Aa
High-Risk Heterosexual Exposure
Hello Dr.HHH,
I had vaginal sex with a woman of unknown HIV status on 12/26/09. I was out of town visiting family during the weekend, and met this woman at a bar while I was with some cousins. I used a condom, but unfortunately it broke during the intercourse. I did not realize until I pulled out and saw that the condom was completely shredded that it had broke. The intercourse lasted about 30 minutes. I did not ejaculate. I suspect I was exposed for the majority of the intercourse.
The next day I was told my multiple people that this girl is very promiscuous. This got me very worried. I'm 26 years old and never had unprotected sex before, and never had a condom brake. Two weeks later I noticed some bumps appearing in my pubic area, and was diagnosed with Molluscum. I was treated with liquid nitrogen and will undergo further treatment.
Earlier today my cousin called me, and I told him I contracted Molluscum from this girl. He didn't know what it was and I explained it to him. He then told me that I should get an hiv test, because this girl had begun sleeping with a swinger (male) a couple weeks before I slept with her and that her and the swinger are still together.
After the conversation I went straight to my local clinic and had an hiv test done with blood being drawn.
I'm very concerned that I might have contracted hiv. Given that she has slept with many men, and had just begun sleeping with a known swinger, I would say it's safe to classify her as high-risk. I believe she is 25 years old.
If this swinger was hiv positive, and she was recently infected (from what I understand) she would be highly infectious during the time I slept with her. This combined with the fact that I contracted molluscum from her has got me freaked out. I'll be receiving my 30 day results at the end of this week or early next week.
In the meantime, I'm hoping you could give me your opinion on my situation and risk for contracting hiv, given my
circumstances.
Thank you.
I had vaginal sex with a woman of unknown HIV status on 12/26/09. I was out of town visiting family during the weekend, and met this woman at a bar while I was with some cousins. I used a condom, but unfortunately it broke during the intercourse. I did not realize until I pulled out and saw that the condom was completely shredded that it had broke. The intercourse lasted about 30 minutes. I did not ejaculate. I suspect I was exposed for the majority of the intercourse.
The next day I was told my multiple people that this girl is very promiscuous. This got me very worried. I'm 26 years old and never had unprotected sex before, and never had a condom brake. Two weeks later I noticed some bumps appearing in my pubic area, and was diagnosed with Molluscum. I was treated with liquid nitrogen and will undergo further treatment.
Earlier today my cousin called me, and I told him I contracted Molluscum from this girl. He didn't know what it was and I explained it to him. He then told me that I should get an hiv test, because this girl had begun sleeping with a swinger (male) a couple weeks before I slept with her and that her and the swinger are still together.
After the conversation I went straight to my local clinic and had an hiv test done with blood being drawn.
I'm very concerned that I might have contracted hiv. Given that she has slept with many men, and had just begun sleeping with a known swinger, I would say it's safe to classify her as high-risk. I believe she is 25 years old.
If this swinger was hiv positive, and she was recently infected (from what I understand) she would be highly infectious during the time I slept with her. This combined with the fact that I contracted molluscum from her has got me freaked out. I'll be receiving my 30 day results at the end of this week or early next week.
In the meantime, I'm hoping you could give me your opinion on my situation and risk for contracting hiv, given my
circumstances.
Thank you.
MEDICAL PROFESSIONAL
Sorry, tyoing to fast -yes I meant now.
That estimate is too high. The rates are falling becasue more and more Americans have had the hepatitis B vaccine. As I said, low risk.
This thread has gone on a long time. It is time for it to draw to a close and time for you to move on from your concerns.
Take care. EWH
That estimate is too high. The rates are falling becasue more and more Americans have had the hepatitis B vaccine. As I said, low risk.
This thread has gone on a long time. It is time for it to draw to a close and time for you to move on from your concerns.
Take care. EWH
Please correct me if I'm wrong, but I'm guessing (and hoping) you intended to say that HBV is *now very rare in the US.
It's strange because on the New York State Department of Health website, it states that on average 1 in 20 Americans will be infected with HBV.
However, the statistics they subsequently offer show that on average only 1 in 100,000 were infected from 2005-2007 --http://www.health.state.ny.us/statistics/chac/general/hepb.htm
To me this is very confusing.
It's strange because on the New York State Department of Health website, it states that on average 1 in 20 Americans will be infected with HBV.
However, the statistics they subsequently offer show that on average only 1 in 100,000 were infected from 2005-2007 --http://www.health.state.ny.us/statistics/chac/general/hepb.htm
To me this is very confusing.
MEDICAL PROFESSIONAL
Hepatitis B is no a very rare infection in North America. I see no reason for you to seek testing. EWH
Ok..I'll test for syphilis at the 8 week mark to be sure.
Would you advise I test for Hepatitis B, as well?
I always thought it was very rare, however upon a bit of research it seems as though this might not be the case. If she had HBV, is it likely that I contracted this virus?
The fact that she was exposed to the swinger community has me very nervous.
Would you advise I test for Hepatitis B, as well?
I always thought it was very rare, however upon a bit of research it seems as though this might not be the case. If she had HBV, is it likely that I contracted this virus?
The fact that she was exposed to the swinger community has me very nervous.
MEDICAL PROFESSIONAL
Let's not go to the "if negative at 4, what are the odds at Y" place. We really do not have the data to make such estimates. Your risk was low to start with and lower still following a negative 30 day test.
Syphilis is a rare disease, particularly among heterosexual men and women. At the same time, syphilis blood tests are a routine part of evaluation of persons for STD. I don't feel storngly aobu *** but, given your continuuing concnern, why ot get it so it won't be on your mind. I'd be VERY suprised if your syphilis (or further HIV) test are positve. EWH
Syphilis is a rare disease, particularly among heterosexual men and women. At the same time, syphilis blood tests are a routine part of evaluation of persons for STD. I don't feel storngly aobu *** but, given your continuuing concnern, why ot get it so it won't be on your mind. I'd be VERY suprised if your syphilis (or further HIV) test are positve. EWH
Ok, that is good to know. I will re-test at the 8 week mark and hopefully put this behind me. I am still very nervous. In your experiences, what is the likelihood of someone testing negative at 30 days and positive at 8 weeks?
Also, would you suggest that I test for syphilis? The aforementioned doctor said that since I have not had any symptoms it's not necessary, since they would have appeared by now. Can I trust his advice? I heard from other sources that syphilis can have no symptoms for years. (That was my last question, Promise!) I just got back from a little vacation and would have followed up sooner.
Again, thank you for all of your help.
Also, would you suggest that I test for syphilis? The aforementioned doctor said that since I have not had any symptoms it's not necessary, since they would have appeared by now. Can I trust his advice? I heard from other sources that syphilis can have no symptoms for years. (That was my last question, Promise!) I just got back from a little vacation and would have followed up sooner.
Again, thank you for all of your help.
MEDICAL PROFESSIONAL
You are correct. The doctor you spoke with was mistaken. As I told you before, at the time youo were tested (30 days), well over 90% of infections acquired 30 days earlier would be detetctable. EWH
Dr. Hook,
I received my 30 day post exposure result, and it was negative.
Unfortunately, the doctor told me that virtually nobody tests positive by 30 days, and that I'll need to come back in for additional testing.
Based on the statistics you provided me, I should be at least reassured that I will be in fact negative later on. Correct? I have not had any ars symptoms at all.
Apologies if I'm out of line by seeking further reassurance.
Thank you very much.
I received my 30 day post exposure result, and it was negative.
Unfortunately, the doctor told me that virtually nobody tests positive by 30 days, and that I'll need to come back in for additional testing.
Based on the statistics you provided me, I should be at least reassured that I will be in fact negative later on. Correct? I have not had any ars symptoms at all.
Apologies if I'm out of line by seeking further reassurance.
Thank you very much.
MEDICAL PROFESSIONAL
There are no data to indicate that the presence of molluscum increases risk for HIV.
Yes, a male can contract HIV from a single expsoure HOWEVER, as I said it is very, very rare. EWH
Yes, a male can contract HIV from a single expsoure HOWEVER, as I said it is very, very rare. EWH
Dr. Hook,
Thank you for your response.
I tested negative for gonorrhea and chlamydia 10 days after the exposure.
However, as I mentioned I did contract molluscum. I'm not sure if this would have an affect on the transmission of HIV. I would truly appreciate your thoughts in that regard.
Furthermore, have you seen any cases or treated a male contracting hiv from a single vaginal exposure?
I'm doing my best not to worry. It surely is an uphill battle.
Regards.
Thank you for your response.
I tested negative for gonorrhea and chlamydia 10 days after the exposure.
However, as I mentioned I did contract molluscum. I'm not sure if this would have an affect on the transmission of HIV. I would truly appreciate your thoughts in that regard.
Furthermore, have you seen any cases or treated a male contracting hiv from a single vaginal exposure?
I'm doing my best not to worry. It surely is an uphill battle.
Regards.
MEDICAL PROFESSIONAL
Welcome to our Forum. I do not think your risk is as high as you believe. I also realize however just how unsettling it is to be doing the right thing (i.e. using a condom and to have it break). In my opinion, the odds are in your favor. here is why:
1. You do not know that she has HIV. In fact, the odds are that she does not. Having lots of sex partners does not, by any mean, indicate that she has HIV. Furthermore, the fact is, the STD/HIV rate among swingers is not as high as many people would guess.
2. Even if she did have HIV, a single episode of vaginal intercourse has about a 1 in 1000 chance of leading to HIV transmission. If she were in the course of seroconverting to HIV, that risk might go to 1 in 100 but seroconversion is also very, very unlikely.
Here is what I would suggest. Getting and HIV test, as well as testing for other STDs (gonorrhea, chlamydia) is reasonable. It has been 4 weeks. if you get tested no, an HIV test would detect over 90% of infections acquired a month ago. Then get tested again at 8 weeks because at that time over 99% of infections acquired 8 weeks before would be detectable. In the meantime, do your best not to worry. I would be very, very surprised if it turned out that you got HIV
Take care. EWH
1. You do not know that she has HIV. In fact, the odds are that she does not. Having lots of sex partners does not, by any mean, indicate that she has HIV. Furthermore, the fact is, the STD/HIV rate among swingers is not as high as many people would guess.
2. Even if she did have HIV, a single episode of vaginal intercourse has about a 1 in 1000 chance of leading to HIV transmission. If she were in the course of seroconverting to HIV, that risk might go to 1 in 100 but seroconversion is also very, very unlikely.
Here is what I would suggest. Getting and HIV test, as well as testing for other STDs (gonorrhea, chlamydia) is reasonable. It has been 4 weeks. if you get tested no, an HIV test would detect over 90% of infections acquired a month ago. Then get tested again at 8 weeks because at that time over 99% of infections acquired 8 weeks before would be detectable. In the meantime, do your best not to worry. I would be very, very surprised if it turned out that you got HIV
Take care. EWH
You are reading content posted in the HIV - Prevention Forum
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
Can I get HIV from surfaces, like toilet seats?
Can you get HIV from casual contact, like hugging?
Frequency of HIV testing depends on your risk.
Post-exposure prophylaxis (PEP) may help prevent HIV infection.
