worried pls help doc

i had protected sex with a female pro before 4 days. The condom didnt break every factor was considered and i am not worried about them at all. this is my main worry. I am a soccer player and 2 days before the incident i had this skin tear due to friction between my underwear and my legs while playing football. the location is at the inside of the leg joints (both sides). i had stung feelings while pouring water on the area. i had shaved my pubic region too before 1 day. my question is can the virus present in vaginal fluids pass through this broken skin into me>> wats is the possibility since the location does not come into direct contact with the vagina but i am scared whether i would i ve brushed the area against the vagina while having sex... i m too worried doc.. do i ve to go for the test... pls reply.. the vaginal sex lasted for aroung 2 mins.. does a gal secrete a lot of vaginal fluids while sex making it possible to reach the region that i juz explained?? pls reply

[H. Hunter Handsfield, M.D.]

Your risk from that exposure was virtually zero, even if you partner has HIV--which she probably wasn't.  (The large majority of commercial sex workerrs in the US and other western countries are not infected with HIV.)  Don't lose any sleep over this.  The abrasion, shaving burn, etc make no difference.

Good luck--  HHH, MD

[ashpin]

thanks for de reply doc. one last question so i ve to be scared of other STD s like herpes or warts after the single incident. I ve never been to a prostitute before. this was the first time. i am worried whether i ll pass it to my wife if any STD s are present. does virtually zero means NIL. do i ve go for any tests after all. desperately need r expert advice.pls reply. Its a fantastic job done by yourself and everyone involved in medhelp.org... This ll be de last time i ll disturb you by the way.. Pls reply this last time i wanna clear all my anxieties. the pro was from poland and not US by the way.

[H. Hunter Handsfield, M.D.]

The risk for any STD with any single episode of vaginal intercourse is pretty low, even without condom protection; and with a condom you really don't have much to worry about.

HPV might theoretically be the biggest risk, but if your pre-marriage sexual lifestyle (and your wife's) were average (that is, you each had at least a small number of previous partners), then you can be pretty sure one or both of you already has HPV anyway.  Thus, if HPV were to show up someday in one of you, there would be no way to know, and no reason for her to suspect, that you had other partners since you were married.

That leaves herpes, with is a) very unlikely and b) likely to cause symptoms if you caught it.  Although herpes can be entirely asymptomatic, most cases in fact cause at least minor sores; and people who are on the lookout for them will notice them if they occur.  So if you don't develop anything like that within ~10 days of the exposure, you can forget herpes as well.

And with an intact condom, there is basically no risk of chlamydia, gonorrhea, or HIV.

Good luck--  HHH, MD

[ashpin]

Thanks a bunch doc. Your reply has really put me at ease. today is the 6th day after exposure. till now i do not ve any sores or symptoms. pray to god that i shouldnt get those for de next 4 days. Thank You again. I wont keep thinking of testing for anything from now on and ll stay faithful

[ashpin]

i ve one more question doc.before havig sex i rubbed myself against her genital area(no condom) but she was wearing an underwear. i was sitting on a sofa and she was on me. is there any chance of hiv