I'm not going to keep saying the same thing using different words. Move on.
Ok. So, protected sex with the condom staying intact does have a risk? And vaginal secretions on a finger cut aswell? Theoretically, I can imagine but even realistically?
Nobody can ever say that the risk of HIV is zero from any particular sexual exposure. However, for the reasons discussed above, the chance is less than that of you being struck by lightning or a meteorite. Beyond that, and my advice above about HIV testing, I can do nothing more.
Sorry, but im suffering from anxiety. Can you please tell me if there is a chance that I had an exposure to HIV?
Thank you Dr.
Last question. All in all, was I at any risk of hiv whatsoever?
Your help is appreciated. God bless
Welcome to the forum. You confirm my own understanding about the low rate of HIV in Pakistan, even in CSWs who may not use condoms consistently. To your questions:
1) This shouldn't make much if any difference in HIV risk. As long as the head of the penis and the meatus (urethral opening) are covered, protection against HIV is complete.
2) Within hours -- maybe even a few minutes -- skin wounds are protected by clotted blood, preventing HIV access to susceptible cells. A small wound of this sort, a day old, does not significantly increase HIV risk.
3) The symptoms of HIV can mimic those of many minor infections, and some of your symptoms are in this category. However, HIV doesn't generally cause productive cough ("chest congestion"); usually there is no cough at all. Also, your symptoms came on late; new HIV infections typically cause symptoms within 2 weeks.
4) There is little or no signficant difference between test reliability at 25-26 compared with 28 days. To be absolutely certain, I would recommend you wait the additional 2-3 days to reach 4 weeks. But if you cannot, you still can consider the result conclusive. And you are correct that HIV tests are always positive within a few days of onset of symtpom: if negative, it will be additional evidence your symptoms aren't due to HIV.
I hope these comments have helped. Best wishes-- HHH, MD