HIV RISK from VAGINAL fluids inside the condom

[billykidman]

Hi Dr. Sean,

I have a problem,  
Please this is killing me at the movement. Sorry for my English, I'm not from an English speaking native.
I had a sex with a Prostitute. I was very careful to have safer sex. But the lady was a street walker in Hong Kong and seems the lowest class one. Most possibly she must have infected with HIV, and seems, she is not very careful too.
She took some KY gel and started to finger her vagina herself. Then she opened the condom and put it to the Penis and we had Protected Oral and vaginal sex. She was not careful to put on the condom. The way she hold the condom, I'm sure she contaminated inside of the condom with the vaginal fluids in her hand. The time difference between fingering and touching the condom and put in the condom is about 20 seconds. For me it is like vaginal fluids inside the condom touching tip of the penis.
My wife will come here after two week and, I don't have enough time to get tested.

My questions are

1. Am I at risk of HIV or other STDs?
2. Is this like an unprotected sex or like mutual masturbation with fluid exchange
3. This happens 3 weeks ago and after two weeks I start to feel headache time to time. No rashes Fevers etc.
4. Do I need to test?
5. Is it ok to have unprotected sex with my wife?
6. What are the chances of getting HIV from this type of Exposure?

Thank you very much....

[Dr. Jose Gonzalez-Garcia, MD, MRCGP, PhD]

Hello,
Thank you very much for your post.  Apologies for the delay in replying to your questions but we are extremely busy doctors working in clinic.
I honestly do not believe that you have put yourself at any significant risk of an STD because a condom was used for both vaginal and oral sex, and you seem sure about the fact that the condom remained intact and in place.  You seem to be unsure about the possibility of some vaginal fluid gaining access inside of the condom.  Obviously if this is the case, there is a possibility of contracting an STD, more likely conditions that are common and very easy to transmit, such as Chlamydia and Gonorrhoea, less likely for blood-borne viral infections, as you would require larger amounts of infected vaginal fluid.  However if you are in doubt, my advice to you is to have a full STD screening, including HIV (a HIV Duo test would be conclusive after 4 weeks of the incident) and obviously not to have intercourse with your wife until you know that all the tests are clear.  As mentioned above, I would estimate a very low or even zero risk of HIV infection from this sexual encounter, as described by you.
I hope this helps,
Best wishes,
Dr José

[LIZZIE LOU]

There is no debate (among experts) about the HIV risks associated with oral sex.  The risk is so low that almost nobody who cares for HIV infected patients has ever had a patient believed to have been infected that way.  Among experts, it's a semantic issue about using terms like "no risk" and "very low risk".  There is no difference between my or Dr. Hook's use of "low risk" and other experts' "no risk".
DR. HANSFIELD

"And oral sex is basically safe sex -- completely safe with respect to HIV and although not zero risk for other STDs, the chance of infection is far lower than for unprotected vaginal or anal sex.  Please educate yourself about the real risks.  If you stick with oral sex and condom-protected vaginal or anal sex, you have no HIV worries and very little worry about other STDs. "   DR HANSFIELD

"I am sure you can find lots of people who belive that HIV is transmitted by oral sex, but you will not find scientific data to support this unrealistic concern..."   DR HOOK

"HIV is not spread by touching, masturbation, oral sex or condom protected sex."- DR. HOOK

in the public HIV Prevention forum of MedHelp, TEAK and the other moderators maintain that oral sex in all forms is a zero risk activity. Would you agree with this assessment?  
I TOTALLY AGREE / DR GARCIA

The observation on thousand and thousand of observations is that HIV is not spread by oral sex (of any sort).  DR. HOOK

[LIZZIE LOU]

you have been told REPEATEDLY, on the prevention forum AND on BOTH expert forums, that you had NO risk.

what part of NO RISK are you having trouble understanding?

[billykidman]

Another question Dr. Jose,

I'm in Hong Kong and there is only one place to have a HIV duo test, as I believe. they call it P24 antigen and antibody test? But nobody recommend this and also nobody comment on this. If P24 antigen is available with antibody in the test. is that means it is HIV duo and will it be conclusive at 4 weeks?

thanks,
Billy.

[billykidman]

Thank you very much dear Doctor,

I asked the same thing from Dr. Hunter as I desperately needed an answer. His answer was I'am not at risk and it is very natural to exchange some fluids even for mutual masturbation. Also he stated that hand to genital transfer never happen. Also he said that I don't need a test as I'm not at a risk for HIV but only for peace of mind I can do it.
But with your comment, I'm little confused. Can hand to genital transfer take place?

http://www.medhelp.org/posts/HIV-Prevention/Vaginal-fluids-contact-with-Penis-head/show/1386724?personal_page_id=1733735#post_6327197

Thanks,
Billy
  

[poor2000]

my dear ...answers are delayed here..you may post the same in HIV prevention form where u get answers in seconds...

[billykidman]

Thank you very much,
I was in a hell and I can not spend any money more for another post.
I'm not a rich person..
Wanted a quick reply, but now I'm in a worst mental condition.

Thank you
Billy

[billykidman]

Please any of you...Please help me.

Thank you....