Today i had sex with a turkish girl who i met at a bar In dubai. We engaged in protected oral and vaginal sex however the condom broke and I was unprotected for about 2-4 minutes. she changed the condom and we started having sex again . A couple of minutes later the condom tore again and we immediately stopped having sex and she continued to give me an unprotected BJ. I asked her if she had any diseases and she replied that she didn't and was clean.

questions:

What is the risk in this case for HIV?

Is a RNA 14 day test better or a 4 week duo test?

Should i consider PEP?

The exposure you describe is VERY low risk. HIV is very uncommon in Dubai and in the very unlikely circumstance that your partner was infected and untreated, the risk of HIV from a single unprotected exposure is less than one infection for every more than 1000 exposures (That is 0.1% or a 99.9% chance That you would not be infected in the unlikely circumstances your partner had untreated HIV).  I would certainly not recommend do used of PEP in this circumstance.

The advantage of RNA tests for detection of HIV is that these tests become positive earlier than other tests for HIV. Most experts agree that PCR tests will detect virtually all new infections within 11 to 14 days following acquisition of infection. The advantage of RNA tests for detection of HIV is that these tests become positive earlier than other tests for HIV. Most experts agree that RNAPCR tests will detect virtually all new infections within 11 to 14 days following acquisition of infection. At the same time, out of an abundance of caution and although I have never seen a person in whom a RNA test was negative at 11 to 14 days subsequently become positive, many experts would recommend follow up testing using a fourth generation test 4 to 6 weeks following exposure.

I hope this information is helpful to you. Please don’t worry. This was a very, very low risk exposure. EWH 

Reading through my initial I forgot to mention that she was a csw. Today I have a had a lengthy conversation with her regarding her health status and she has reassured  me that she is not a massage girl type of girl and is free of disease. 

Does the fact that she is csw change your opinion 

Firstly, Today, about 24hours after i met her, I had a lengthy conversation again with the lady and she in plain simple terms has resassured me that she is clean and disease free.

I also went to see my std doctor who after hearing the case, said that he personally would not prescribe PEP due to the nature of the exposure. He also stated that statistically I was in the safe category and should worry too much. He advised to take a duo test at 28 days and if i wanted an early detection HIV PCR test at 7 days from exposure which is 4 times the cost of a duo test.  I have researched a bit online and found a CDC webpage which states that this is a NAT test.

I’m pleased that the doctor that you talked to degrees with me. You really do not have any indication for receiving PEP.

HIV PCR (NATT) tests typically become positive sooner than fourth generation, DUO tests. The HIVPCR tests become positive at 11 to 14 days following exposure however even with these tests most experts recommend a follow up test using a combination HIV antigen/antibody (DUO) test to be entirely sure that an infection was not missed. Given your very, very low risk, my recommendation would wait and take used the DUO test. Hope this helps. EWH

Just one thing you say the NAT should be performed from 11-14 days after exposure and my doctor says 7 days. Could you clarify on the days missed by my doctors advice if possible. 

Also I would highly appreciate if you could keep the post open till i get my test result if possible.

Thank you

We will keep this thread open until your test results are available for up to 30 days which ever comes first. There will be no further replies however. Please don’t worry. EWH