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Avatar universal

Do I need to get tested?

Dear doctors, two weeks ago I had sex with a guy I met online. We talked a lot before and he said he was hiv negative and always wears condoms. He gave me unprotrected rimming for 1 minute or less. I gave him PROTECTED oral and I received PROTECTED anal. When he was about to come, he withdrew and He ejaculated inside the condom and i noticed the ejaculate inside the tip of the condom, which looked intact. He took off the condom with no apparentleakage. I was calm because the condom looked intact but From the following day until now, i have been really worried about my hiv risk through this encounter because i did not fill the condom with water to be sure there werent tiny little holes... Should we always do that to be sure the condom was properly used? My second question: could you access my hiv risk through this encounter and should i get tested because of that? Best regards.
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Avatar universal
Thanks doctor! Yes, i did get tested after my potential nosocomial exposure at the end of december and at the end of january with 4th generation tests and the results were hiv 1 and 2 negative. Thanks. Best wishes
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome back to the forum.

First, people generally don't lie when asked directly about HIV status, so it is unlikely your partner had HIV.  Second, rimming is probably risk free, and so is oral sex -- even without a condom.  Third, in regard to the anal exposure, condoms work!  There is no such thing as micrscopic leaks in latex (or polyurethane) that permit HIV transmission; that's an urban myth, and I do not recommend water testing of condoms after sex.  If the condom does not break wide open, protection is complete.

Dr. Hook and I also do not recommend testing for HIV or other STDs after any single encounter, unless particularly high risk -- for example, unprotected anal sex with a known-infected partner.  A smarter approach for sexually active persons at potential risk for HIV is to have periodic testing, like once a year.  Presumably you followed up your potential nosocomial exposure last November, right?  With a negative HIV test result?  If so, I don't recommend testing at this time.

Of course you are free to be tested more often if you wish, or after each exposure.  But it really isn't necessary after the exposure described, and it doesn't seem practical, especially for people with frequent sexual exposures.

As Dr. Hook said, it's always flattering when a medical professional values our advice.  However, please note MedHelp's rule that permits a maximum of 2 questions every 6 months on each of the professionally moderated forums.  Nobody ever reads Terms and Conditions statements, so I wouldn't expect you to know it.  But the rule is enforced, and excess questions are deleted without reply.  Keep it in mind -- I wouldn't want you to lose a nonrefundable posting fee!  

Best wishes--  HHH, MD
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