[Question #13229] condom slippage male penetrative anal female sw
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1 months ago
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condom slippage. male to sw female anal penetration . Condom did not
break but when looked down condom had slipped and looked to be gone.
When he looked his shaft was exposed, penis was still inserted. thinks
his head might have still been covered by condom (hopefully).
immediately pulled out and felt tip slide out of condom and condom
remained in her anus. one half of condom was still halfway inside anus,
one half hanging out.
Really freaked out about this. What are my risks here? is this a situation that warrants PREP? she stated she gets tested monthly. Im going to ask her more about her status today.
Really freaked out about this. What are my risks here? is this a situation that warrants PREP? she stated she gets tested monthly. Im going to ask her more about her status today.
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H. Hunter Handsfield, MD
1 months ago
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Welcome to the forum. I'm happy to help.
I'm a bit confused by your and your partner's sex. Parts of your question seem to be coming from the female partner, others from the male. Please clarify who is who. Were you the receptive female or insertive male partner?
First, remember that even with entirely unprotected vaginal or anal sex, and even when one partner has a transmissible STI, the large majority of sexual episodes do not result in transmission of the infection. (For HIV, the risk to the anal partner with an infected insertive/penile partner is around one chance in a thousand, with no condom.) Second, if in addition your male partner had no urethral/penile symptoms (discharge, sores, etc), the chance of transmission was lower still. Third and perhaps most important, from your description it sounds like his meatus (urethral opening) and head of the penis were condom covered the full time -- in which case this was a very safe event. Skin contact above the condom -- with vaginal opening, vulva, anus -- is considered safe. It's not completely free of STI risk, and is one reason the condoms work less well against STIs transmitted skin to skin (like herpes, HPV and syphilis) than they do for infection transmitted in genital fluids (like chlamydia, gonorrhea and HIV).
We cannot provide direct advice about post-exposure prophylaxis (PEP, not PrEP) to prevent HIV after particular exposures; details of the event are too important and we ask our forum users to consult with local experts. For example, if your partner is at particularly high risk for HIV (e.g. bisexual, IV drug user, recently imprisoned, immigrant from tropical Africa) then PEP might be warranted; or perhaps a local expert would know more than we can about local trends and risks. However, I very much doubt PEP is warranted, especially with an apparently intact condom over the business end of the penis.
You also could ask your partner to be tested for HIV and common STIs -- particularly HIV, syphilis, and a urine gonorrhea/chlamydia test. Even better, the two of you could be tested together for these things: if both are negative for everything, then obviously neither of you was at risk. A brief discussion might find your partner is just as worried about these issues as you are.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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1 months ago
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Hello sorry about the confusion. s.w.i.m was the male intsertive partner. it was with a female sw (receptive anal) from north western CA. we are concerned with penatrative male risk from female. dont believe she is an iv drug user. she did state she gets tested monthy. doesnt seem to be super high volume.. should have asked her when she last got tested and what kind of test.. still trying to get a hold of her its been about 36 hours.
the condom didnt break. was on during insertion, after a few minutes, he looked and from the position he was in, he was unable to see if the head of penis was covered. when he looked all he could see from that angle was that the promixal half of shaft was was unprotected and no condom visible. paniced and pulled out. felt the penis slip out of the condom on the way out (difficult to know for sure since we were both light drinking). half of the condom remained in her anus the circular side was visible hanging out.
It is reassuring knowing as long as penis head was covered by condom the risk is low. what i am worried about is if there was a few moments of insertion where the penis could have come out of the condom and into the anus. or slipped so far up glans were exposed. but wouldnt condom typically disseaper in anus fist in this case? also swim swears he felt penis slide out of condom but the uncertainty worries him much.
the condom didnt break. was on during insertion, after a few minutes, he looked and from the position he was in, he was unable to see if the head of penis was covered. when he looked all he could see from that angle was that the promixal half of shaft was was unprotected and no condom visible. paniced and pulled out. felt the penis slip out of the condom on the way out (difficult to know for sure since we were both light drinking). half of the condom remained in her anus the circular side was visible hanging out.
It is reassuring knowing as long as penis head was covered by condom the risk is low. what i am worried about is if there was a few moments of insertion where the penis could have come out of the condom and into the anus. or slipped so far up glans were exposed. but wouldnt condom typically disseaper in anus fist in this case? also swim swears he felt penis slide out of condom but the uncertainty worries him much.
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H. Hunter Handsfield, MD
1 months ago
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Sorry if I don't understand internet speak, but I don't know the meaning of s.w.i.m. And you mostly refer to the male partner as "he" and not "me" or "I". I still need your help in understanding, but despite the atypical wording I assume you are the male partner in this situation.
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You describe a partner at low risk for HIV and who almost certainly doesn't have it.
It doesn't seem possible that your penis could have exited the condom and then re-entered it during anal sex. I'm sure that didn't happen.
The last line includes "swim" once again and I don't understand what you mean. Or why you again refer to "him" as if it's someone other than yourself. (I wonder if we have translation problem here, if English isn't your primary language. In that case, consider a different translation program or finding a friend with excellent English skills.)
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1 months ago
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apologies s.w.i.m is an acronym for someone who isnt me, which would be in refrence to the male in this case.
do you reccomend testing or refraining from unprotected sex with regualr partner?
do you reccomend testing or refraining from unprotected sex with regualr partner?
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H. Hunter Handsfield, MD
1 months ago
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OK -- got it (finally). We discourage third hand reports of this sort, i.e. answering questions about other person's risks, symptoms, etc -- except of course for the questioner's sex partner(s). In future, if your friend has questions and concerns related to STIs or HIV, he should post his own questions. We are very wary about giving advice for third parties and about learning personal information (like aspects of sexuality) about people with whom we are not in direct contact.
Testing or refraining from sex after possible high risk events is a highly personal choice. When the risk obviously is high, of course we recommend testing and usually abstinence until result are known. When risk is low -- and even if near zero -- we generally advise that testing and absintnece are optional, i.e. not medically necessary but nevertheless often helpful in reducing anxiety. Now knowing your questions are about someone else, all I can say is that it's up to him. If he tests, I would advise only a urine gonorrhea/chlamydia test and, after a few weeks, blood tests for syphilis and HIV.
That completes the two follow-up comments and replies included with each question and so ends this thread. I hope the discussion has been helpful for your friend. Best wishes to him, and tell him he would be welcome if he wishes to seek our advice directly.,