[Question #3971] Unprotected Vaginal

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85 months ago
I'm a man, 30 years old from Europe (Germany). I am currently in the USA Florida for an study exchange  (Miami) and met on the 10th July a 23 year old girl (she is American and studies here at the university) through a the Dating App . We met and had a drink in a bar and got to know each other. We then went into my apartment and kissed and had protected vagnial intercourse (she asked for a condom before). Since my penis did not become stiff (I urgently needed the toilet) I went into the bathroom and took off the condom and then pee. After that I went back to her and my penis was stiff because of the excitement and the desire and she sat down on me and we had unprotected vaginal sex for about 10-20 minutes. My Penis was hard for some 10 Minutes.
After that, I realized what a fool I'd done. I don't know her sexual past (she told me that she broke up with her ex-boyfriend a year ago and since then has met men about the Dating App time and again, whether it came to unprotected sex I don't know) and am now afraid to have infected me with HIV. Since she seemed pretty crazy to me as she don't worry ( i did not ask her after we met anymore). My status is negative. Im very nervous can't eat anymore and my thoughts only that im infected.. Mister Hook or Handsfield do i have HIV or is there a risk for me? My mind is blocked i can only cry... Please help me .


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Edward W. Hook M.D.
85 months ago
Welcome to the Forum. I'll be glad to comment.  Overall for the reasons I list below, it is unlikely that you acquired HIV from the exposure you have described.  The fact that your partner asked for a condom suggests that she practices condom protected sex at least some of the time and, even if she did not, far less than 1% of heterosexual, non-drug using women have HIV, even if they have had multiple partners.  In addition, even in the unlikely circumstance that she did have HIV, less than 1 our of ever 1000-2000 unprotected sexual encounters leads to infection.  Thus from a purely statistical perspective your risk for infection is less than in in 100,000 and probably less than 1 in a million.

Your risk for other, far more common STIs like chlamydia is far higher than your risk for HIV.  I would suggest you seek urine testing for gonorrhea and chlamydia to see if you acquired infection.  I suspect you did not but the negative test result you are likely to get will be reassuring.  Testing for chlamydia and gonorrhea will be completely reliable at this time.  To test for HIV you will need to wait until six weeks after the encounter for a conclusive result. At that time, testing with a combination HIV antigen/antibody test will be negative.  I anticipate that a test taken at that time will be negative.  In the interim, other than testing for gonorrhea and chlamydia there is really not much to do but if I were you I would not be worried.

I hope that this perspective is helpful to you.  EWH
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85 months ago
Thank you Sir for your quick reply.  I really can't sleep and I couldn't attend the lectures because I'm always afraid of being infected. Is a test possible earlier? I am simply afraid. I'm uncircumcised too, and I didn't cum in vaginal intercourse. Because in an inconsiderate situation, I turned off my brain and ruined my life. Since I am not familiar with the American health test, should I apply for a test online (there are several online offers) and do it at LapCorb or where should I go in Miami? I would also like to express my appreciation. People like you change the world and you help other people. God bless you


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Edward W. Hook M.D.
85 months ago
Your fear and anxiety is unwarranted.  Your life is not ruined.  You need to think more rationally about this, considering the information I have provided above.

The best way to determine if you were even exposed would be to contact your partner and ask her to be tested- you could pay for this.  Alternatively, at about 14 days after the exposure you could arrange to have a PCR test (RNA or DNA tests will be equally reliable in this situation) for HIV.  The problem with the PCR tests is that they have a somewhat higher (but still low) false positive rate than the more highly recommended, combination HIV antigen/antibody tests which would be 99% accurate at 4 weeks and completely accurate at six weeks after exposure.

Testing is available through public health clinics although if you want the PCR testing you may need to go to a commercial laboratory like Lab Corp.  In general, we do not recommend on-line testing services due to their expense and lack of high quality counseling.  EWH
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85 months ago
Thank You. I called a urgent care they offer all the tests (good feedback at google). Alternative there is a std testing of the Uhealth of the University of Miami (walk in both). what would you recommend? 
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Edward W. Hook M.D.
85 months ago
Ether of these would be fine.  I suspect the University will be less expensive and have better counseling for you.

this is my 3rd response to your questions.  Our Forum permits up to 3 responses to each question.  Thus this thread will be closed later today.  Take care.  Please do not worry.  I am confident you did not get HIV from the exposure you have described.  EWH
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