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DOCTOR HELP ME PLEASE

I am from AUSTRALIA...I had sex last night with a prostitute.. She is a heterosexual.. First she gave me a massage and then SHE PROVIDED THE CONDOM AND SHE PLACED IT ON MY PENIS AND GAVE ME A BLOWJ*B.. Then With the same condom i HAD VAGINAL INTERCOURSE FOR 4-5 MINUTES.. Then she removed the condom with her hand.. I immediately went to bathroom .. I washed my penis .. I peed and washed over and over again.. I hate myself after all this.. I DINT CHECK THE CONDOM AFTER SEX .. AND SHE PROVIDED ME THAT CONDOM.. DID THE CONDOM GOT SCRATCH WHILE SHE SUCKS ME OFF? OR MAYBE SHE PROVIDED A CHEAP QUALITY CONDOM AS IT WILL COST HER LESS..  I dint check the condom after the intercourse and i am very very worried.. I am a circumsiced male .. And i message her that ''Are you disease free please tell me please''.. She dint replied it too.. I am worried to hell :-( .. HELP ME DOC PLEASE HELP ME
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Patience, patience.  The moderators aren't on call 24/7.  We endeavor to respond to follow-up comments within 1-2 days.

Congratulations on the negative results and on starting HBV immunization.  Be sure you follow-up with the remaining vaccine doses.

No medicines, including vaccines, have any effect on HIV test reliability.  Your negative HIV result is conclusive.
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Avatar universal
Doc any comments..
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Avatar universal
Respected Doctor ,

I did All my STD Test (including HIV And HEP B) after 2 weeks from exposure ALL CAME BACK NEGATIVE..The nurse found out that i am not immune to hepatitis B so she offered me an Vaccination.. She gave me one dose of Hep B Vaccine

1 week from Vaccine dose and 4 weeks from exposure (Today) i did HIV AG/AB test and Came back NEGATIVE (ALL THANKS TO GOD)

Final question Doctor : Is HEP B vaccine shot before 1 week of testing affect my HIV test result???

Doctor i have no words to Thank You and this helpful forum.. You are such an angel for the worrisome like us.. May god bless you with all health and well being.. Thank you so so so so much again for all the support .. THANK YOU DOC.

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239123 tn?1267647614
MEDICAL PROFESSIONAL
I knew your gender.

A negative duo test at 2 weeks will be around 80% reliable.

I will repeat my advice that you visit your local SHC and stop screwing around with independent decisions about testing. If you do that, or if you have HIV testing at a definitive time -- 4 weeks or later -- you may return with a comment to tell me about it.  But please no more comments until then.
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Avatar universal
Sorry doctor but i just need to tell you that my medhelp profile stats that i am a female but I AM A MALE.

Going to test on this monday doc , its been 2 weeks now and i am worried and stressed like hell :(

1- ) HOW ACCURATE WILL BE A DUO TEST AT 2 WEEKS from exposure?

Thank you so so so much doctor , GOD BLESS YOU :)
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Yes, you would notice a condom failure.  There is no easy answer about HIV being "deep inside the vagina" -- in some ways yes, in other ways no. But it is irrelevant to your situation anyway.  The important thing is that exposures like yours carry little or no risk.

If you want to report your test results, feel free.  But no other comments on this thread, please.
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Avatar universal
And very sorry to bother again doctor .. Is HIV VIRUS is deep inside the vagina? THANKS once again doc.. I will keep you updated.
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Avatar universal
I will keep you updated after acquiring my 4th week Duo test result doctor.. And after reading much on the internet i have found out that Condom Failure Or BreakDown can be easily noticeable by you , is it true doctor? THANKS SO MUCH.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Thanks for your kind words about the forum.  But please stop the online shouting (all caps).  My own use of them above was intended as sarcasm because yours weren't necessary!

Based on this exposure, you don't need testing at all.  Your risk was too low.  However, if you want to do it anyway for reassurance, my understanding is that routine testing in Australia is with a duo, or "4th generation" HIV blood test, which is valid any time 4 weeks or more after the last exposure.  In any case, I still recommend a visit to your nearest SHC, then follow their professional advice.
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Avatar universal
Thank you so much just last thing do you recommend TESTING if Yes , WHICH TEST AND WHATS THE TIME PERIOD?

You put my mind at real ease doctor .. MANY MANY THANKS FOR THE GREAT SERVICE YOU ARE DOING.. THANKS FOR EVERYTHING..
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239123 tn?1267647614
MEDICAL PROFESSIONAL
One condom is better.  Using two increases the risk of breakage.

Heterosexually transmitted HIV is very rare in Australia; and as I already said, even if your partner had HIV, you had a zero risk exposure.  You're overreacting emotionally to a sexual decision you regret, but don't confuse that fact with disease transmission risk.  They are not the same.

Australia's federally funded sexual heath centres are, collectively, the world's best network of STD/HIV prevention clinics.  If you remain concerned, visit the Darwin SHC for world class expertise, with sensitivity to your lifestyle and emotional concerns.  But there's nothing more this forum can do for you.
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Avatar universal
One more thing to add ''IS ONE CONDOM EFFECTIVE? OR TWO CONDOMS ARE BETTER TO PREVENT HIV''? Thank you so much doctor
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Avatar universal
Doctor trust me i hate myself after this.. What a shame! :-(.. I wont ever repeat this again in my life.. I am a young guy with so much responsibility and i am very worried of what i did.. Anywats doctor thank you so much for the help..IT HAPPENED IN AUSTRALIA DARWIN .. Is cheap quality condoms are less effective? Do you recommend me a single test after some times to put my mind at ease doc? M really very very very VERY WORRIED! :-(
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.  Congratulations for your smart decision to use a condom.  Good move.  But even if you had not, the chance you would have caught HIV from an event like this is very, very low.

Your various capitalized statements suggest you are MUCH TOO CONCERNED about aspects of this exposure that DON'T MATTER AT ALL!

I don't know what you paid for these sexual services, but my guess is that the cost of a condom ($.50 to 1.00) didn't figure in to your lady's profit and loss calculations.

The important thing here is that you used a condom, even when not necessary (oral sex).  And if a condom doesn't break wide open, protection in complete.  On top of which, the vast majority of female sex workers don't have HIV anyway.

This exposure is such low risk that you shouldn't be at all worried.  You don't even need HIV testing.

Best wishes--   HHH, MD
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