Concern 2 weeks post possible risk

[jack989]

Hi Doc,

I had sex with a sex worker in Dominican Republic. I had sex for roughly 2 mins. The condom I had on was not to the base but instead 3/4 of the way down. After cumming I pulled out and the condom and was 2/4 off the way down from the base(next to the balls) and penis was soft as the condom felt lose.  It is exactly 2 weeks since possible exposure and I am very sick with a fever, chills and a very sore throat(The thee classic Symptoms you mentioned in your posts).  I have not left the house for the last week so I cannot have caught a flu or infection from outside. I took a Advanced PCR-HIV test post 72 hours from national health testing as that came out negative.. A rare possiblity might be that I had a minor small cut on the base of penis from a day earlier. Please tell me if the risk exposure is more sensative as I have "possible" symptoms. Please advise on how much of a risk I might have been exposed to during this sex. Thanks.

[Don34108]

My girl friend is 30 years old and lives in the Dominican Republic.  I have been with her for four years in a supposedly monogamous relationship and believe this largely has been the case.  I have been diagnosed with chlamydia, which indicates to me that she has been with at least one other man in an unprortected situation (she is not a sex-worker).  I tested negative for HIV three months ago, and have had sex with her only once since then.  I read on an earlier posting that the risk of infection for a one-time exposure (man to woman vaginal sex) was less than 1 in 2,000.  I also have seen the risk cited as approximately 1 in 40 and 1 in approximately 370.  I assume these are based on US rather than world-wide data.  Can yyou please give me some insight into my risk situation?  Thanks.  

[Dr Sean Cummings]

Good Morning Jack,

I think you are very definitely in the clear and there are no other tests you need to do now.

best wishes, Sean

[jack989]

Dr. I have one last query I would like you to give me input for please. Since this possible-exposure, I've had

PCR DNA-4 days: Negative
PCR DNA-17 days: Negative
Antibody ELISA-6 weeks: Negative

Do you feel more testing is required as according to Dr. HHH 6 weeks is almost conclusive. Please give me your feedback and I'm done with this forum. Thanks for your help as I appreciate it greatly

[jack989]

Thanks for the response. My doctor has full trust in the PCR DNA test and said the new test is assuring and said take 1 more for peace of mind which I did and said that should be conclusive. The reason I'm worried is because I got sick exactly after 2 weeks and with similar symptoms you mentioned in your article/forum. Doctor told me the only thing that needs to be protected is the tip of penis as it was in my case and should be good enough. Hopefully it works out and will update the results as I receive them. Thans for your help.

[Dr Sean Cummings]

Hi Jack,

Thanks for the post. I think from what you say that you should be safe and that you have not been exposed to HIV. It just seems unlikely from your detailed description of the condom use. I don't believe any small cuts at the base of the shaft should present a threat to you.

I've not heard of the test you mention so I cannot comment on that.

What I would say is that if you are experiencing symptoms akin to hiv sero-conversion symptoms then you should see a specialist doctor again and discuss the issue very clearly with him or her and have appropriate further testing.

I think though it is likely that this is not an acute HIV syndrome.

best wishes, Sean