[Question #6610] Hiv Question

15 months ago
Hi Doc i know last time you told if you post same question it would be deleted please don't delete my question i have a different question 

is it true that hiv shows no symptoms ? google has lot's of confusing information some say they don't some say they do i would like to ask a professional this question. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
15 months ago
Some new HIV infections cause symptoms, some don't. But it doesn't matter. The symptoms of new HIV are the same as many orther infections. Therefore, symptoms NEVER help know whether or not someone has HIV. Only testing does that. Since you were tested with negative resutls, you can be sure you do not have HIV. Why is this so difficult to understand?

HHH, MD
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15 months ago
oh god its Dr hunter! I admire your knowledge you help a lot of people in medhelp forum i tried to contact you i was lucky enough i found you in this forum! I had a encounter with a high end escort, in Vancouver while we were having intercourse at one point i notice the condom was no longer on me so we stop the intercourse than she takes the condom out of her vagina than she points a new one on me than we continue our intercourse. since this accident i am scared to get hiv test  might become positive, also since this encounter i had multiplies counter with different escorts but none of them my condom break or slip. what you think my chances are to catch hiv? i am vaccine for Hep A&B, im always been negative for hiv, Hep c, and for chlamydia gonorrhea  i always had safe sex for oral and intercourse.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
14 months ago
Thank you for the kind words; It's always nice to hear from a MedHelp alum. But you're not especially lucky:  Dr. Hook's expertise, years of experience, and advice and mine are equal to one another.

I read your previous threads and took into account the sexual exposure you described there and again here. As Dr. Hook said, this was a virtually zero risk exposure because a) escorts (expensive female sex workers by appointment) are at low risk and rarely have HIV; b) even without a condom, the risk of HIV -- if the female partner is infected -- is only once for every 2,500 unprotected vaginal sex exposures. Probably even lower in your case, since the unprotected part of the exposure apparently was brief. So that was a very low risk exposure in regard to HIV and all STDs.

Unrecognized condom failures always are possible, and anyone having regular non-monogamous sex, even with complete and successful condom use, should be tested once in a while for HIV, gonorrhea, chlamydia and syphilis. You can expect negative results, but better safe than sorry. However, there is no need to test for hepatitis C, which contrary to popular belief is not transmitted sexually at all.
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14 months ago
Hi doctor hunter thanks for your answer did you also had a chance to look at my three partner encounter? is there any chance i could get hiv from that encounter? you also said even my condom was slip inside it was still protecting how are you sure it was still protecting? im not trying to judge your answer.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
14 months ago
I took that encounter into account and so did Dr. Hook.

I didn't say the condom was still protecting you. My comment above assumes it was not. But if slippage was partial, i.e. the head of the penis and meatus (urethral opening) remianed covered, protection against HIV was complete. Either way, this still was an extremely low risk exposure. Re-read my replies above.

That compeltes the two follow-up exchanges included with each question and so ends this thread. I hope the discussion has been helpful.
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