Welcome to the forum and thanks for your question. I'll try to help.
Although I cannot comment on the chance your commercial sex partners had HIV, most do not, regardless of national origin. Second, even with entirely unprotected vaginal sex, the average chance of HIV transmission -- if the woman has HIV -- is around 1 in 2,000. So on that basis alone, the odds are very strongly against you catching HIV. To your specific questions:
1) You had condom-protected sex. Vaginal secretions almost always come in contact with the skin of the penis, even with perfect condom use. As long as the head of the penis and urethral opening are covered, protection against HIV is complete.
2) ARS doesn't generally cause nasal congestion, runny nose, or cough. You caught a cold, nothing more.
3) ARS symptoms typically start 10-20 days after exposure, maybe rarely as soon as 7-8 days.
4) Your girlfriend's symptoms do not suggest HIV. Mastitis is not due to HIV or any STD, and that problem has nothing to do with your sexual adventures in Morocco or your sexual activities with her since that time. This is a coincidence, nothing more.
Since you are worried, you should have an HIV test. This does not mean I believe you actually had any risk; I definitely do not. But most nervous persons like you need the negative test result for reassurance. Visit your primary care doctor or a local clinic for testing in a few weeks. But in the meantime, stay mellow, and do not be afraid to continue unprotected sex with your girlfriend (assuming of course she feels up to it, given her mastitis).
I hope this helps. Best wishes-- HHH, MD
hehehehehe i cant stop laughing over that quote 'sexual adventures in morocco' .... you are a legend doc.... you have totaly put my mind to ease :)
Just out of pure curiosity... in your extensive experience at your STD clinic
1) When is the earliest you have ever seen ARS symptoms start in an infected person?
2) Has anyone (who you can pretty much be sure was telling the truth) who had protected sex with a CSW as there ONLY exposure, caught HIV ?
These are purely educaitonal questions and am sure lots of people here would find them beneficial as they are relatively specific and direct to most peoples concerns!
1) Questions about whether "you" (any doctor) have seen a rare condition or situation are generally meaningless. I have never cared for a person struck by lightning, but that says nothing about whether lightning strikes are common or rare.
2) No, probbaly not. However, some people may genuinely but wrongly believe that such exposures were the source of their HIV. For example, a married guy might assume and claim he caught HIV from a condom-protected CSW event because it doesn't enter his mind that his wife has had an affair with an HIV infected partner.
Thanks a lot doc..... just for clarification sake on the point you made copied below
'4) Your girlfriend's symptoms do not suggest HIV. Mastitis is not due to HIV or any STD, and that problem has nothing to do with your sexual adventures in Morocco or your sexual activities with her since that time. This is a coincidence, nothing more. '
What I understand is ... even if someone had acute HIV... Mastitis and blocked ductation in breasts is nothing to do with acute HIV ?
This will be my last post... you have been more than helpful and relieved my of the anxiety I had... I will get tested in 6 weeks as you suggested just for the sake of the mental re-assurance although I don't feel I need it after your advice and assessment.
"What I understand is ... even if someone had acute HIV... Mastitis and blocked ductation in breasts is nothing to do with acute HIV ?"
Yes. And as you were told by Dr. G-G on the international forum, it is impossible to catch HIV and then have any symptoms at all 5 days later.