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HIV Prevention (Expert Forum)
Broken condom with KL sex worker
Answered by
Edward W Hook, MD - HIV Prevention, stds
This forum is limited to prevention of HIV and to safe sex in general. If you believe you might have been exposed to HIV and want help to judge your risk, would like advice about HIV testing, or have questions about the effectiveness of condoms or the risks associated with specific sexual practices, this is the site for you.
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No questions will be accepted on the treatment of HIV/AIDS or its complications, viral load, and similar topics. If you have questions about a specific STD other than HIV/AIDS, please visit the STD Forum. Questions that do not pertain to the above topics will be removed from the forum.
If you have not done so, please review other threads in our archives for questions similar to yours and Dr. Handsfield's replies. Questions that duplicate other frequent ones, for which abundant replies exist, and that have little educational value for other forum users, will be DELETED WITHOUT RESPONSE. YOUR PAYMENT WILL NOT BE REFUNDED. The most common examples of such questions are those about low risk exposures to HIV, such as oral sex, condom- protected intercourse hand-to-genital exposure, and nonsexual contact with possibly infected blood or body fluids as well as symptoms of early HIV infection.
Broken condom with KL sex worker
by BMan08, May 06, 2008 09:02AM
On Apr 24 I had sex with a prostitute in Kuala Lumpur (claims to be clean and tested). I did use a condom but after a few moments of vaginal sex I noticed the condom had broken. I immediately withdrew and washed my gentials with soap and water. I had a full STD screening 5 days after exposure - all negative (hep, syph, gono, etc....). Obviously HIV was neg too since it is too early. 10 days since the exposure, I've developed a sore throat and a penile yeast infection. What steps should I take regarding testing and what are my odds of testing HIV positive.
Doctor's Answer
by Edward W Hook, MD, May 06, 2008 03:30PM
, May 06, 2008 03:30PM
You had a single exposure to a commercial sex worker (CSW). Your chances of having gotten HIV from this exposure are extraordinarily low. Here's why:
1, Chances are, your partner did not have HIV. Most CSWs do not.
2. Your chance of getting HIV, if she was infected is less than one in 1000 per exposure.
3. After 6 weeks over 95% of tests that are going to become positive will have.
When you put all of these facts together, your chances of being infected from the exposure you describe is less than one 100th of 1%. If you get tested in the future, negative tests any time after 6 weeks will make it progressively less likely that you are infected. Things will work out fine for you. I hope this is helpful. EWH
1, Chances are, your partner did not have HIV. Most CSWs do not.
2. Your chance of getting HIV, if she was infected is less than one in 1000 per exposure.
3. After 6 weeks over 95% of tests that are going to become positive will have.
When you put all of these facts together, your chances of being infected from the exposure you describe is less than one 100th of 1%. If you get tested in the future, negative tests any time after 6 weeks will make it progressively less likely that you are infected. Things will work out fine for you. I hope this is helpful. EWH
Member Comments (4)
by NeverDespair879, May 06, 2008 03:42PM
To: EWH
DR. I believe he has stated he had the test done 5 days after the exposure. Isn't that not sufficient time for the test to be even 95% accurate?
by BMan08, May 06, 2008 09:35PM
To: EWH
Thanks Dr. Should I be overly concerned about the yeast infection and cold symptoms? I have a sore throat, no fever, glands do not appear to be overly swollen or tender. I do have a wet cough and nasal congestion. The yeast infection is still present.
by Edward W Hook, MD, May 07, 2008 06:39AM
, May 07, 2008 06:39AM
No. Symptoms are irrelevant. As for your yeast infection, if it has not responded, it may be something else or it may need additional treatment. I would suggest you work through this with your health care provider. EWH
