Need Urgent Help. Condom tip break

[Test12348]

Hello Doctor,

Thank for helping us. I have recently had an Sex with CSW - Las Vegas on last thursday (Nov'19th) around 6 PM used condom both Oral and Vaginial intercourse.
She was on top and ejaculated on me, after the completion I verified the Condom found that my semen was leaking from the tip, worried that HIV virus would
have travelled through my pennis.

I was scared and took her (CSW) to PlannedParenthood next day and did Uni-Gold Rapid test found her result was Negative. After 5 days I tested with
same Uni-Gold test and my result also negative. I have been experinceing Cold,Soar throat, Skin itching,light abnominal pain,light fever and headache.

Totally depressed since I don't know when the condom break and if she got any HIV infection in the window period.

1. Since,the condom not completely broken, What is the level of risk I would be getting HIV infection.

2. Is the above mentioned symptoms because of HIV infection?

3. How soon the symptoms would occur if there is a HIV infection?


Thanks in advance.

[Test12348]

I had done one more PCR test around 30 days and HIV Uni-gold rapid test 6 weeks. Everything Negative.

When do you want me to take another test?

[Edward W Hook, MD]

Your repeated frequent testing with expensive tests is dealing with your anxiety, not reality.  Your partner did not have HV and the chance that she was in the "window" is miniscule.  You did not get HIV and need to stop worrying.  Further testing will only verify what is already apparent, you did not get HIV.  I will not provide further answers until a 6 week test result is available.  It is now time for you to deal with your paranoia.  EWH

[Test12348]

I have done another PCR DNA test on 16 days after exposure - Negative.

Uni-Gold rapid Test - After 25 days Exposure - Negative.

After 3 weeks of expsoure I took the CSW lady to PlannedParenthood and did HIV rapid testing it came back as Negative.

It would be helpful if you can intrepret these results?

Can I go for another PCR DNA test after 28 days?

I appreciate your help.

[Edward W Hook, MD]

None of these tests are postive for HIV. That should be obvious.  Combined they make it still more unlikely that you have HIV.  Cannot put a precise number on it.  EWH

[Test12348]

Hello Doctor,

I have done couple of test to put my anexity to little bit down. Would appreciate if you could interprept these result and give me your opinion would be helpful.

As part of PCR DNA they have done the following tests.
   11 Days After exposure - HIV-1 Antibody, Confirmation Western Blot <1.00 - Negative
   11 Days After exposure - HIV 1/O/2 Abs, Qual HIV 1/O/2 Abs, Qual Non Reactive Non Reactive Negative
   11 Days after exposure - HIV-1 DNA by PCR With HIV Antibodies by ICMA NGVP - Negative

2 Weeks - Uni-Gold rapid test - Negative.

Thanks in advance.

[Edward W Hook, MD]

You are being paranoid.  If your partner had HIV (unlikely) your risk of HIV from a single act of unprotected vaginal intercourse is 1 infection in 1000 exposures.  your risk is lower because in the unlikely scenario you suggest, you would have been partially protected.  Furthermore, the odds that your partner was in the window period at the time of your exposure and her subsequent testing are even more unrealistic.  

My advice remains the same, get tested at 6 weeks.  At that time over 95% of infections acquired 6 weeks earlier will be positive.  In your paranoia fueled situation, that will be proof that you did not get infected.  I suspect however that your paranoia will then cause you to think that you might still have HIV.  Test results at 8 weeks or beyond will provide further proof that I am right and that you did not get HIV.  EWH

[Test12348]

Thanks Doctor.  I believe that the condom tip got punctured by CSW tooth during oral sex  or already had a hole on the tip.  I verified multiple times made sure that my semen from inside condom was coming out.   The vaginal intercourse happened almost 5 minutes.

With this above situation,  what is the risk I have if we consider the CSW got a HIV infection in the window period at least 1 month before my exposure.

I appreciate your help.

[Edward W Hook, MD]

It is not clear to me that your condom broke from what you say.  Condoms do not leak. When they fail, they break wide open, not leak a little.

Even if your condom failed, your risk of HIV is virtually non-existent.  You know that your partner had a negative HIV test.  you cannot get HIV from a person who does not have HIV and her test essentially proves that she did not have HIV.  The chance that she was in a seroconversion stage is very, very low.  Her chances of being in the window period are close to zero.

In answer to your specific questions:.
1.  See above.  I doubt that the condom broke.  What you saw were likely vaginal secretions or something else.

2.  We have said repeatedly that the symptoms of the ARS are TOTALLY non-specific and when people experience "ARS symptoms" they are much more likely to have something else, usually some other, more typical virus infection.  When this has been studied in the US, less than 1% of persons seeking medical care for "ARS symptoms" are found to have HIV, the remainder having symptoms due to other processes. In contrast, over a given year, there is almost no one who has not had a viral illness, night sweats or both (sometimes on multiple occasions).  For a person to try to judge their HIV risk based on "ARS symptoms" is a waste of time.

3.  See above.  To worry about symptoms is a waste of time.

Hope these comments help.  I realize that you will remain nervous despite my assurances.  Get tested for HIV at 6 weeks to prove to yourself that you did not get infected.  In your case, when the test is negative as I am confident it will be, you will have proof that you did not get HIV.  Take care. EWH