Aa
Thai-CSW. Single exposure. High risk of HIV because she's Thai and CSW?
Hi Doctors -long story made short. I would really appreciate your input here as I am experiencing a lot of anxiety and stress and perhaps even depression now.
I am a Mexican heterosexual man from middle-class background having a PhD. Prior tests for STD's have been negative (4 years ago since then monogamous). Two days ago and while working in Thailand I picked up one of the girls from the bars where they are dancing naked and dressed (from nana plaza). She was 25 years old and Thai (I guess this is important due to the high prevalence of HIV in this part of the world). Her HIV status is unknown but given her job and background, I assume she could potentially be HIV-positive.
We had sexual protected intercourse, however, she masturbated me with her hand with vaginal fluids since she had touched/fingered herself previously. I am not circumcised. We took a bath and whilst in the bathtub I fingered her (via vagina, not anus) but unsure if I had open cuts (no sex in the bathtub). In bed, we had insertive vaginal sex with a condom (I hope I put it right!) BUT when I got rid of the condom, I may have touched the outer part (where the vaginal fluids were) and I am (now) not sure whether I touched the tip of my penis or not when I went to the loo. I was so fool, that I do not remember having the condom checked to see if it broke or not. I am freaking out now! Went to the hospital and gave me PostEP. I am on my third day.
a) Could you please share your views on the type of risk is involved here? (high, medium, low?)
b) Is there any particular behaviour which you may say was "too risky" which may lead to infection?
c) Could I be infected with HIV? (I know I'll have to wait until 4 weeks to have the test)
d) I have been reading the WHO guidelines regarding the efficacy of the PEP and systematic reviews cited there, suggest that it "may" help reduce the risk of infection up to 90%. BUT, if the body has already been infected (or at least you have the virus via uretra), how can these pills "desinfect you"??
I do not even want to read the symptoms during seroconversion phase as I do not want to predispose myself and thus provoke such symptoms.
What else can I do apart from having suicidal thoughts!
Please help!
I am a Mexican heterosexual man from middle-class background having a PhD. Prior tests for STD's have been negative (4 years ago since then monogamous). Two days ago and while working in Thailand I picked up one of the girls from the bars where they are dancing naked and dressed (from nana plaza). She was 25 years old and Thai (I guess this is important due to the high prevalence of HIV in this part of the world). Her HIV status is unknown but given her job and background, I assume she could potentially be HIV-positive.
We had sexual protected intercourse, however, she masturbated me with her hand with vaginal fluids since she had touched/fingered herself previously. I am not circumcised. We took a bath and whilst in the bathtub I fingered her (via vagina, not anus) but unsure if I had open cuts (no sex in the bathtub). In bed, we had insertive vaginal sex with a condom (I hope I put it right!) BUT when I got rid of the condom, I may have touched the outer part (where the vaginal fluids were) and I am (now) not sure whether I touched the tip of my penis or not when I went to the loo. I was so fool, that I do not remember having the condom checked to see if it broke or not. I am freaking out now! Went to the hospital and gave me PostEP. I am on my third day.
a) Could you please share your views on the type of risk is involved here? (high, medium, low?)
b) Is there any particular behaviour which you may say was "too risky" which may lead to infection?
c) Could I be infected with HIV? (I know I'll have to wait until 4 weeks to have the test)
d) I have been reading the WHO guidelines regarding the efficacy of the PEP and systematic reviews cited there, suggest that it "may" help reduce the risk of infection up to 90%. BUT, if the body has already been infected (or at least you have the virus via uretra), how can these pills "desinfect you"??
I do not even want to read the symptoms during seroconversion phase as I do not want to predispose myself and thus provoke such symptoms.
What else can I do apart from having suicidal thoughts!
Please help!
You had no risk and testing will be a waste of time. Can't get HIV when you use a condom.
HIV is instantly inactivated in air and also in saliva which means it is effectively dead so it can't infect from touching, external rubbing or oral activities. It doesn't matter if you and they were actively bleeding or had cuts at the time either because the HIV is effectively dead.
Only adult risks are the following:
1. unprotected penetrating vaginal
2. unprotected penetrating anal sex
3. sharing needles that you inject with. Your situation is a long way from any of these 3.
Even with blood, lactation, cuts, rashes, burns, etc the air or the saliva does not allow inactivated virus to infect from touching, external rubbing or oral activities. The above HIV science is 40 years old and very well established so there is no detail that you can add that will make any of your encounter a risk for HIV. No one in 40 years of HIV history got HIV from the situation you are concerned about so it is unlikely that it will happen in the next 40 of your lifetime either.
Don't Google for Death looking for symptoms either, because you can't have HIV. She is likely negative anyway since she paid for the condom to protect herself from you and her other clients.
HIV is instantly inactivated in air and also in saliva which means it is effectively dead so it can't infect from touching, external rubbing or oral activities. It doesn't matter if you and they were actively bleeding or had cuts at the time either because the HIV is effectively dead.
Only adult risks are the following:
1. unprotected penetrating vaginal
2. unprotected penetrating anal sex
3. sharing needles that you inject with. Your situation is a long way from any of these 3.
Even with blood, lactation, cuts, rashes, burns, etc the air or the saliva does not allow inactivated virus to infect from touching, external rubbing or oral activities. The above HIV science is 40 years old and very well established so there is no detail that you can add that will make any of your encounter a risk for HIV. No one in 40 years of HIV history got HIV from the situation you are concerned about so it is unlikely that it will happen in the next 40 of your lifetime either.
Don't Google for Death looking for symptoms either, because you can't have HIV. She is likely negative anyway since she paid for the condom to protect herself from you and her other clients.
3 Comments
If a condom fails it is a large rip down the seam and it hangs in tatters and both of you would know that and start asking questions to the other person.
You need to stop taking PEP because it has side effects and you do not have HIV disease so it is a waste of your time and is harsh on your body. You are safe from HIV and need to go back to your normal life. Whoever gave you PEP likely did it because you were so anxious that they wanted to get rid of you.
You need to stop taking PEP because it has side effects and you do not have HIV disease so it is a waste of your time and is harsh on your body. You are safe from HIV and need to go back to your normal life. Whoever gave you PEP likely did it because you were so anxious that they wanted to get rid of you.
I am sorry but I did not mention that she paid for the condoms. Perhaps you confused my question with another’s user? This girl did not pay for anything and she seemed not troubled at all about using or not using a condom.
However, I do find some of the things you mentioned interesting and I totally get them (ways to get infected). But, what about if the condom broke and I did not notice (obviously quite irresponsible on my behalf)? Then a high risk would be involved wouldn’t it? What are your views?
I have read your comments in other forums and I am really glad there are persons like you helping persons like me with limited medical knowledge and please do not get me wrong, but I wonder whether you are also part of the doctors (Jose Gonzales, Hunter Hansfield etc.) who usually reply in other forums (and/or with specialised medical training?)? Again, do not get me wrong please and as a scientist, I am extremely anxious, and I am also looking for a scientific point of view.
I look forward to your reply
However, I do find some of the things you mentioned interesting and I totally get them (ways to get infected). But, what about if the condom broke and I did not notice (obviously quite irresponsible on my behalf)? Then a high risk would be involved wouldn’t it? What are your views?
I have read your comments in other forums and I am really glad there are persons like you helping persons like me with limited medical knowledge and please do not get me wrong, but I wonder whether you are also part of the doctors (Jose Gonzales, Hunter Hansfield etc.) who usually reply in other forums (and/or with specialised medical training?)? Again, do not get me wrong please and as a scientist, I am extremely anxious, and I am also looking for a scientific point of view.
I look forward to your reply
Reread the advice about condom because it is clear. Realize that we rely on the opinion of expert doctors so the opinion you got was theirs not mine. Move on from HIV.
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You are reading content posted in the HIV Prevention Community
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Post-exposure prophylaxis (PEP) may help prevent HIV infection.
