[Question #5449] Broken condom

20 months ago
Hello docs Here's my situation I got myself into.on 4/6 I had protected sex with csw and condom broke and was exposed for maybe 5 seconds. Didn't think about much since the exposure was brief but on 4/30 I did a oraquick and got a partial line on T zone.I drank a gatorade I think it was right before the test cause the partial line on t.Ever since I been testing using oraquick all negative and the last one was today 5/29  53 days from exposure how worried should I be please help doc
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
20 months ago
Welcome and thanks for your question, and yoru confidence in our services.

It cvan be alarming when condoms fail. But even without condoms, all STDs are uncommon after a single epsiode of unprotected vaginal sex -- and the unprotected time of your exposure was very brief. I would not have recommended HIV testing in this situation, at least not for true risk -- only for reassurance, recognizing that some people find test redsults more reassuring than even the most expert opinion based on probability and statistics. But in the US, on average well under 1% of female sex workers has HIV, and the transmission risk for any one vaginal event averages 1 in 2,500.

But your testing so far is only partly reassuring. The oral fluids test is the least reliable of all available HIV tests and the only one that really should not be used if concerned about a particular exposure. It probably misses up to 5% of infections, even after 3 months. And it takes longest of all tests (3 months) for even this result. At 53 days it's probably close to 95% rreliable, so between the low risk of the exposure and the test result, there's under one chance in a million you have HIV. But if you find yourself continuing to worry, have a lab based test. A standard antigen-antibody (combo, duo) test is 100% conclusive any time 6 weeks or more after exposure.

I hope this information is helpful. Let me know if anything isn't clear. 
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20 months ago
Thank for the fast response doctor hunter I have followed u at medhelp.Ever thing is clear is just my extreme anxiety that drives me to worry.One more question should I test again the only reason Iam asking is that if I worried Have a lab test.At the this point and time with my situation should I be concerned or I shouldn't let the "what if" get the better of me
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
20 months ago
I agree with your closing statement! There is no realistic chance you have HIV. Do your best to let it go, with or without additional testing.---
20 months ago
Thanks  again for help doc take care
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
20 months ago
FYI, since you're a MedHelp alumnus:  In the 14+ years of those forums plus this one, among thousands of questions, not one person who worried about HIV from a reported exposure later reported they had a positive test result. You won't be the first. If and when it happens, I expect it from a real exposure (e.g unprotected anal between men, unprotected sex with a known infected person, etc) -- not a near zero risk event like yours.

That concludes this thread. Thanks for the thanks-- I'm glad to have helped.
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