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Avatar universal

Risk question

Hello doctors,

I will make my question brief.

For the first time i decided to pay for a CSW. We frenched kissed and had protected vaginal sex. I looked at the condom after i ejaculated and it looked intact.

1. If the condom did not slip or break is protected sex completly safe in regards to hiv.
2. Can i be confident i did not contract hiv?
3. Do you think i should test?
4. Can i have unprotected sex with my wife?

thank you in advanced!
8 Responses
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Avatar universal
That was a great explanation doctor. Thank you for your time and patience. I will try to forget this event and move on!
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Sigh.  OK, one more try.

People who claim 100% condom use sometimes get HIV.  But this isn't because condoms don't work. It's because claims of 100% condom use often are false -- either intentionally (it can be embarrassing for people with new HIV infections to admit they didn't use condoms) or becaue there were unrecognized lapses in use.  Equally important, people may be mistaken in when and from whom they caught HIV.  For these reasons, wise physicians and health agencies tell their patients that even with consistent condom use, some risk persists -- and for some people, it may be a quite high risk.

Biologically and mechanically, condoms are pretty much foolproof if they don't break and are properly used.  It's human error ("use effectiveness") that's the problem.  The bottom line is that people who truly use condoms properly and wisely virtually never catch HIV, unless the condom overtly ruptures.

And that's truly all for this thread.  Please try to move on without worry.
Helpful - 0
Avatar universal
I understand you wont repeat yourself. I am sorry.

I just want to know why doctors insist that there is still a samll risk of contracting hiv even if a condom is used for vaginal sex. Can hiv virus sometimes traspass latex? Or is it because the risk of breakage?

What is the numerical risk for contracting hiv if a condom is used for vaginal sex and it does not brake.

I promise this is my last post. I just dont understand where the risk come from. I thought condom protected sex was SAFE SEX in regards to hiv.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Yet again you ask me repeat what I have already said!  Re-read my replies above and concentrate on them.  I've given the maximum possible reassurance.  What more do you expect me to say?  If you remain nervous despite the virtual impossibility you caught HIV, feel free to have a blood test.  

This thread is over.  I won't have any further comments or advice.
Helpful - 0
Avatar universal
I am just looking for some reassurance so i can put this all behind me.

Since i had been tested prior to the incident and this has been my only time with a CSW.

Can i see this as a no risk situation an leave it behind without even testing?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
"Since it was protected vaginal sex, do you think i am safe and can forget about this event?"

You're asking me to repeat myself using different words.  I haven't changed my mind in the past few minutes.   ;-)
Helpful - 0
Avatar universal
Thank you doctor for your answer.

I will provide more information.

I had a duo test 3 months ago which came back negative and this has been my only risk situation since then.

Since it was protected vaginal sex, do you think i am safe and can forget about this event?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to th forum.

Condoms work, if they are used properly (put on before any vaginal or anal penetration) and do not break wide open.  There is no such thing as microscopic leaks that result in significant risk for HIV or other STDs; that's an urban myth.  Further, in the US and other industrialized countries, the odds any particular sex worker has HIV are very low, on the order of 1 in 100 or 1 in 1000; and even if infected, and no condom is used, the HIV transmission risk is around once for ever 2,000 episodes of vaginal sex.  Therefore:

1) Yes.

2) Yes.

3) If this is your only potential exposure to HIV, no testing is necessary.  However, all people who are sexually active outside mutually monogamous relationships should be tested from time to time, like once every 1-2 years.  On that basis, you may wish to consider testing.  But not because of this particular CSW exposure.

4) No distant online expert can give a 100% guarantee that someone doesn't have HIV or another STD.  But if I were in your situation, I would continue unprotected sex with my wife with no fear of infecting her.

I hope this helps.  Regards--  HHH, MD
Helpful - 0

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