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Condom broke during sex - Please HELP

Dr.,

I had sex with a sex-worker. After I ejaculated inside her, I pulled out 10 seconds later, and realized that the condom had broke. It was broken from the top. I am not sure at which point it broke during the act, but I know that it was in the final moments. I know this because my penis had slipped out a minute prior, and when I re-inserted, I saw that the condom was on.  

I immediately washed my penis with warm water after it was over. I also asked her how often she gets tested. She said every 3 months, and she also mentioned her time to test again was coming up. She said she is clean, and wants to live to see her grandkids.

I am horrified of the fact that I may have contracted HIV from her, considering that she is a sex-worker (from Vegas). I have heard about the widespread prostitution in Las Vegas, and who knows how many people this girl has been with.

I am also uncircumcised, I am not sure if that makes any difference in contracting HIV.

This happened on 1/18/2008. I know this is too soon to tell, but is there anything I can do, any signs I can look for, to give myself assurance that I am not infected?! I cannot go on like this for 12 weeks and wait to get the HIV test done...its going to be hell. I already noticed a slight swelling in the back of my throat when I swallow..this might be just becuase of the weather but I dont know.

I am 32 years old and married, and ever since yesterday I have not been able to concentrate on anything except this. I have been searching all over the internet for information. I have been self-conscious..looking for any signs of sickness or abnormalities on my body.



Please help.

-Very very concerned
6 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
No, the contact you describe doesn't count, as best I understand your description.

I already addressed the effect of circumcision and took it into account.  Re-read my reply above.  Use your brain:  doubling a near-zero risk still leaves near-zero risk.

I missed your original statement that your CSW partner doesn't have HIV. Usually that is reliable information, so your fears are even more unjustified than before.  Further, the fact that she makes her customers use condoms means she almost certainly isn't infected anyway!

Presumably you came here for reassurance that you aren't at risk.  I gave it.  Do whatever you want with the information, but don't try to talk me (and yourself) that you really were at signficant risk. You were not.

This thread is over.
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
Relax. There probably was no risk of HIV at all.  You clearly have a grossly inflated view of the frequency and risks of HIV in the US and industrialized countries.  I don't even recommend HIV testing.

See the notice at the top of this forum:  "If you have not done so, please review other threads in our archives for questions similar to yours and Dr. Handsfield's replies."  If you had done that, you would know that the average risk of HIV transmission from female to male is around 1 per ever 2,000 episodes of vaginal sex, if the woman is infected.  Further, the large majority of sex workers in the US don't have HIV, probably and average of 1%.  So even without a condom, the chance you caught it was 0.01 x 0.0005 = 0.00005.  That's 1 chance in 200,000.  And in any case, it sounds like your urethra--the opening to your penis--was not exposed, despite the condom breakage.  If so, the risk was zero.

Being uncircumcised roughly doubles the risk of catching HIV if exposed.  That would make your risk 1 in 100,000 (with no condom) if your urethra was exposed. To compare this with realistic risks, the chance you're going to be dead a year from today because of some accident, if you live in the US, is 1 in 1,756.  That's at least 57 times higher than the odds you caught HIV.

Based on what you describe, I don't even recommend HIV testing.  But of course you need to do it for anxiety relief.  You don't need to wait 12 weeks, which you also would have know if you had reviewed just a few previous threads.  With current HIV tests, a negative test at 4 weeks is highly reassuring and most people don't need to test beyond 6-8 weeks.

So get tested if you wish, but in the meantime, try not to worry.  There really is no realistic risk you caught HIV.  Stop searching the internet; you will only find information that will unnecessarily alarm you.  If you test, do not use an anonymous online source; do it right and visit a health care provider.  Your local health department would be a good place; they will give you the same reassurance I did.

Finally, don't forget those seat belts!

Best wishes--  HHH, MD
Helpful - 1
Avatar universal
A related discussion, help please was started.
Helpful - 0
Avatar universal
I meant , I cannot thank you enough! Cheers
Helpful - 0
Avatar universal
I cannot thank you for taking the time to give your expert advice. I hope you know you are making a world of a difference not just for me but for many others who come here looking for knowledge, understanding, and reassurance that their lives will not as be as bad as the might think they will be. I really appreciate it. Cheers.
Helpful - 0
Avatar universal
Thank you Dr.,

After I ejaculated inside with condom broken and pulled my penis out, some of the skin at the tip of my penis was pushed back, exposing the head of my penis. Is this considered urethra exposure? Is my risk higher because of this?

You mentioned that since I am uncircumcised, my risk is roughly doubled..so if she did have HIV, I would have a 1 out of 1000 chance (instead of 1/2000 chance). This sorta worries me. I try to stay optimistic and hope that she was telling the truth and that she was not HIV positive.


thank you..
Helpful - 0

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