[Question #12243] [Question #12215] clearing up a doubt
9 months ago
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Hello Doctors.
I have one last question about a situation I mentioned a few days ago.
Dr. Hook says yes, there would be no risk and that the condom would provide complete protection. And other similar questions on the forum also said that there would be risks.
But in another question I asked months ago, he said that there would be risks.
Sorry, but I have a doubt.
1- If there is a small hole that causes a small leak (a 0.5 cm hole about 4 cm from the condom reservoir) where the condom does not completely break, can this be considered safe and complete intercourse?
2- A situation in which I should not worry, since the condom did not completely break. And did this small defect happen for a few seconds during intercourse?
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H. Hunter Handsfield, MD
9 months ago
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This is your third question revealing unwarranted anxiety about small or microscopic leaks in condoms. You have correctly quoted numerous statements Dr. Hook and I have made on the forum, all of which stated our confidence that such leaks are rare; and that if they occur, they do not significantly raise the risk HIV infection. And our responses to various questions often are tailored to a very specific situation someone asked about, and the replies often cannot be extrapolated to different situations.
Any sex has some risk of HIV: you are not at zero risk just because you use a condom. Whatever small risk there might be is not significantly higher on account of small or microscopic defects in condoms.
Question 1: There are no data on the size of leaks that might make sex more likely. However, holes the size you mention probably are extremely uncommon.
Question 2: As you have been told, you were at little or no increased risk of HIV on account of the leak you describe. In addition, it is unlikely your partner had HIV; and even if they did, with no condom at all the chance of HIV from a single exposure is under one chance in a thousand.
There will be no further discussion. If you remain concerned, I would advise going back and re-reading your own questions (with the many quotes you found in the forum) and the replies -- concentrating on every word. If still worried after that, I would advise professional counseling. It is not normal to remain so concerned after the repeated, professional, science-based replies you have had, and it suggests an underlying mental health issue, perhaps OCD or an anxiety disorder. I suggest this from compassion, not criticism.
Also please note the forum policy against repeated questions on the same topic. The forum does not permit repeated questions on the same topic or exposure. This being your third about condom leaks, it will have to be your last; future questions will receive no reply and the posting fee will not be refunded. This policy is based on compassion, not criticism, and is intended to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. Thanks for your understanding.
I do hope the three discussions help you move on without further concerns about condom leaks.
9 months ago
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Thank you, doctor
I know it was the safest possible sexual intercourse.
And the woman herself said that she had tests and that I shouldn't worry about it.
I'm going to seek psychological help for this. Sometimes I've stopped having sex just because I was afraid the condom would break.
I apologize for being repetitive, thank you very much.
Have a great weekend
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H. Hunter Handsfield, MD
9 months ago
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I'm glad you understand. Best wishes and stay safe.---