[Question #10352] hiv risk exposure
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23 months ago
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i had sex with a sex worker with a condom my risky events are 1. kissed her three times with closed mouth I am having chapped lips without bleeding 2.inserted my finger for 5 sec no cuts 3.she puts on the condom on my penis I don't know weather she fingered herself before placing if she fingers and there are vaginal fluids on her hand she contaminates my condom 4.after removing condom with the same hand that contains vaginal fluid I cleaned my penis the intercourse lasted for 15 to 20sec max.5 i checked the condom for holes I blowed the condom with air if vaginal fluid touches my chapped lips after 3 min. what are my chances of contracting hiv. After 23 days I checked for antibodies test which is negative and again Tridot anti bodies test at 45 days which is negative.
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H. Hunter Handsfield, MD
23 months ago
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Welcome to the forum. Thank you for your confidence in our services.
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You describe entirely risk free exposures, with little or no risk of HIV -- even if your sex worker partner is infected herself. The details you describe of the exposures generally confirm low or absent risk. And your negative test results also are highly reassuring, even if not yet conclusive. A general comment you might not understand is that HIV is never transmitted except by LARGE exposures to LARGE AMOUNTS of virus. The amounts involved in just touching, fingering, small condom leaks, etc never are enough for infection to occur.
Those comments pretty well address your specific questions, but to assure no misunderstanding:
1. Kissing rarely if ever transmits HIV, even with open mouth and regardless of chapped lips.
2. Fingering also is entirely free of risk for HIV (whether or not there are healing cuts on the fingers).
3. How she applied the condom and whether there were vaginal fluids on her hands at the time make no difference. Just as fingering is risk free, so is hand-genital contact even in the presence of vaginal fluids.
4. How the condom was removed has no bearing on risk of HIV.
5. It is unnecessary to check condoms for holes; there is never a need for a "water test" or inflating the condom. Any defects that allow a drop or two of fluid or air to pass are too small to permit enough fluids to pass to transmit HIV. If a condom does not burst wide open, protection is complete. (And here again, your chapped lips make no difference in risk.)
The TriDot test usually (over 95% of the time) becomes positive by 6 weeks, but it's a second generation antibody test that on rare occasions requires 3 months for a conclusive result. If you don't want to wait that long for a final test, find a third generation antibody test or, even better, an antigen-antibody (AgAb, 4th generation, "combo") test, which is 100% conclusive by 45 days. However, the chance you have HIV is zero for all practical purposes; further testing is optional.
All things considered, you can be sure you do not have HIV. I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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23 months ago
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sir i am uncircumcised what if vaginal fluid on her hand touches inside the condom before placing on my penis. sir I tool 3rd gen tridot test for igg and igm is it conclusive at 45 days
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H. Hunter Handsfield, MD
23 months ago
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These questions are answered above. Vaginal fluid and touching inside of condom: no risk, see my first comment in my reply above. The TriDot test also is discussed above. It it not conclusive until 3 months after exposure.---
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23 months ago
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do i need to test for any other stds sir.
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H. Hunter Handsfield, MD
23 months ago
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No. Your exposure had no risk for all STDs. However, many people in your situation feel more reassured by negative tests than by expert opinion. If you would like to test for reassurance, you could have a urine test for gonorrhea and chlamydia (which can be done any time) and a blood test for syphilis 6 weeks or more after the sexual contact. From a medical/risk standpoint, you do not need to be tested -- if you do so, it would be only for the reassurance you might feel.
That completes the two follow-up exchanges included with each question and so ends this thread. I hope the discussion has been helpful. Best wishes and stay safe.
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