broken condom, high risk

[LotsofRegrets]

Hello Doctors,

On Feb 6 2011 Superbowl weekend Sunday. I was getting drunk with some friends and was on my way home after dropping them  off and saw a women walking and I decided to ask her if she wanted to hang out.  She was a hooker and was 40 years old and possibly a crack user.  I basically agreeed to have sex with this women. (I KNOW I AM AN EXAMPLE OF A DUMBHEAD)  We had sex in my car for about  10 mins and later went back to her hotel.  I waas using protection the first time in the car and when we went to the hotel I forgot to ask for a fresh one and continue to have sex with her with the same one I had on from the car.  I was sure that it was on for the second time until we are having sex again for about 10 to 15 mins.  

I told her to give me oral and I thought the comdom was on the whole time.  Looking back on it was not sure becaue her head was covering my view so I couldnt tell and was too drunk to notice.  Then we begin to change positiions and I finally relaized that the condom broke and that i WAS HAVING SEX WITH THIS NASTY WOEM WITHOUT A CONDOM!.  I dont know how long exactly it was that I was with her without protection aybe 5 mins or more.

I have been strssing ever since today is April 11 2011.  Ever since i have been tested a few times for many things the first week after the high exposure I was tested for eevtyhing from my local doctor and everything was negative. I soon realized that it was too soon.

I have also been tested for hiv at 7 weeks, NEGATIVE, 8 weeks NEGATIVE, 9 weeks NEGATIVE. These tests were rapid testig 20 mins, she tested me with sperm, saliva, and blood  Are these results accurate????

I also got tested last week for  Chlamydia., Gonorreah, Syphllis, hepatasis, but not herpes becasue they said they dont see any outbreaks. I get the results back this thursday.

But I am very concerned about catching herpes as well becuase I testicles are starting to feel some discomfort when I walk ( no pain peeing), they tingle alot as well, my back hurts even when I dont do anything physical, tingling feeling in legs at certain times.  My testicle discomfort just begain like a week ago and and didnt feel this discomfort the first month and a half.  Its a wierd feeling and cant explain but it doesnt feel normal and I am very worriedd.

My questions are is my hiv accurate? and do i have herpes after no outbreaks after 2 months?   Thank you for the help.

[LotsofRegrets]

Thank youu so muchh for the info. This helped me a lot and I have been going to the hiv clinic a lot lately and have been in having greaat communications with her and she told me not to worrk but I am stuck with the same thoughts everyday and cant get away from it.  I didnt something so out of my character and am living in gulit everday.

[Hope242]

Yes your 9 weeks negative result is is very, very unlikely to change at 12 weeks when you can get a conclusive result. If your worried about the condom breaking from the oral sex, that is no risk and you don't need to follow up with testing. If your worried that the condom broke from vaginal sex, then do follow up for a conclusive result. You can check this link for your Herpes questions...
http://www.medhelp.org/forums/Herpes/show/195

[Teak]

See your doctor if you are concerned. You don't have an HIV concern.

[LotsofRegrets]

Thankk very much for your help that gave me some comfort for the oral part.  But I am still concerned because the condom broke and I dont know exactly for how long.  I am such an idiot and only 20 years old and have to live with this regret forever.  My body is going through some changes and I know they are not normal.  Should I feel some comfort abput my hiv testing at 9 weeks???

I am also really paranoid about catching herpes?! Could the abnormal feeling in my testicles be because of something else?

[Teak]

No incident HIV infections among MSM who practice exclusively oral sex.
Int Conf AIDS 2004 Jul 11-16; 15:(abstract no. WePpC2072)??Balls JE, Evans JL, Dilley J, Osmond D, Shiboski S, Shiboski C, Klausner J, McFarland W, Greenspan D, Page-Shafer K?University of California, San Francisco, San Francisco, United States

Oral transmission of HIV, reality or fiction? An update
J Campo1, MA Perea1, J del Romero2, J Cano1, V Hernando2, A Bascones1
Oral Diseases (2006) 12, 219–228

AIDS: Volume 16(17) 22 November 2002 pp 2350-2352
Risk of HIV infection attributable to oral sex among men who have sex with men and in the population of men who have sex with men

Page-Shafer, Kimberlya,b; Shiboski, Caroline Hb; Osmond, Dennis Hc; Dilley, Jamesd; McFarland, Willie; Shiboski, Steve Cc; Klausner, Jeffrey De; Balls, Joycea; Greenspan, Deborahb; Greenspan
Page-Shafer K, Veugelers PJ, Moss AR, Strathdee S, Kaldor JM, van Griensven GJ. Sexual risk behavior and risk factors for HIV-1 seroconversion in homosexual men participating in the Tricontinental Seroconverter Study, 1982-1994 [published erratum appears in Am J Epidemiol 1997 15 Dec; 146(12):1076]. Am J Epidemiol 1997, 146:531-542.

Studies which show the fallacy of relying on anecdotal evidence as opposed to carefully controlled study insofar as HIV transmission risk is concerned:

Jenicek M. "Clinical Case Reporting" in Evidence-Based Medicine. Oxford: Butterworth–Heinemann; 1999:117
Saltzman SP, Stoddard AM, McCusker J, Moon MW, Mayer KH. Reliability of self-reported sexual behavior risk factors for HIV infection in homosexual men. Public Health Rep. 1987 102(6):692–697.Nov–Dec;

Catania JA, Gibson DR, Chitwood DD, Coates TJ. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior. Psychol Bull. 1990 Nov;108(3):339–362.

There is no debate (among experts) about the HIV risks associated with oral sex. The risk is so low that almost nobody who cares for HIV infected patients has ever had a patient believed to have been infected that way. Among experts, it's a semantic issue about using terms like "no risk" and "very low risk". There is no difference between my or Dr. Hook's use of "low risk" and other experts' "no risk".
DR. HANSFIELD

"And oral sex is basically safe sex -- completely safe with respect to HIV and although not zero risk for other STDs, the chance of infection is far lower than for unprotected vaginal or anal sex. Please educate yourself about the real risks. If you stick with oral sex and condom-protected vaginal or anal sex, you have no HIV worries and very little worry about other STDs. " DR HANSFIELD

"I am sure you can find lots of people who belive that HIV is transmitted by oral sex, but you will not find scientific data to support this unrealistic concern..." DR HOOK

"HIV is not spread by touching, masturbation, oral sex or condom protected sex."- DR. HOOK

in the public HIV Prevention forum of MedHelp, TEAK and the other moderators maintain that oral sex in all forms is a zero risk activity. Would you agree with this assessment?
I TOTALLY AGREE / DR GARCIA

"The observation on thousands and thousands of observations is that HIV is not spread by oral sex (of any sort)." DR HOOK

[Hope242]

Oral Sex is NO Risk for HIV even without a condom. You didn't have a risk for HIV from protected vaginal sex either.

[LotsofRegrets]

I am not sure but now I am assuming that it was off. But sorry I cant tell ya because I do not know for certain.  I know that makes it double as worst =(

[Hope242]

Was the condom only off for the oral sex?