HIV Transmission with blood

[lbs77]

Hi

I have recently had sex with a thai sex worker without a condom. I was drunk, same old story.

Because I had sex with her once I thougt it wouldnt matter to do it once more without a condom, stupid I know, I was hungover and probably still drunk in the morning.

Anyway, in the morning when we had sex I think I penetrated her too much as these girls are small. I noticed blood mainly around the base of the penis. After we finished I went straight to the bathroom and washed myself up thoroughly.

My head is a mess now that Ive had time to think about my stupidity. I am really worried about the hiv being transmitted via blood as this method of transmission is much higher than vaginal fluids.

Can you share any information on this.

Also, you may not know this but I would really like to know how many of the sex workers in the 'bigger' go go bars actually have HIv and how often they get tested positive in these bars. Do they have a high turnover of girls who are tested positive.

Thankyou

LBS


This discussion is related to worried about unprotected sex in thailand.

[Teak]

You had unprotected sex so you put yourself at risk. You need to test not only for HIV but for other STDs. HIV tests are conclusive at 3 months post exposure. Contact your STD clinic to see when you need to test for them.

[ECN44120]

You do need to test, for hiv take a 6 week test for a 95% accurate test and then at 3 months for a conclusive result.

[lookin4answers80]

I'm not an expert by any means, but I think your concerns with the blood are well-founded. Not so much because of the blood around the base of your penis, since that would not be a problem unless you had cuts or sores there. But the blood could have gotten in through your urethra. This is exactly what can happen with anal sex. I certainly think you need to get tested, but I don't think you should be overly worried. You are probably OK, since 1) there's no guarantee she's positive, and 2) penetrative pnprotected penile-vaginal intercourse is, while risky, less risky than several other types of sex.

I don't have any data on female sex workers in Thailand. Still, the fact that she'd let you do her without a condom is probably a cause for concern, as it strongly implies that she's let other customers do the same thing. You can't go wrong getting tested at 30, 60, and 90 days. And if you're really in a panic, there are a couple of other tests your doctor can do within a couple of weeks of exposure that could show either p-24 antigens or viral load, if you're really worried and want answers immediately.

[Teak]

P24 is not a stand alone test and is good for the first 3 weeks of infection. There would be no reason to get a viral load test this early, you more than likely wouldn't have a VL that is within detectable levels. Viral Load tests are used to monitor the progress of people diagnosed with HIV and to see how their medication is working.

[lookin4answers80]

Actually, the viral load is at its highest level, often in the millions per milliliter, during primary HIV infection, that is, in the first few weeks after infection. At about the time antibodies appear, the viral load begins to go down until it reaches the set point. Viral load levels at set point are a pretty good indicator of long-term disease progression as well. So if someone has had a potential exposure say, within the last month, a viral load test would show the presence of VERY high amounts of HIV in the blood. The viral load test can occasionally give a false positive, but a low amount (<5,000 copies per ml) usually indicates a false positive. A real positive would have much higher amounts, in the hundreds of thousands or millions.