Hello Dr. HHH,
I am a 27 year old male, currently working in New York City. I recently had an unprotected vaginal sex with, whom I thought was only going to give me an exotic massage. Yes, I went to a Korean massage parlor in the city, and quickly found out that exotic massage wasn't the only service they provided. Had I known this fact before, I would have never jeopardized my life like I did. To make the long story short, I ended up having unprotected sex with 25 year old Korean girl for about 5 minutes, and I ejaculated inside her. It was only then, that I realized how foolish I was, and quickly became concerned about possibility of being infected with various STD's, including HIV. The girl told that she's only been prostituing for a few months, and that before she came to the US in mid-2005, worked as a secretary in Seoul, Korea.
I read your helpful advises posted on varous STD threads, and I just have two questions.
1) You've mentioned, on numerous occasions, that the odds of getting infected with HIV through a single occasion of UNprotected vaginal intercourse is about 1 to 1,000 (assuming the partner is HIV positive). This was certainly a relieving statistics, but I'm still wondering why HIV is so hard to transmit from one to another. Is it because the virus is not always present in vaginal secretion, or semen?
2) Also, I found an interesting article on about.com, which talks about the likelihood of HIV infection through various unprotected sex acts. In my case (assuming that my partner was HIV +... God forbid!), they claim the odds are 1 to 200,000. I'd say both 1 to 1,000 and 1 to 200,000 are relatively low risk, but I'm just wondering where the differences are coming from. Would you say 1 to 1,000 is more likely?
Regardless of what your answers are, I perfectly realize that I've exposed myself to the risk, and I will get tested in 4-6 weeks to be reassured. I guess all I can do for now is just focus on what's happening in my life, live a healthy life style, and don't be paranoid about HIV, because the odds are strongly in favor of me... (As you can tell, I'm just trying to comfort myself, and I am VERY worried =( )
Thanks in advance, Doctor.