Im from Toronto Canada and I recently had protected vaginal and protected oral sex with a Hooker I met from an online website. 

The Hooker was a 36 year old white female and the session lasted 30 min. 

The condom did stay intact the whole time we had sex and I ejaculated inside her with the condom still on and didn’t notice any leaks or breakage when I pulled out. 

As we finished the deed I took off the condom with my bare hand and threw out the condom but accidentally touched my penis with potentially the fluids from the condom still on my hand! I may have touched the tip of my penis and shaft (urethra) not completely sure although 

I read online that in me doing that the act was basically unprotected sex. As if I didn’t have the condom on at all! Is this true? 

I asked the girl if she’s clean and if she would show me a sti test to which she claimed she was clean and refused to show me a recent test which makes me believe she’s lying. 

For some information on me I am a 21 year old male (circumcised) and heterosexual. This was my first time seeing a hooker. I highly regret and feel ashamed of this…

My questions are

1. Do I pose a risk for hiv? Considering that I did touch my penis after taking off the condom and is what I read online true about it basically being as if I did the whole thing unprotected? 

2.should I consider taking pep? It’s been 34 hours since I did see the escort so I do still have time left. 

3.what would you do in this situation? Would you be concerned? 

4. Please give me a risk evaluation in chances considering I wore a condom for everything and am (circumcised) 

Thank you sir and happy holidays!

Congratulations on having safe sex in this situation. You are overly worried about minor details of condom use that don't matter. What you read online is absolutely mistaken:  STDs are not transmitted by the sorts of contact you describe -- i.e. condom removal, touching your penis after handling the condom, and so on. Also most people don't lie about HIV/STD status when asked directly, so it is unlikely your partner is infected.  To your specific questions:

1. You are at nearly zero risk for HIV. It sounds to me like you had perfect condom protection.

2. I see no need for PEP in this situation.

3. If somehow I were in your situation, I would not even be tested for HIV and I would continue unprotected sex with my wife without any concern about infecting her with HIV or any other STD.

4. Try this:  Chance your partner had HIV, let's say 10%. (Most likely that's far too high.) The risk of unprotected vaginal sex, if the female partner has HIV, averages once for every 2,500 exposures. Condoms reduce that risk by 99%. These figures make the probability you have HIV 0.1 x 0.0004 x 0.01 = 0.0000004. That's 4 in 10 million, or one chance in 2.5 million. And the true likelihood your partner has HIV probably more like one percent, i.e. your risk probably is ten fold lower than this, i.e. one in 25 million! That's zero for all practical purposes.

I hope you find these comments reassuring. Let me know if anything isn't clear.

HHH, MD

I have a couple more questions. 

Say if I do decide to take pep.

1. Would it still be effective at 40hours post potential exposure? 

2. How effective is pep? What’s the success rate? 

3.if I do take pep, how long after I finish the 28 days of medication can I get a conclusive definitive test. Like the soonest test possible whether it be a 4th gen test or a pcr test. Which one is the quickest so I can put my mind to rest. I really can’t handle the stress it’s eating me inside 

4. 

2. Research suggests ~90% effectiveness, but real-world experience suggests it's nearly 100% effective.

3. This is often the most important downside of PEP. The timing to conclusive testing isn't really known with certainty; it's an almost impossible topic to address with research. Some experts believe testing is valid within days of the last dose. Most believe testing isn't valid until a 4-6 weeks, and some advise 3 months. In theory, PCR testing 2 weeks after the last dose should be conclusive, but most experts would advise AgAb (4th generation) blood tests as well, and at longer intervals. A clear answer as to whether or not you were infected could be as long as 4 months from now, depending on the perspectives of the clinic or doctor you see.

Given your anxieties, I think it would be really dumb for you to take PEP.  You're at near zero risk for HIV and you can't get lower than zero by taking PEP! As I said above, if I were in your shoes I wouldn't even be tested!

I have 2 more questions if you can please answer. 

I was wearing my underwear (penis through the front hole pocket)when I  had sex and vaginal fluids would have got onto the underwear. 11 days after the sex my girlfriend touched the underwear barehanded when washing them. 

1. Could she have gotten infected with hiv from touching it with her barehands? 

2.should I throw away the rest of my clothes I wore that day such as my pants and jacket  as well or is it fine since I washed them. 

I’m here with an update after 1 month post exposure and just finished PEP last Saturday. The day I finished PEP I got a rash on both my hands but those quickly faded within 2 days which is today. Than today I noticed some pimples on My chest. I’m scared I may be seroconverting and this is the end of me. 

I don’t have any other symptoms other than those above. 

My questions are 

1. If I am seroconverting would a test Be accurate regardless of pep since I am having symptoms?

2. If I do test negative on a test right now would those rule out the symptoms of the rash and pimples on my chest?

3. Do HIV rashes typically disappear within 1 to 2 days 

4. How long after PEP is completed do symptoms usually show up? 

I noticed you didn’t answer the questions I asked 19 days ago, it’s okay and please just discard those questions and answer these new ones I have if you kindly will. I can’t afford to buy another question. Thank you so much.

From 19 days ago:  Nobody ever gets HIV from contact with contaminated clothing or the environment. Your gf was not at risk even if your commercial sex partner had HIV -- and statistically it is unlikely she was infected anyway. Also zero risk for all other STIs.

Skin rash never is the only symptom of a new HIV infection and neither are pimples. In any case, symptoms almost never are useful indicators for or against a new HIV infection. Most new HIV infections cause no symptoms; and every possible symptom of ARS occurs far more commonly in other medical conditions. Therefore ONLY testing is useful in judging possible new HIV infection. Ignore any and all symptoms you have had or develop at any time in the future.

1. Yes testing always is positive during and soon after seroconversion.

2. Yes a negative test would prove HIV is not the cause of any symptoms.

3. No. HIV rash (and other symptoms) persist for a couple of weeks.

4. As just stated, usually there are no symptoms at all. When there are symptoms, usually they would start within a week of completing PEP.

There is no realistic possibility you have HIV. See my comments above about how low the risk for HIV was and the fact that you didn't need PEP. However, as also discussed above, having started down the PEP/testing path, you should have a final HIV AgAb test 6 weeks after your last dose of PEP. It will be negative.

That concludes this thread; I hope the discussion has been helpful. Apologies again for the delay in this response. Best wishes and stay safe.