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please forgive - english is not my first language.

on vacation to america had sex with csw and condom failed.  am not worry about diseases other than hiv (have negative tests but the tests too early for detect hiv).  is safe to continue unprotect sex with my wife?  or is test needed for hiv before that.  this is only possible incident for catching hiv.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Thanks for the clarification.  In case you don't know, STD testing at one week is valid only for gonorrhea and chlamydia.  Syphilis testing, like HIV, needs to be done at 6 weeks or more after exposure.

Thanks for the thanks.  I'm glad to have helped.
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Avatar universal
test for other std is one week after sex.  too early for hiv detect.

thank so much doctor.  makes me feel much safer!!!!
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum and thanks for your question -- which came in while I was on the forum.  Your English seems to be fine.

What exactly do you mean by "too early" for HIV testing?  Reliable results are available as early as 4 weeks after exposure, depending on exactly what test (or combination of tests) is done.  See the thread linked below:

http://www.medhelp.org/posts/show/1704700

In most of North America, under 1% of commercial sex workers are infected with HIV.  And when a female has HIV, the average transmission risk for a single episode of unprotected vaginal sex is once for every 2,000 exposures.  That puts your risk from unprotected sex at somewhere around 1 chance in 200,000 to 2 million -- i.e. the odds are very strongly in your favor.

Only you can decide whether this risk is low enough to resume unprotected sex with your wife now, or to wait for a negative HIV test.  While I cannot say your risk is zero, if I were in your situation, I would continue unprotected sex with my wife with no worries about her health.

I hope this has helped.  Best wishes--  HHH, MD
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