[Question #13906] Scared
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1 months ago
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Dear doctor, I really appreciate your patience, I want to ask and please understand me I’m already having general health anxiety and OCD , I had sex yesterday with a CSW from Russia and during the sex I felt the condom slipt out inside her while we having the sex that was for maybe around 10 seconds I just removed the condom from her put another one and we continued , I’m not only scared I’m scared to death , please let me know what is the chance of getting HIV and honestly not only to calm me down but in this case would you in medical reasons advise for test or PERP or it’s just from the anxiety, I’m having GF and scared to touch her , please please please understand me and let me know if really need to worry
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H. Hunter Handsfield, MD
1 months ago
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Welcome to the forum. Thank you for your confidence in our services.
There was very little risk of HIV from this event. First, although HIV isn't rare it female sex workers in Russia, it is also true that most CSWs are not infected with HIV. Second, if your CSW partner generally uses condoms, she likely is at low risk of HIV. Third, with unprotected vaginal sex with a female with untreated HIV -- i.e. no condom, penis in vagina 5-10 minutes -- her male partner's HIV risk is less than one chance in 2,000. With only a few seconds of unprotected exposure, the chance you caught HIV is far lower than that, even if your partner has HIV -- which probably she does not. So there really is no reason to be so worried.
Should you seek PEP? Most likely it isn't necessary and (to put this in personal terms) if somehow I personally were in your situation, I would not seek PEP. However, PEP decisions are very personal, and should be made in direct consultation with an expert HIV physician or clinic. The knowledge of the clinic or doctor about HIV circumstances in that geographic location is very important. For example, if HIV is common in female CSWs in the location where this event occurred, and for a patient who wants extra reassurance, PEP may be advised. But please understand that even if your partner has untreated HIV, your chance of having HIV is extremely low from an event like this.
If you wish to consider PEP, also recall an important problem it creates: with PEP, the time is increased until conclusive HIV testing can be done. Do not use PEP unless you are prepared to wait 6-10 weeks for conclusive testing, instead 2-6 weeks (depending on which test is used) without PEP.
If you wish to consider PEP, you'll need to see a local doctor or clinic ASAP, within 72 hours (and preferably under 48 hours) of the sexual exposure. In the meantime, try not to worry: your risk for HIV is very low.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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H. Hunter Handsfield, MD
1 months ago
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It is against forum policy for users to have more than one account or two simultaneous discussions, especially when both ask the same questions. This thread is closed; you may continue in your other thread with Dr. Hook. In the future, stick with one username/account or the other. Thank you.---
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