Welcome to the forum. Thanks for your question.
You really should not be worried about having HIV. First, although heterosexually transmitted HIV isn't rare in China, the vast majority of sex workers there do not have HIV, so your partner probably wasn't infected. Second, even if she had HIV, you had a safe exposure: condoms work and the virus is not be transmitted by protected vaginal sex; and oral sex is essentially zero risk even without protection.
While the timing of your symptoms, and some of your symptoms themselves, are consistent with a new HIV infection, absence of fever is strong evidence against acute HIV as the cause. In addition, HIV doesn't cause isolated lymph node enlargement only in one or two area, such as the head and neck or an armpit.
I'm not sure what you mean by "ratio of transmission". But if a woman has HIV, the average chance of transmission by UNprotected vaginal sex is once for every 2,000 exposures; and for oral to penile transmission, the risk has been calculated at once for every 20,000 events. As I said, there is no risk to you from the condom-protected vaginal sex; and for oral sex, 1 in 20,000 is equivalent to receiving oral sex by infected partners once daily for 55 years before transmission might be considered likely.
I would recommend you be tested for HIV -- not because I believe you are actually at significant risk, but because the negative test result probably will be more reassuring than anything I can say. If your symptoms persist, see a doctor. But in the meantime, you really need not be at all worried about HIV.
I hope this has been helpful. Best wishes-- HHH, MD
As well as stomach pain and diarrhea thank you
This comment doesn't change my opinion or advice. These symptoms also do not suggest HIV.
Thank you doctor for the reply .. I have another ask please ( last Q. ) What if there is a small hole in the condom , does that moves me infection and Do the symptoms that im carrying are the initial symptoms of HIV Thank you.
Dear Dr. Can you answer my second and last Qustion please ... Do you think I' got the HIV and do i have to make test ? Thank you indeed.
When a condom fails, generally it breaks wide open; you wouldn't miss it. The notion of microscopic leaks that lead to infection is an urban myth. Based on the information you have provided, you are not at risk. Don't overthink it.
That will end this thread. Take care.
I'm really sorry to bother you doctor I only have one Q. And just want the answer YES or NO. Is the elisa 4 generation called combo ? I'm really sorry I know that can't ask but just want to know yes or no ... Thank you very much indeedsir
There are no official definiations of HIV test "generation" and terminology is not precise. Most people use "4th generation" to mean a combo test. But you'll need to check with the lab that did the test to know exactly what test was done.