[Question #5625] So worried and lost

21 months ago
Hi doctor ,my life is upside down last 5 weeks ,never been more scaried in my life. I live in Denmark,small country in North Europe ,I am 30 years old man ,5 weeks ago after couple of beers I went here to a thai massage place. She was around 35 years old thai woman with silicone implants. She give me some oral sex without condom and then a bit vaginal ,she told me put in my ass (sorry for this words) and being the horny shit I am I did it , after 1 - 1 and half minute I felt something stranger ,I withdrew and to my horror saw the condom totally broke. I panicked jump to the shower and went away from there in total shock and fear. I dont know exactly how long the condom was broken but the whole thing didn't last more than 2 minutes I am sure. I know anal sex is very high risk and I am totally freak out. By the way she was nice and saw me I was very worried and told me to not worry and that she is in Denmark from 4 months and never worked this job in Thailand. I have no idea whether its true or not honestly ,but she told me to not worry and that she don't have diseases. I hope she don't lie about that she didn't work in Thailand this job ,because in Denmark HIV rates are low among heterosexuals ,but really I have no to know if it is true , I didn't know about PEP then also and just went home and drink 10 more beers worrying about this. At day 13 I made lab duo test ,it was negative and at day 29 went here to local place and they give me Alere Combo rapid test and syphilis rapid test and those were negative. Yesterday I went to hospital and they drew blood for Duo test and now waiting for results ,but honeslty I am totally scared and think they will return positive. I don't have any questions ,just give me your thoughts about this if you can , honestly mentally I am total mess , panic attacks all the time ,lose 6 kg for 5 weeks and sleep 2-3 hours at night. 
Sorry for long post and thank you

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
21 months ago
Welcome to the forum. Thanks for your question.

"Total mess" and "panic attacks" are serious overreactions to a very low risk event. I'm not sure I fully understand the sexual exposure details, but it doesn't matter. And all your iformation about your partner's sexual history, HIV testing, where she lived, etc make no difference. Regardless of all those details, statistically it is unlikely your massage parlor partner has HIV, probably under 1% chance (1 in a hundred). And even if she had HIV, the average transmission risk for a single episode of unprotected vaginal sex is around 1 chance in 2,500. You definitely can expect a negative result on the duo test done at 29 days; by that time over 95% of infected people would have positive results, and for a truly conclusive result you should have another test 6 weeks after the exposure. I'm sure all these results will be negative.

In the 14 years I have been doing this and a previous online forum, with thousands of questions like yours, not one person turned out to have a positive test. You will not be the first. If and when that happens, probably it will be someone with a truly high risk exposure, not a low risk event like yours.

Feel free to post a follow-up comment when you have the result of your 29 day test. But I won't have any more comments or advice until then. But try to relax in the meantime. You don't have HIV.

HHH, MD
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21 months ago
Hi ,thank you for the reply ,just to tell you that the condom broke during insertive anal sex ,that's why I am so worried ,because I know this is high risk. Also just to tell you ,that I had test at 29 days ,it was Alere Combo rapid test and it came back negative. Now I am waiting for 5 week lab test result. And one more question I want to ask you ,is it big risk for Hepatitis C ?, there was no blood and the contact was brief , but I read it is transmitted by anal sex. 
Thank you for the answer and all the best.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
21 months ago
Thanks for the thanks, and sorry I misunderstood the anal sex part. But it doesn't change anything. Anal sex is higher risk than vaginal, but still only one chance in a thousand you would catch it, even if your partner had HIV, which she probably did not. You still can expect negative HIV test results.

And for sure no risk for hepatitis C. Contrary to lots of information online and elsewhere, the hepatitis C virus is NOT sexually transmitted heterosexually. Even among people who have been unprotected sex partners for 20+ years, if one member of the couple has HCV, the other's risk for infection is no higher than in anyone else -- assuming they are not also needle-sharing partners. Even in men who have sex sith men, sexual transmission is uncommon. (Anal sex is how it's transmitted in MSM, but it requires traumatic, i.e. potentially bloody, sex practices.)
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21 months ago
Hi and thank you for the answer , I just got back results , HIV Duo lab test was negative and Hepatitis was also negative. 
This test was taken 34 days after exposure , do you think I can calm down now a bit ? 
Thank you one more time and all the best.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
21 months ago
Those test results are conclusive, You can move on without worry. I hope the discussion has been helpful. Best wishes and stay safe.
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