[Question #6716] HIV Risk condom accident with escort.

12 months ago
Hello dear experts, a few days ago I went to a massage room with happy ending, after the massage we started vaginal intercourse and a few moments later we heard a "poping" sound and the girl told me to take my penis out, which I did intermediately, everything happened very quickly but I'd say my penis was inside her only for a few seconds after we heard the sound.

Effectively the condom broke, maybe because she used regular oil to lubricate it, I don't know, she told me I have nothing to worry about because she's very careful about her protection, but asked me not to comment this with the business' owners because they'd scold her. 

The place was not cheap and the girl told me she was doing this to pay for her university studies, I don't think she's involved in drugs consumption or anything like that.

Based on that incident, do I have any reasons to be worried? do I need to get tested?  

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
12 months ago
Welcome back to the forum. Thanks for your continued confidence in our services, a little over three years since your previous question.

Congratulations to both you and your partner for a responsible approach, i.e. using condoms. They do break from time to time, even when properly used; and not necessarily because of oil exposure. But it sounds unlikely your partner has HIV. And when a woman has HIV, the average transmission risk for a single episode of unprotected vaginal sex is around 1 in 2,500. Your risk likely would have been even lower, since the unprotected exposure was very brief.

Should you be tested for HIV? That's a personal choice -- i.e. it's optional. Rather than testing after every potential exposure, we and most health experts recommend periodic routine HIV testing, e.g. once a year. However, our experience on this forum is that the large majority of people nervous enough to ask our advice really need more than our advice. That is, a negative test is often more reassuring than professional advice, no matter how expert. If that applies to you, have an HIV blood test, preferably an antigen-antibody (AgAb, 4th generation) test. The result will be nearly conclusive (98-99%) at 4 weeks and 100% certain at 6 weeks or more after the event. Alternatively, ask your partner to be tested (and maybe pay for it); if her result is negative, you'll know you weren't exposed. I would also recommend testing for gonorrhea, chlamydia, and syphilis.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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12 months ago
Thank you so much for your prompt and clear response, would it be risky to have unprotected sex with my regular partner during the six weeks window I'd have to wait to get tested?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
12 months ago
Nobody can give you a 100% guarantee you don't have HIV or another STD from this event. But that would have been the case even without the condom failure. The chance of infection is slightly higher on account of that, but still extremely low. If I were in your situation, I probably would have a urine gonorrhea/chlamydia test (valid any time more than 3-4 days after exposure; both are far more likely than HIV or syphilis. Assuming a negative result, I would resume sex with my wife, i.e. without waiting for 6 weeks for HIV and syphilis testing.---