Risk of HIV in my case?

[ptnice56]

Hi Doctor,

I have been regretting doing this past one week. I recently had protected oral and protected vaginal sex with 2 girls. I met the first girl once and I met the second girl twice. I used protection (latex condom) all the time during oral and vaginal sex. I also asked the girls if they had any STD's and if they get checked regularly. Both of them said they had been tested in the past 2 months and they can guarantee that they are clean and they don't have any STD's that they are aware of. I also kissed one of the girls who had red rashes on her body. I think I kissed the red rashes too. Also while removing the condom, one of the girls removed it with her own hands which she had used to finger her vagina (while doing this she may touched my penis head). In the other case, while removing the condom, my penis head would have touched some vaginal fluids on the condom.

I am now very concerned about the exposure to HIV. I am also concerned about exposure while removing the condoms and kissing the rashes too. Please assess the risk of HIV in my situation?  Are there any tests that can lower my anxiety faster?

[ptnice56]

Thanks doctor... You have been of great help!

[Edward W Hook, MD]

Still no risk of vaginal secrtions fell on the open sore.  EWH

[ptnice56]

I meant vaginal fluid while removing the condom may have fallen on the open sore. Does this also cause risk?

[ptnice56]

Hi Doctor,

Also I had a puss filled bump and/or pimple on my penis even before I had sex. This bump could have burst into a open sore before having sex but was covered with condom.  I am also concerned if the vaginal fluid may have fallen on this open sore too. Does that also pose HIV risk?

Answers to the above question, will give me some peace of mind until I get tested.

[ptnice56]

Hi Doctor,

Thanks!  Are you saying that even if the vaginal fluid touched my penis head while removing the condom or due to her touching it... it still does not pose a HIV risk?

One more thing, she also touched the inner side of the condom (particularly the condom head) before putting it on me. Does that also pose a risk to HIV?

[Edward W Hook, MD]

Welcome to the Forum. The exposures you describe are virtually no risk for HIV and do not require testing. Most commercial sex workers do not have HIV an even if one of your partners did, even with unprotected sex, the risk of getting HIV from unprotected vaginal sex is only 1 infection for every 1000 exposures.  There is no appreciable risk from unprotected oral sex with an infected partner and HIV is not spread by kissing, even kissing a rash.  In your case your exposures were condom protected.  Condom protected sex is safe sex, even if some of your partner's genital secretions got on you during condom removal (this happens often).  I would not worry.

If you feel you must test for your own peace of mind, a standard HIV antibody test will provide definitive answers at 8 weeks following exposure (not 3 or 6 months) and if you can get a combined HIV p24 antigen/HIV antibody test will provide definitive evidence that you are not infected 4 weeks after your exposure.

I hope my comments help. You are not at risk for HIV form the exposure you have described.    EWH