[Question #9435] Hiv exposure?
32 months ago
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Okay so I did something dumb.. had sex with an escort night before thanksgiving.. I used a condom however she was coming off her period, so blood was present. The condom covered my urethra and head area of my penis throughout, however when I pulled out, the condom was scrunched up along the base of my penis, and I noticed her blood present on the lower end of my penis, not covered by the condom. There was also blood on the condom, however my head area was covered by the condom. She said I have nothing to worry about, she does porn and been tested.. but still it’s a little nerve wracking.. do I have to worry here ? I only am concerned honestly of HIV.
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H. Hunter Handsfield, MD
32 months ago
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Welcome back to the forum. Thank you for your continued confidence in our services.
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This was a low risk exposure in regard to HIV. Staistically, it is unlikely your escort partner has HIV, especially if you mean "escort" in the same sense we do on this forum: a "high end" (expensive) female sex worker by appointment, as opposed to brothel workers, bar pick-ups, etc. Most know the score, protect themselves, have relatively low risk clients (men like you), and get tested regularly -- all of which seems to fit with what she told you. Second, condoms are considered completely effective if they cover the head of hte penis and the meatus (urethral opening), which apparently was the case for the event described. Third, blood in this setting does not significantly elevate the risk of HIV: the concentration of virus in blood is not significantly higher than in cervical/vaginal fluids.
From a medical/risk perspective, there is no reason for being tested for HIV, and if somehow I were in your situation, I would not be tested and would continue unprotected sex with my wife without worry. That said, some anxious persons are more reassured by negative test results than by professional opinion, no matter how expert. (We don't take it personally!) If you'll sleep better with a negative test result, feel free. (This does not mean I really believe you actually are at sufficient risk to be tested. I do not: this would be strictly for reassurance.) If you get tested, you could have a 90% reliable result with an AgAb (4th generation) blood test 3 weeks after the event, and a conclusive result at 6 weeks.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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32 months ago
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Thank you.. you guys are the best.. always informative, and give descriptions from a human level.. tell your boy dr hand.. I’m going out to the bar tonight!
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H. Hunter Handsfield, MD
32 months ago
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Thanks for the thanks. I'm glad to have helped -- that's why we're here!---