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Risk factors
Hello doctor, first of all thank you for your knowledge and your doings to help others with their health issues.
I have a question regarding hiv health risks, I been working in a carribeans in a intership program for the past year, I am currently 23 years old female. This have never bothered me before until recently. Last year in Aug 2008, I had protected sex with a local dominican man, as far as I know the condom was on and fine the whole time. Then four months later in Dec, I had sex with another dominican man, this time we had condoms has well but i was really drunk, i remember for sure we had condoms but i dunno if it was on or fine the whole time throughout the intercourse. With this man we had sex twice in one nite. They are both dominican men, black descent. I was wondering the chances of me getting effected for HIV.
1) if the condoms were on the whole time then i have no chance of catching it rite, or should i say its really rare?
2) for example if something happened to the condom half way, what are my chances?
3) consider i was drunk the second time, i have vivid memories although im almost positive it was on the whole time, for example if he didnt wear, what are my chances?
Do u sugguest I should at all go for HIV test? Thank you very much
I have a question regarding hiv health risks, I been working in a carribeans in a intership program for the past year, I am currently 23 years old female. This have never bothered me before until recently. Last year in Aug 2008, I had protected sex with a local dominican man, as far as I know the condom was on and fine the whole time. Then four months later in Dec, I had sex with another dominican man, this time we had condoms has well but i was really drunk, i remember for sure we had condoms but i dunno if it was on or fine the whole time throughout the intercourse. With this man we had sex twice in one nite. They are both dominican men, black descent. I was wondering the chances of me getting effected for HIV.
1) if the condoms were on the whole time then i have no chance of catching it rite, or should i say its really rare?
2) for example if something happened to the condom half way, what are my chances?
3) consider i was drunk the second time, i have vivid memories although im almost positive it was on the whole time, for example if he didnt wear, what are my chances?
Do u sugguest I should at all go for HIV test? Thank you very much
MEDICAL PROFESSIONAL
The rapid tests have a slight risk of false positive results, which can be alarming. But a negative result is always accurate.
That will have to end this thread. Take care.
That will have to end this thread. Take care.
Hello doctor im soo sorry for the non stop question, i promise one last one.
i just called a sexual clinic in Toronto for a HIV test and they told me they do Rapid test there and results come on 20 mins. Is that accurate? Can i trust that?
i just called a sexual clinic in Toronto for a HIV test and they told me they do Rapid test there and results come on 20 mins. Is that accurate? Can i trust that?
thank you, unfortunately in Canada it takes 10 days turn around time because anyone that is going to test for HIV , their blood go thru the ministry of health or something like that. So a normal blood test takes one week but one that screen for HIV takes two weeks.
MEDICAL PROFESSIONAL
You are asking for details about transmission that simply are not known. There are no data on the infectiousness of semen versus pre-ejaculate fluid. All we know is that the vast majority of people in situations like yours do not become infected.
It should not take 2 weeks to get a result. Usually results are available within 2-3 workdays.
It should not take 2 weeks to get a result. Usually results are available within 2-3 workdays.
Thank you doctor for your feedback. I got a blood test yesterday and results will be back in two weeks, so till then i just have to wait. However, I should not have the mentality that have the diease already ( as most ppl on this form seem to think they are already sick). The chances are low and from from what read, you only get infected thru sperm correct? So as i recall my sexual encounter, after we finished when i went to the washroom and cleaned up, I am positive there was no sperm inside of me, so now i can be sure that the condom was intact the whole time, as i recall we did use condom for both times. Anyways, thank you doctor.
However, do you get HIV from pre ***? Do you need to get full ejaculation in you for you to be at risk? I am just wondering because I cannot find any information in regards to that. I know with that stds u can get it so much easier and from oral sex. So for HIV, its far less contagious (so to speak) than other stds?
However, do you get HIV from pre ***? Do you need to get full ejaculation in you for you to be at risk? I am just wondering because I cannot find any information in regards to that. I know with that stds u can get it so much easier and from oral sex. So for HIV, its far less contagious (so to speak) than other stds?
MEDICAL PROFESSIONAL
I can't predict what this information means about his HIV status. But please try to absorb my analysis above: Even if he is HIV infected, the chance you caught it is around 1 in 1,000. If you live in the US, the chance you will die of an accident within the next 12 monts is almost that high, 1 in 1,756 (according to the National Safety Council). This doesn't mean you should blow it off. But the odds are strongly in your favor.
PS: Don't forget your seatbelt.
PS: Don't forget your seatbelt.
Hello doctor, thank you very much. I actually got a Pap smear like two months ago and it came back normal.
i think i might just be really nervous because im almost sure I am fine, consider my first time in August i know that the condom was attached after the intercourse ( cus i saw it) and for the second time in Dec, I recall that the first time i put it on him, and the second time he put it on himself..and i dun think any man in their right mind will take it off half way consider they want to protect themselves too.
I have read your pervious post and you said that most ppl will not lie about their HIV status, however i never asked ans its not possible now cuz im back home now, however, the man i slept with when i was drunk in dec ( it was a one nite stand) , he had at least 3 condoms with him , so would you say someone like him will not want to risk that chance as well consider he carries condoms with him when he goes out?
i think i might just be really nervous because im almost sure I am fine, consider my first time in August i know that the condom was attached after the intercourse ( cus i saw it) and for the second time in Dec, I recall that the first time i put it on him, and the second time he put it on himself..and i dun think any man in their right mind will take it off half way consider they want to protect themselves too.
I have read your pervious post and you said that most ppl will not lie about their HIV status, however i never asked ans its not possible now cuz im back home now, however, the man i slept with when i was drunk in dec ( it was a one nite stand) , he had at least 3 condoms with him , so would you say someone like him will not want to risk that chance as well consider he carries condoms with him when he goes out?
MEDICAL PROFESSIONAL
Welcome to the forum. I'll try to help.
Your risk of having caught HIV depends on two factors: the chance your partner had HIV and the statistical likelihood of transmission based on the details of the sexual exposure. It is estimated that about 1% of the Dominican Republic population is HIV positive, which is substantially higher than in the US as a whole, but not much different than among African Americans in the US. The overall HIV/AIDS rate in DR is not as high as in the Bahamas or Haiti, and not nearly as high as in sub-Saharan Africa. Of course I cannot judge the likelihood any particular Dominican male is infected.
When a man is HIV infected, the average risk of transmission to his female partners is estimated at once for every 1,000 episodes of unprotected vaginal sex. Since a condom apparently was used during one of your sexual encounters and uncertain in the other, the statistic risk to you probably was less than 1 in 1,000. But even in we calculate your risk based on an assumptom that condoms were not used (or failed) both times, and if we assume a 1% chance one of your partners had HIV, then the chance is somewhere in the range of 0.01 x 0.001 = 0.00001, or 1 in 100,000.
1) If indeed condoms were used and remained in place and intact both times, your HIV risk is zero for all practial purposes.
2) Loss of condom partly through a sexual encounter obviously raises the risk, but I cannot guess how much.
3) See the calculation above: Probably around 1 in 100,000.
Yes, you should be tested -- not so much because I fear you are infected, but simply for psychological reassurance. Most people who are uncertain enough (or nervous enough) to come to a forum like this to ask the question probably is going to remain nervous despite the reassurance I can provide. Most likely you will sleep better knowing for sure you were not infected. While you're at it, have testing for standard STDs as well (gonorrhea, chlamydia, syphilis, and pap smear if you haven't had one in the past year).
I hope this helps. Best wishes-- HHH, MD
Your risk of having caught HIV depends on two factors: the chance your partner had HIV and the statistical likelihood of transmission based on the details of the sexual exposure. It is estimated that about 1% of the Dominican Republic population is HIV positive, which is substantially higher than in the US as a whole, but not much different than among African Americans in the US. The overall HIV/AIDS rate in DR is not as high as in the Bahamas or Haiti, and not nearly as high as in sub-Saharan Africa. Of course I cannot judge the likelihood any particular Dominican male is infected.
When a man is HIV infected, the average risk of transmission to his female partners is estimated at once for every 1,000 episodes of unprotected vaginal sex. Since a condom apparently was used during one of your sexual encounters and uncertain in the other, the statistic risk to you probably was less than 1 in 1,000. But even in we calculate your risk based on an assumptom that condoms were not used (or failed) both times, and if we assume a 1% chance one of your partners had HIV, then the chance is somewhere in the range of 0.01 x 0.001 = 0.00001, or 1 in 100,000.
1) If indeed condoms were used and remained in place and intact both times, your HIV risk is zero for all practial purposes.
2) Loss of condom partly through a sexual encounter obviously raises the risk, but I cannot guess how much.
3) See the calculation above: Probably around 1 in 100,000.
Yes, you should be tested -- not so much because I fear you are infected, but simply for psychological reassurance. Most people who are uncertain enough (or nervous enough) to come to a forum like this to ask the question probably is going to remain nervous despite the reassurance I can provide. Most likely you will sleep better knowing for sure you were not infected. While you're at it, have testing for standard STDs as well (gonorrhea, chlamydia, syphilis, and pap smear if you haven't had one in the past year).
I hope this helps. Best wishes-- HHH, MD
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