testing

[jamie1122]

hi doctor i have already gottan an answer to my question but i sappose im just looking for a medical oppinion
i have recently been with an escort about two weeks ,ago i had unprotected oral not for long before she put on the condom the had protected vaginal sex what are my risks of  getting hiv and should i be tested if so how long should i wait to have the test done i am living in ireland and dont know the hiv statistics here
any info would be great
i went for a test at 5 days ehich was negative for hiv hep b and c  i know it wouldnt show anything but im getting a bit worried now, i plan to go for a test at 25 days but i dont know what tests are used here in ireland  wether its gen 4 or duo i dont know this test will be more for peace of mind its just the usual what if worry but i have told myself that there is nothing to be worried about anyway would like to here your oppinion and if the 4 week is negative should i do another at 8 weeks

thanks

[Edward W Hook, MD]

Welcome to the Forum.  As you acknowledge, your question has already been addressed on the HIV community site.  I agree with the advice that has been give to you thus far.

Receipt of oral sex from a commercial sex worker in Ireland, followed by condom protected vaginal intercourse carries virtually no risk of HIV at all and no testing is needed, from a medical perspective for this exposure.  Most CSWs do not have HIV and even if your partner did have HIV, the activities you engaged in id not put you at risk for HIV.  Thus testing is not needed.

You do not need to worry that the condom may have failed. When condoms fail they break wide open leaving no doubt that they have failed.  

If you were at risk testing with a DUO (combined HIV p24 antigen.HIV antibody) test would provide definitive evidence at 4 weeks (28 days) following exposure while testing with a test that tested for antibodies only would not give definitive answers until 8 weeks.  As I said above however, you do not need testing

I hope this helps.  EWH

[jamie1122]

thanks for the reply

just one last question the thig that is on my mind is that at the time i had a cut more like broken skin in between my buttocks at the top of my behind so a silly question is it posibble while she was on top could aginal fluid travel down between by buttocks to the cut ( broken skin) i know a silly question,

[jamie1122]

also are due tests available in ireland and would i have to request this test, i would be going to a gp who has alot of dealings in stds

[Edward W Hook, MD]

No change in my assessment related to your rectal fissue=re- you need to take a deep breat and relax.  No risk means just that.

I believe DUO tests are available in Ireland.  I would discuss the type of test with whomever you decide to get tested by (even though you really do not need it)

EWH

[jamie1122]

thanks doc for your comments i will take all you said on board and try and relax and just put it behind me