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Broken Condom(s)

About four days ago I had sex with csw. I practiced safe oral but during the intercourse the condom broke 3 times. The first 2x the condom was changed immediately however, the third time was not noticed until I was ready to ejaculate. I always make it a habit to pull out b4 I ejaculate even with the condom on but, I still worried about the possible contraction of HIV. I had numerous conversations with the female since then and she has assured me she is fine and will test soon. My question is how worried should I be about HIV contraction?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
No.  All symptoms are worthless in judging whether or  not someone has HIV.  Please accept the scientific evidence and reasoned reassurance you have had.  Whatever symptoms you may develop are to be ignored in relation to HIV.  If you remain unconvinced, have an HIV test if it will get you beyond your somewhat irrational worry about it.

That will be all for this thread.  Try to move on.
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Avatar universal
Does HIV causes red eye(s)?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
That's what the data show.  Many wives of infected men never catch the virus.
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Avatar universal
Really that low? I thought it would be much higher since a man "shoots" his semen into the vagina... No?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
About twice the risk of female to male transmission, i.e. average 1 transmission for every 1,000 exposures.
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Avatar universal
What are the stats for male to female transmission of HIV ? Assuming the male partner is infected and unprotected sex leads to ejaculation inside the vagina.
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Avatar universal
I'll just relax since you said testing is optional, and my risk is so low
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Avatar universal
Thx you doctor H...
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239123 tn?1267647614
MEDICAL PROFESSIONAL
The risk of some STDs is higher than for HIV, but still pretty low for any particular exposure.  But for reassurance, you could have a urine test for chlamydia and gonorrhea (at any time) and a blood test for syphilis in a few weeks, e.g. if and when you are tested for HIV.
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Avatar universal
Thx for the speedy response. Final question should I be concerned about other STD's? Or like you said just chalk it up as bad luck? Thx u in advance and I truly appreciate your time and knowledge.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome back to the forum.

Congratulations for your intentions for safe sex.  It was obviously bad luck (or a bad batch of condoms) that resulted in 3 breaking in a short period of time.

However, if you are in the US or other industrialized country, it is unlikely your partner had HIV; the large majority do not.  (In most areas, under 1% are infected, often under 1 in 1,000).  And the average transmission risk for a single episode of unprotected vaginal sex, if the woman has HIV, is around once for every 2,000 events -- equivalent to having unproteced vaginal sex with infected women once daily for 5 years before transmission might be likely.  And it seems particularly unlikely your partner has HIV; most CSWs know their HIV status and do not lie about it when asked directly.

So you really should not be at all worried and testing is optional.  If you will sleep better knowing you have had a negative test result, feel free.  You could have a combo test (HIV antibody plus p24 antigen) with 100% reliable results at 4 weeks, or an antibody-only test at 6-8 weeks.  In the meantime, don't lose sleep over this.  The odds are overwhelmingly in your favor.

Regards--  HHH, MD
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