transmission

[epiphone183]

hi, this is your typical question, and im not here to be judged, as I know it was not the smartest thing to do, but just cant get it off my mind.  I went to get a massage from a transgender sex worker.  It turned into me getting receptive sex from her.  I did not give her oral and she did not give me oral.  She used protection, and i do not believe she ejaculated.  When it was done i did see her take the condom off, and the condom looked like it was not all the way to the her base, and looked only half way up, or on.  My question is, if hypothetically, she would have a lesion, such as herpes or something, what is the chance of getting hiv.  I know these questions are so hypothetical. as there is no 100 percent answer. but just looking for some ball park answers.  I was also wondering of hpv.  As maybe she could of been with others that night.  I know the stupidity of doing this.  , but i did it, and was just looking for some rationale behind it.. thank you so much for taking your time to read and give me some insight.
thanks

[Edward W Hook, MD]

Welcome to our Forum. The question you are asking is unanswerable.  It can be paraphrased as IF the condom was half way on an IF she had HIV and IF she had a lesion, what are my chances?  There are simply too many unknowns involved in your question to give you a meaningful answer.  In contrast, I do believe it may be helpful to tell you why this was a virtually no risk exposure in terms of HIV risk.  

First and foremost condom protected sex is virtually completely effective. This is the case despite the fact that it is not at all unusual for a condom to slip down the shaft of the penis during sex or at the time of withdrawal (which is when most such slippage occurs).

Second, odds are that she did not have HIV.  The majority of transgender sex workers do not.

Third it is unlikely that she ha a HSV lesion at the time of your encounter or that if she did, it was expose.  Most herpetic lesions are on the distal penis an most people with HSV do not have active lesions.  

When you put all of these facts together, the answer is there is  virtually no risk of you getting HIV from this exposure.  I would not worry about it and see no reason for testing.  

I do not understand your HPV question.  HPV does not appear to increase the risk of transmitting HIV in the same way HSV does.  EWH

[Edward W Hook, MD]

There are no specific figures on HPV transmission rates but, if you have have had sex before, odds are you already have HPV.  Within two years of starting to have sex, even with a single partner over 60% of people have HPV.  Condoms slow the rate of transmission but for all practical purposes, for the time bing, HPV is just a fact of life.  I would not worry about it.  EWH

[epiphone183]

thanks so much 4 the ansmwer, makes me feel better..About the hpv, i wasnt asking about the hpv in regards to hiv, just hpv, in regards to hpv transmission...