joggen]

Teak, I was going to say the same thing, except he said his foreskin was exposed. The condom on the head of an erect penis would not protect the foreskin of an uncircumsized male

Foreskin contains cells susceptible to HIV infection such as Langerhans cells. The inner foreskin is considered a mucosa layer and is particularly vulnerable.

Being uncircumsized doubles a person's risk, so wouldn't there be a risk component with foreskin exposure.

[johncena]

so is it that a 1 in 50 or no risk???????????????why is this so confusing

[Teak]

For one your condom more than likely slid down during withdraw because you did not keep hold of it when with drawing. You could not have maintained a condom on the head of your penis during sex. NO RISK.

[Mckeny]

If the foreskin is not covered, then is it a chance for the infection?

And one more, If you were a condom, there is a chance for the foreskin to go back and which will look like foreskin is not there.

In that case?

[wonderingaloud]

you are over analyzing this I agree with teak as well no risk. The only real risk would have been if the hole at the top was exposed and it was not.  In tact skin not going to do it and yes there is a miniscule chance that your foreskin was exposed but if you are saying this becuase there was a feeling of fluid please remember condoms have fluid in them in most cases for spermicide and that more than anything is likely what you felt.  Do not worry. get a test regularly as I am sure you are doing. six weeks after this event without any further risks I think you can consider yourself safe.......followup at ninety days to be sure.

[johncena]

actually the condom was not put on properly in the first place, I put it on the head and did not roll it down to the base, I realize im an idot but it left my foreskin exposed the entire intercoarse. Hence the reason I was seaking help of an expert. I know that if I had rolled it down my entire penis I would not need to worry but I didnt so here I am.

[alienshadow]

See the health pages on how to use a condom correctly at all times. Which in your case you should always do no matter what.

[joggen]

Have you spoken with your girlfriend's infectious disease doctor? He/she can probably advise you best on your risk, since he knows how well your girlfriend's infection is controlled. Which you must have some idea of yourself if you've been seeing this person for seven years. I'm sure he/she must yield lots of questions from serodiscordant couples. If your seeking an expert, that's probably the person to contact.

[Teak]

Now I'm not buying your story at all. No person would put a condom on the head of their penis and not roll it down the shaft.

[LIZZIE LOU]

duh!

[johncena]

The condom was rolled down a little but for the most part my penis was not covered and for the most part it slipped to the head early on in the intercoarse. And I was under the influence of a lot of alcohol at the time. But if I am reading correctly theoretically if the foreskin wasnt covered this would leave a 1 in 50 chance from my original question????

[johncena]

also teak i just read your prolfile OH-IO im from parma myself thanks for following up I realize im an idiot but can you shine any light on the probability i contracted HIV from my posative partner if only the foreskin was exposed...thanks

[nursegirl6572]

If you had complete insertive intercourse without rolling the condom down, the condom would have either A. ended up INSIDE your GF or B. would have fallen off immediately.

HOWEVER....if in fact what you say is true...(I'll humor you for the sake of the forum)....and only the foreskin was exposed...then your risk was minimal if not zero.

If you are really concerned, then your only option is to test at 3 months post exposure.  

If you want to continue testing neg....my advice to you is.....

If you get so drunk that you cannot remember how to properly don a condom...I would highly recommend you not drink when having sex.  Condoms are only effective when used properly.

[regularjoey]

You were not at risk, johncena. Regardless, since you are in a sexual relationship with a HIV+ person, you should get tested every 6 months or so. Keep using those condoms and you will stay negative!

[joggen]

johncena, I just want to clarify, I was quoting stats for _completely_ unprotected sex, just to provide upper bounds that your risk could not exceed. The point being that even if you had completely unprotected sex the odds would still be in your favor. But your risk is even lower since at least your head was covered.

However, both the biology and epidemiology support that exposed foreskin is a receptor for HIV. Otherwise I would be saying zero risk as well.

See:
http://www.thebody.com/Forums/AIDS/SafeSex/Current/Q194886.html

If you had a condom on some of your foreskin must have been covered. And I suspect the condom was on to a greater degree than you are remembering, otherwise it would have fallen off as others have said. I think you are probably second guessing things due to anxiety. So whatever risk you have should be low.

[wonderingaloud]

I agree with teak how in the hell could you have a condom on just over the tip of your penis and have it not fall off or into her in one motion?  Makes no sense.  I'm out.

[johncena]

Thanks for all your help to those who answered my question. I have less anxiety about that situation now and we have moved on as I am sure I could not have contracted HIV in that situation. BUT TO ALL THOSE WHO ANSWERED MY QUESTIONS THANKS....

[alienshadow]

you welcome buddy