[Question #4545] Worried about HIV and STI's

27 months ago
Hi Expert,

I had protected vaginal sex with an escort twice over a period of one month. The latex condom was used correctly and did to break. Both the exposure were for 5 - 10 mins. I am kind of worried right now. This was the biggest mistake of my life. Internet says you can catch HIV with condom as well. I am not able to focus on my Job and is depressed all the time. I went for a HIV Duo 4th generation test today after 25 days of the first exposure and results are awaited.  I asked the escort as well and she said she is clean. I am so worried and praying to God all the time. I wont be able to live if i get this. My life will be ruined. Please help Expert ! I am at risk for HIV or any STI's ? Will i be OKAY ? I need your opinions and prayers. I will not do this again in my life. Its mentally traumatic. Please help!!! God Bless!!
Edward W. Hook M.D.
Edward W. Hook M.D.
27 months ago
Welcome to the Forum.  I'll be glad to comment.  Condom protected sex is safe sex, no matter what you read on the Internet.  Given the very low likelihood that your partner had HIV and your correct and consistent condom use, your risk for HIV is far less than 1 in a million.  I am confident that the 4th generation test you took will be negative and while testing at this time is only more than 95% sensitive,(test results are not conclusive until 6 weeks after an exposure) in the context of the exposure you describe, the result should be believed.

Thus my assessment and advice is:
1.  You should not worry about HIV or any other STI from the exposure you have described.
2.  When your test results are negative, you should believe them.
3.  You should stay off the internet.  Much of what is said there is misleading.

I hope this information is helpful.  EWK
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27 months ago
Hi Doctor,

Thanks for reply! My last test came back as negative.

I made a mistake last night. I had unprotected sex with a CSW (she said she is clean) for about 1 - 2 mins. I was drunk and started the act with a condom but in between it slipped and i didnt noticed and continue the act for 1-2 Mins and then again i wore a new condom. 

I am so depressed and feel stupid that i made a huge mistake and this can end my life :( 

I am not sure what to do .. i am thinking about this all the time .. It was not intended but happened :( 

Please guide me Doctor! 
Edward W. Hook M.D.
Edward W. Hook M.D.
27 months ago
Most commercial sex workers do not have STIs and most single exposures to infected partners do not result in infections.  In terms of risk, your highest risk is for infections such as gonorrhea or chlamydia.  If you acquired one of these infection you would be likely to develop symptoms within 7-10 days following your exposure.  If you wish to test, you can test for gonorrhea and chlamydia any time more than 3-4 days after your exposure.  If you choose to test for syphilis results will not be conclusive until about a month after your exposure and results for an HIV test using a combination HIV antigen/antibody test will not be conclusive  until 6 weeks after your exposure.

Personally, unless you develop symptoms, I would not worry.  EWH
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27 months ago
Thanks for the reply Doctor and that too during the Thanksgiving Holidays. Happy Thanksgiving!


I have some questions : 

1. Should i go for RNA PCR after 12- 14 days ? Will that help with my anxiety ?

2. How would you access the risk for HIV during this episode ? I am really worried and feel like its the end for me.

Some reassuring words would really help me to deal with this. I am married and is worried about my life ahead now. Would never ever do this to me again. Peace of mind is good than a 5 min pleasure and i totally get that now. 

Please help!

Edward W. Hook M.D.
Edward W. Hook M.D.
27 months ago
1.  A negative HIV RNA test at 12-14 days will provide conclusive results regarding whether or not you acquired HIV. from the exposure you have described.

2.  It is unlikely that the CSW you had sex with had HIV.  If she did, your risk for acquiring infection if less than 1 in 1000.  In other words there is a more than 99.9% chance rhat you did not acquire HIV from the encounter you described.  I would not worry.

This is my 3rd response to your questions.  Thus, as per forum guidelines, this thread will be closed shortly without further responses.  Please don't worry.  EWH
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