[Question #6170] Condom Slippage Woman On Top

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70 months ago
I’ve searched on MedHelp and on Ask Experts now for an answer to my encounter but saw varying answers. 

My condom was firmly on my penis and covered the shaft completely. My encounter as follows condom protected vaginal sex woman on top until ejaculation I lost erection but never pulled out for a minute. Upon her getting off of me there was no condom present. But she was able to take the condom out without digging or fishing for it. 

Since she was on top common sense would say if it had came off during sex it would have been deep inside her and she wouldn’t have been able to get it out as easily as she was able to. 

My questions are should I be tested for HIV I was thinking about an RNA test at 9 or 11 days. Or is this an encounter that doesn’t warrant testing. A risk in the 1 in 100,000 or leas than. 
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70 months ago
Forgot to add that she said she was tested 6 months ago and had negative HIV test if I wanted to have unprotected sex but I declined and went with the condom. 
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Edward W. Hook M.D.
70 months ago

The question you ask has been asked and answered before.  As you point out, your condom almost certainly came off upon withdrawal from your partner, not during sex.  If it had come off during sex, as you point out, it would have been more challenging to remove.  When a condom comes off during withdrawal from a partner, the condom has typically done its job, protecting both partners from risk for HIV and other STIs.  This is the case irrespective of the position that sex occurs on.

Further, I would point out that if your partner did not have HIV six months ago it is quite unlikely she acquired it in the past six months.  Whatever she was doing to avoid acquiring HIV before had worked until then.

If I were you, I would not pursue testing related to the event you describe.  Obviously however, testing is a personal choice.  I will add that I note that this is your 6th question in the past 6 months, most of which deal with very low risk circumstances.  While this question is on a different topic, like your other posts, it does deal with low risk situations and it is for that reason that I chose to answer it rather than simply closing your post.  EWH

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70 months ago
I apologize I figured I would ask about possibly testing than going about spending money and resources on a test that I did not medically need. 

I have never had a condom do that before so I was just making sure I thank you for not closing the thread. 

Just for teaching purposes as long as the condom isn’t to big  for the penis slippage most certainly occurs when the penis isn’t removed shorty after ejaculation.  The vagina sucks it up leaving it within the vagina. 
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Edward W. Hook M.D.
70 months ago
I am not sure I follow your question.  It is not at all unusual for condoms to slip partially down the shaft during or after sex, nor is it unusual for them to slip off on withdrawal.  EWH
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70 months ago
In summary it was a low risk event that doesn’t need testing. 

Thank you once again for your great work. 
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Edward W. Hook M.D.
70 months ago

final Response.  Correct.  As stated above, I would not feel the need for HIV testing related to this event. 

As you know, we provide up to three responses for each thread.  This is my 3rd response.  I trust you will not feel the need to return to our Forum on this topic- repetitive questions on the same topic are discouraged and may be deleted without a response. 

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