[Question #7248] Risk Evaluation for protected exposure

7 months ago
Hello Doctors,

3 years ago I had a protected sex with a south korean escort. Sex was condom protected for both oral+ vaginal. 
Escort is not a super high class one but she is travelling to Asian + middle east countries to do her business. 

And I still clearly remembered that the condom didn't break as it was intact when i pulled it and trowed it to trash bin.
But i didn't inspect the condom by doing water test and didn't do close inspection all i remembered is it was intact.

This happened before 3 years and I still don't have any symptoms till now.  (no rashes etc)
All I have is time to time gastritis + IBS  ( IBS diagnosed 1 year back) also I had gas issues obviously before this encounter. 

Also this is my first sex and only sexual encounter till date.  ( I haven't done any massage parlor visits other sexual encounters nothing)

My questions are:

1. Do I have a risk of catching HIV from this exposure? I'm an uncircumcised male and I saw it's increasing the risk but the sex was protected so what's my risk here?
2. Do you still recommend to do a HIV a test from medical point of view?
3. I'm planning to get married later this year so can i continue unprotected sex with may partner? 

Thanks! 




Edward W. Hook M.D.
Edward W. Hook M.D.
7 months ago
Welcome to our forum and thank you for your question. I’ll be glad to comment. Before I address your specific questions, let me point out that most commercial sex workers do not have HIV and that condoms are nearly entirely protective for prevention of HIV and common STI’s as long as the condom is worn throughout the encounter and does not break. I would not be worried about the exposures you describe.  Regarding your specific questions:

1.  As I said above, this was a very very low risk exposure. Even though you are uncircumcised, the use of the condom makes it a virtually no risk exposure.

2.  From a medical or scientific perspective I see no indication for HIV testing.

3.  Yes, if this was your only exposure, there should be no risk to your future partner from engaging in unprotected sex.

I hope this information is helpful to you. If any clarification is needed, please feel free to use your up to two follow-up questions for that purpose. Take care. EWH
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7 months ago
Thanks Doctor EWH. 

Can i completely forget about this and move on?

if i scientifically think about this i think i'm ok but i regret it on the personal level as this is my first and only encounter. 

Also irrational question: can condoms leak without breaking? if so what would be the risk?
Edward W. Hook M.D.
Edward W. Hook M.D.
7 months ago
Thank you for your follow-up question.  I understand the long end lasting impact of guilt over a misstep of the sort you describe. In reply, yes I would feel quite comfortable on moving forward with unprotected sex with my regular partner without concern if this was your only risk.

Condoms do not leak without obvious breakage. When condoms break during use they typically break wide-open leaving no doubt that they have failed. There is no need to routinely check the integrity of condoms after use. I would be quite confident that your condom did the job it was designed for.

 I hope this additional information is helpful. EWH
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6 months ago
Thank you. I decided to move on this without testing.  ( as this was my first and only sexual exposure till to-date) 
Would you approve this decision?
Edward W. Hook M.D.
Edward W. Hook M.D.
6 months ago

I agree that it is fine to move on without testing under the circumstances that you have described.


As you know, we provide up to three responses to each client's questions. This is my 3rd response.  Thus, as per Forum Guidelines, this thread will be closed shortly.  Take care.  EWH

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