Exposure risk in with 2 csw extremely worried

[Rupert170]

Dear Doctors. Thank you in advance

I have made two very stupid mistakes while in china. The first was

Met a girl who was workin in a bar 22 years old. I ended up taking her home and it turned out she wanted paid after. The girl said she felt bad about this but mama wanted some money for her. I think she meant the girl who owned the bar. We had fully protected vaginal sex but to begin with she told me the condom wouldn't matter, I insisted on one though and we used one, it only lasted a matter of seconds anyway then I went to the toilet and the condom looked intact. After the sex with this girl she told me I was only the second person she had ever "made love" with which she seemed to be sincere about she said she had had a long term boyfriend most of her life and had only ever been with him.

The second incident was I was in a taxi in a major city and the driver stopped and picked up a girl and asked me if I would like and in my drunk state I agreed. I think hd knew her personally. We got back to the hotel and I asked if she had any disease or hiv and she said no. She was miticulus and made me put one condom on for oral then she removed this one and put another on for vaginal It was only around 10 seconds before I made her stop due to me feeling uncomfortable due to the situation repeating itself. I then went for a shower and checked both condoms which were indeed intact but they were Chinese.

My questions are

1, could one of the 3 condoms have had a tiny hole which I wouldn't have noticed and thus lead to infection?

2, could I have got infected by touching the condoms after intercourse.

3, could vaginal secretions have gone inside the condom or transfer on to my penis when removing the condoms?

4, and because of these incidents do you think I need to get tested for anything and either way could you please explain the reasons why.

Thank you.

[Edward W Hook, MD]

Glad to help. EWH

[Rupert170]

Thank you for your time and I will now due to your reassuring comments try to forget about this and carry on as normal.

Thank you for the help and reassurance.

[Edward W Hook, MD]

I understand your question.  However I cannot promise you that you used your condom correctly or that you will be the first client I have ever dealt with in whom a properly used condom did not work, just as I cannot promise you that you will not be struck by lightening while reading this reply.  I am quite comfortable however with telling you that there is virtually no chance you are about to be hit by lightening, just as I am quite comfortable with telling you that the encounter you have desribed is safe sex and you should not worry about it.  

EWH

[Rupert170]

Hello, I'm not sure if you understood what I am askin. The chance is low I understand that but what I want to be sure of is that the condoms have protected me. Can you say for definate from what I've told you that there is no chance of any sort of problem. If you answer this I will not ask any more I just want a definitive answer.

Thank you.

[Edward W Hook, MD]

This. Is a repetitive question.  It is difficult. To determine HIV rates in china (or anywhere else- too many variables).  Overall however you risk is lower than  1 in a million. EWH

[Rupert170]

Thank you for the reply, when you say I'll sex workers are relatively high risk, what are the chances of one having HIV in china?

Also when you say I would not worry about testing, it's easy to say but can I be 150% sure I have not caught anything.

I swear I will never be in this situation ever again.

Thanks again

[Rupert170]

Also I forgot to mention the reason I am so worried is I am a married mad with children and I cannot even think of giving something to my wife

[Edward W Hook, MD]

Welcome to our Forum.  I'll try to help.  Each of the encounters you describe were condom protected and despite the fact that your partners, as commercial I'll sex workers, were relatively high risk, were therefore safe sex.  Since you saw the condoms and they appeared intact, they were.  When condoms fail, the break wide open leaving no doubt that they have failed.

With regard to your concerns about genital secretions working their way into the condom or being transferred to you on your hands as the condoms were removed, this is not a concern.  Infections do not occur in this way.

Bottom line, the exposures you described were safe sex and as such do not represent a meaningful risk for HIV or for other STIs.  I would not worry about testing for the encounters you describe.  EWH