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Amsterdam CSW - STD Risk?
So last Tuesday I made the worst decision of my life and had sex with a CSW in Amsterdam's red light district. I wore a condom, obviously - though I have myself convinced that it broke. In the middle of intercourse I definitely started to feel more than you're supposed to with a condom on. It felt just like the last time I had sex with my ex-girlfriend - and at that time I took the condom off and checked and it had a small hole in the bottom....only visible by pouring water into it.
...Anyway, in Amsterdam I pulled out and checked the condom quickly and it looked fine...didn't see any breaks, so I ended up finishing. She took the condom off and stretched it to check for breaks - she didn't seem concerned. I regret not pouring water in it (nevermind doing the whole thing at all...). But I'm not sure I trust myself or her to see any breaks in a black-lit room.
After leaving, I regretted the incident immediately and went back to my hotel. I shaved my pelvic area completely, and took a shower. However I did cut myself a little while shaving (and as i recall I shaved first, then used soap to clean myself second).
So, what is my risk of STDs?
HIV - For obvious reasons I have been freaking out about this one, especially. I'm trying to convince myself that Amsterdam CSW's use the necessary precautions not to get STD's as it's in their best interest to stay clean. I've heard conflicting reports on whether they get mandatory STD testing though - I've heard it's only optional? If the condom did break like I'm convinced it did, then this makes me more worried about HIV. Also - is there any way it could have been on my skin and entered my bloodstream while shaving later on? What's my risk here?
What about other STD's or Hepatitis? When should I get tested? Is it worth going now or should I wait three more weeks?
Lastly, I'm assuming I probably have HPV. Does this ever go away? Will i always transmit it? Have heard conflicting reports.
Thank you!!!
...Anyway, in Amsterdam I pulled out and checked the condom quickly and it looked fine...didn't see any breaks, so I ended up finishing. She took the condom off and stretched it to check for breaks - she didn't seem concerned. I regret not pouring water in it (nevermind doing the whole thing at all...). But I'm not sure I trust myself or her to see any breaks in a black-lit room.
After leaving, I regretted the incident immediately and went back to my hotel. I shaved my pelvic area completely, and took a shower. However I did cut myself a little while shaving (and as i recall I shaved first, then used soap to clean myself second).
So, what is my risk of STDs?
HIV - For obvious reasons I have been freaking out about this one, especially. I'm trying to convince myself that Amsterdam CSW's use the necessary precautions not to get STD's as it's in their best interest to stay clean. I've heard conflicting reports on whether they get mandatory STD testing though - I've heard it's only optional? If the condom did break like I'm convinced it did, then this makes me more worried about HIV. Also - is there any way it could have been on my skin and entered my bloodstream while shaving later on? What's my risk here?
What about other STD's or Hepatitis? When should I get tested? Is it worth going now or should I wait three more weeks?
Lastly, I'm assuming I probably have HPV. Does this ever go away? Will i always transmit it? Have heard conflicting reports.
Thank you!!!
MEDICAL PROFESSIONAL
I see you can't let this go. The problem with proviral, PCR type tests is not sensitivity but that they are prone to false postive results. These tests are typically postive within 4 weeks.
The p24 antigen test is typically offered in combination with an antibody test as a so-called "DUO" test and provides definitive results at 4 weeks, as opposed to the antibody only tests which provide positive results at 8 (not 12, that recomenation is out of date) weeks. EWH
The p24 antigen test is typically offered in combination with an antibody test as a so-called "DUO" test and provides definitive results at 4 weeks, as opposed to the antibody only tests which provide positive results at 8 (not 12, that recomenation is out of date) weeks. EWH
How accurate is the pro-viral or PCR HIV test? I called a testing center and they claim it's extremely accurate (though a antibody test should probably still be done at 12 weeks).
I've heard conflicting info on this though - some places say I can take it a week after, others say 28 days.
There's also a p24 test??
I've heard conflicting info on this though - some places say I can take it a week after, others say 28 days.
There's also a p24 test??
MEDICAL PROFESSIONAL
Actually, frequent urination and testicular discomfort after ejaculation are rarely signs of chlamydia. These are common symptoms of anxiety. Get tested and let us know what the tests show. I'll bet the tests are negataive. When you get evaluated, please do not allow yourself to be treated until you have been tested. I think it will be important for you to know if you acually acquired an STD or not. Thus treatment "just in case" without testing is not in your best interest. EWH
Well as of last night I now have the constant urge to pee, as well as tender (and a slight dull pain) testicles after ejaculation...both symptoms of chlamydia. I think it's pretty clear the condom broke, and if she did have this, who knows if she had HIV as well....
MEDICAL PROFESSIONAL
My goodness. You really are reacting strongly to this exposure. The fact is, this was a low risk exposure. Here are the reasons why:
1. Commercial sex workers in Amsterdam are licensed and as such are checked regularly for HIV an STDs.
2. You used a condom an it did not break. when condoms fail, they burst wide open leaving no question that it failed. You do not need to do the "water test". Using condoms makes your exposure no risk for nearly all common STDs.
3. Even if your partner did have an STD and even if it did fail (neither of which is at all likely), most exposures to infected partners do not lead to infection.
As I said, this was a virtually no risk exposure and there is no medical need for testing. That said, if it would be good for your peace of mind and you wish to get tested for the common STDs such as gonorrhea and chlamydia, you could do so at this time.
You probably already had HPV before the exposure you describe, like most other people. Again, your risk of infection from a single exposure is low. I would not worry about this. EWH
1. Commercial sex workers in Amsterdam are licensed and as such are checked regularly for HIV an STDs.
2. You used a condom an it did not break. when condoms fail, they burst wide open leaving no question that it failed. You do not need to do the "water test". Using condoms makes your exposure no risk for nearly all common STDs.
3. Even if your partner did have an STD and even if it did fail (neither of which is at all likely), most exposures to infected partners do not lead to infection.
As I said, this was a virtually no risk exposure and there is no medical need for testing. That said, if it would be good for your peace of mind and you wish to get tested for the common STDs such as gonorrhea and chlamydia, you could do so at this time.
You probably already had HPV before the exposure you describe, like most other people. Again, your risk of infection from a single exposure is low. I would not worry about this. EWH
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
