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Avatar universal

Need to know my risk

The other day I had sex without a condom with a white female, but it was only for ~30 seconds...

1. The female does not use drugs
2. Said she was tested in the last 15 days, and was clean.
3. This happen in southeastern Kentucky. Everything I can find from the board of health say's the county I am in has only had ~12 aids cases reported in the last ~20 years, and the whole Cumberland Vally area(8 counties) have only had ~104 cases of aids reported over ~20+ years.  

Here is the link to the information I found: http://chfs.ky.gov/NR/rdonlyres/B8FBE8A0-7DD4-47D2-B895-63D4FDD62975/0/December2009SemiAnnualReport.pdf

I know I had a risk, this was my first time without a condom, and I was test ~1 year ago, and was clean.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
From my comments above, it is obvious that I agree with your doctor.

That will be all for this thread.  I'll have no further comments or advice.
Helpful - 0
Avatar universal
Hi Doc,

I know it a little late for this. But I did talk to my doctor after this happen, and he told me that my risk was to low take PEP, and that if the woman had HIV he would not give me PEP because the sex was quite brief.

Does that sound right?
Helpful - 0
Avatar universal
Am not losing any sleep. I asked about the neurofibromatosis,because I have not seen much about it with STD.
Most people(included some doctors) did not know about it
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
I'm sure it will.  Don't lose any sleep over it.
Helpful - 0
Avatar universal
Thanks for your help.

I will get tested between weeks 7-8. I think things will turn out OK.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
No, there is no reason that neurofibromatosis would have any effect on risk of infection with HIV or other STDs.
Helpful - 0
Avatar universal
I have one last question. I know my risk was low, and more than likely will be negative. But I  have neurofibromatosis but that would not change anything right?

You are also right I did listed aids cases reports, but I did find between 2005-2009 that only ~156 case of HIV was reported in white women in Ky. That was in the same report.
Helpful - 0
Avatar universal
Thanks,

We are both white. Yes the sex was brief because I was not happy about not having condom so I stopped.

Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the HIV forum.

You describe a low risk exposure, except that you don't mention one potentially significant factor -- your and your partner's race/ethnicity.  The rate of HIV is far higher in African Americans than in whites or persons of other race/ethnicities in the US.  The low rate of AIDS in your geographic area should indeed be reassuring -- but the statistics you quote deserve some caution.  It sounds like you are quoting reported cases of overt AIDS, and I'm sure there are many more persons with HIV that has not progressed to AIDS.

In any case, there are other factors strongly in your favor. First, most people don't lie about HIV status, so you can be pretty certain your partner doesn't have HIV.  Second, even when a woman has HIV, the average transmission risk for unprotected vaginal intercourse is only about once for every 2,000 exposures -- which is equivalent to having unprotected sex with infected partners once a day for 5 years before infection is likely.  And your risk probably is lower than that, since it apparently was quite brief.

The risk of other STDs, of course, could be much higher.  It would make sense for you to see your primary care provider, or your health department STD clinic, for personal advice and STD/HIV testing -- the chances are you didn't catch anything, but better safe than sorry.  You can expect negative results, and for sure you can be confident you didn't catch HIV.

My final advice is to say what you have undoubtedly been telling yourself:  Get back in the condom habit for new or casual sex partners.

Best wishes--  HHH, MD
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