[Question #9253] unprotected sex

34 months ago

hello doctor

I am a circumcised male, 4 days ago I met a girl of Moroccan nationality in a bar in Bahrain and we went to the hotel and I had sexual relation with her from the vagina without using a condom for one time only .

The relationship lasted about 5 minutes and my penis was half an erection. It was not erect during the relationship. I emptied the semen only the first batch into her feminine, then completed the rest outside, and then I went and washed my penis and asked her about her health condition and she said that she did not suffer from anything and I asked her if she did an analysis for sexual diseases previously She said no, but I'm clean.

I'm really afraid of diseases and I did it while I was drunk

My questions, doctor

1- What is the probability of transmitting Hiv and hepatitis B disease if she is infected with one of them?

2- Today is the fourth day of the relationship and I feel diarrhea and abdominal pain. Does this have anything to do with the initial symptoms of Hiv ?

3- Is one time unprotected relationship enough to contract Hiv and hepatitis B?

With much thanks, appreciation and respect.

H. Hunter Handsfield, MD

34 months ago

Welcome back to the forum.

Looking back at your previous questions, this situation seems very much like the others. And answers have not changed. Even among the most sexually active persons, including sex workers, at any point in time most have no transmissible STI; and when they do, transmission is not efficient -- most exposure do not result in transmission. Given your partner's testimony that she believes she is "clean", most likely you are at low risk. However, it isn't zero risk and you might decide to be tested -- details below. To your specific questions

1,3) Near zero risk for both infections. If you have been immunized against hep B, that's obviously not a concern; and even if not, the chance of transmission in this setting is nearly zero. HIV even less risk. Testing is optional.

2) These symptoms are not due to STI and probably unrelated to the sexual exposure. Conceivably an intestinal infection, for example if your partner had viral diarrhea at the time. For sure not HIV: the wrong sypmtoms and much too soon after exposrue.

If you remain concerned, have a urine test for gonorrhea and chlamydia; and in 6 weeks, blood test for HIV. If vaccinated against hep B, no need for testing. If not, have Hep B testing at 6 weeks. In the meantime, don't be worried. The chance you have anything from this exposure is nearly zero.

HHH, MD

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34 months ago

Thank you doctor for answering my questions, but you may have misunderstood me.
My penis was inside her vagina for 5 minutes. I wanted to send you this explanation because I read to you that the risk of contracting HIV from one episode of vaginal sex with an infected person is 1 in 2500 exposure.
Does this change my explanation from your previous answer?
Thank you for your patience, doctor

34 months ago

Thank you doctor for answering my questions, but you may have misunderstood me.

My penis was inside her vagina for 5 minutes. I wanted to send you this explanation because I read to you that the risk of contracting HIV from one episode of vaginal sex with an infected person is 1 in 2500 exposure.

Does this change my explanation from your previous answer?

Thank you for your patience, doctor

H. Hunter Handsfield, MD

34 months ago

I understood these facts and already took them into account. My reply is unchanged. You were at little or no risk of HIV.

Having asked at least three times about very similar exposures, let's make this your last one. There should be no need to ask about the STI risks every time you have a new sexual encounter. OK?

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34 months ago

hi doctor

Sorry that you seem upset about my question, but I did not intend to repeat the question, but this is what happened to me and every time I promise myself that I will not commit such sexual relations, but I will be under the influence of alcohol and lose my mind, and if you know what happens to me after this, you will excuse me.

Doctor, I did tests for sexually transmitted diseases on the 11th day of the sexual , and all of them were negative, including the hiv combo analysis and the HBsAg analysis, chlamydia and gonorrhea, and then on the 21st day of the sexual I did the hiv combo analysis and the HBsAg analysis and it was negative. Now I still feel great anxiety and excessive thinking, and I do not know, Doctor, is the result of my test after 3 weeks of this unprotected sexual considered reassuring, even if a little? Are there cases where the results of the analysis changed after 21 days and became positive?

Because p24 is supposed to appear on the 12th day of infection and reach its highest peak on the 21st, and since the analysis is negative on this day, how can antibodies appear after that when the antigen did not appear in the first place?

I repeat my apologies and thanks to your kind person, and sorry for the lengt .

34 months ago

Also, what about having sex with my wife, is it safe for me to have sex with her ?

H. Hunter Handsfield, MD

34 months ago

*Sigh* The only health problem you have is your anxiety. Why are my reassuring words not convincing you?? The exposure itself was very low risk for STD, as discussed above. Your negative gonorrhea and chlamydia test results are 100% conclusive. All your other tests were too soon to be conclusive, but the negative results still are very reassuring: it is rare for HIV or hepatitis B tests to turn positive later if negative at 21 days. You should stop reading about the details of how the tests work: you're obviously misunderstanding things, and you clearly do not understand the science of the HIV antigen-antibody test. Still, all you need to do is repeat the HIV AgAb (4th generation) blood test 6 weeks after the exposure, and also a syphilis blood test at that time. There is no point in hepatitis B testing: it is almost never acquired by heterosexual exposure.

Nobody can give you 100% assurance you did not acquire HIV or syphilis before 6 weeks. However, the chance of either is well under one in a million, given the nature of the exposure and your test results so far. If I were in your situation, I would be continuing unprotected sex with my wife without worry of infecting her. But I'm not you, and you'll have to make your own decision.

We've gone past the usual forum limits (two follow-up exchanges, and this is the third) -- so this thread will now be closed. Please do not post another about this exposure and your test results: I guarantee you that the replies would not change.

I do hope the discussion has been useful. If you continue to be fearful and anxious, I suggest you first go back and re-read this entire discussion, concentrating on every word (perhaps with English language assistance if necessary); and if STILL so anxious, get professional counseling. Your anxiety is way beyond what is normal in such a situation, probably due to unresolved guilt and shame over a sexual decision you regret.

Best wishes.

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