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potential exposure/condom slipped off
Hi,
I would be very grateful if you could please provide advice and opinion regarding the level of hiv risk I have exposed myself to in the following situation.
I am a 34 year old male and had a sexual encounter with a female escort in london a few days ago. She is originally from Brazil and approximately the same age as I am.
A couple of factors are causing anxiety, mainly the second one;
1) I performed oral sex on her and couple of days previously I'd had cracked/ dry lips. On returning home after this encounter I did inspect my lips and noticed a small, not quite fully healed, cut/scab on my bottom lip. This was very small and only noticeable on close inspection.
2) We were having intercourse for a few minutes using a condom and I was on top. After I ejaculated I stayed inside her whilst we cuddled for maybe 10 seconds or so. As I withdrew I was shocked to see that I was no longer wearing the condom as it had slipped off inside her. The condom was still fully inside her and was not sticking out. She then removed the condom and fortunately it appeared that all semen was still in the condom. At first she was worried that maybe some semen had leaked out and inspected the condom, but then she was satisfied there was no leakage. However, this does worry me as the condom had still slipped off during penetration.
A couple of days later I am really starting to worry and regret my risk taking behaviour, particularly about any potential hiv risk, so I am considering the likelihood I could have contracted something.
Thank you for providing this service, I am very grateful for your time and advice.
I would be very grateful if you could please provide advice and opinion regarding the level of hiv risk I have exposed myself to in the following situation.
I am a 34 year old male and had a sexual encounter with a female escort in london a few days ago. She is originally from Brazil and approximately the same age as I am.
A couple of factors are causing anxiety, mainly the second one;
1) I performed oral sex on her and couple of days previously I'd had cracked/ dry lips. On returning home after this encounter I did inspect my lips and noticed a small, not quite fully healed, cut/scab on my bottom lip. This was very small and only noticeable on close inspection.
2) We were having intercourse for a few minutes using a condom and I was on top. After I ejaculated I stayed inside her whilst we cuddled for maybe 10 seconds or so. As I withdrew I was shocked to see that I was no longer wearing the condom as it had slipped off inside her. The condom was still fully inside her and was not sticking out. She then removed the condom and fortunately it appeared that all semen was still in the condom. At first she was worried that maybe some semen had leaked out and inspected the condom, but then she was satisfied there was no leakage. However, this does worry me as the condom had still slipped off during penetration.
A couple of days later I am really starting to worry and regret my risk taking behaviour, particularly about any potential hiv risk, so I am considering the likelihood I could have contracted something.
Thank you for providing this service, I am very grateful for your time and advice.
MEDICAL PROFESSIONAL
Welcome to the forum and thanks for your question. Congratulations on using safe sex for casual or non-monogamous sexual encounters.
While it is best that the erect penis be withdrawn, with the condom, promply after sex, your epxerience is very common -- i.e. withdrawing and leaving the condom in the vagina. It is considered that sex was still fully protected with respect to HIV. HIV is hard to transmit: with entirely unprotected vaginal sex, if the woman is infected the transmission risk for her male partner averages somewhere around 1 in 2,000 (equivalent to sex with infected women daily for several years before trransmission becomes highly likely). What then can the risk be with the brief, transient exposure to vaginal secretions from this sort of withdrawal problem? There might be a slightly elevated risk of other STDs, but not enough to cause serious worry.
The cracked lips etc. make no known difference in risk of acquiring HIV or other STDs. In theory, a nearly zero risk might be slightly higher, but still too low for worry.
If you find these comments reassuring, nothing need be done. On the other hand, if you remain concerned, you could visit a doctor or clinic for STD/HIV testing if the negative results would help you with your anxieties about it. And all people who are sexually active outside mutually monogamous relationships should be tested for STDs and HIV from time to time, even if there have been no obvious lapses in safe sex. So if you haven't been tested in the past year or two, this might be a good time, while it's on your mind. But not specifically because of the events described.
I hope these comments have been helpful. Best wishes-- HHH, MD
While it is best that the erect penis be withdrawn, with the condom, promply after sex, your epxerience is very common -- i.e. withdrawing and leaving the condom in the vagina. It is considered that sex was still fully protected with respect to HIV. HIV is hard to transmit: with entirely unprotected vaginal sex, if the woman is infected the transmission risk for her male partner averages somewhere around 1 in 2,000 (equivalent to sex with infected women daily for several years before trransmission becomes highly likely). What then can the risk be with the brief, transient exposure to vaginal secretions from this sort of withdrawal problem? There might be a slightly elevated risk of other STDs, but not enough to cause serious worry.
The cracked lips etc. make no known difference in risk of acquiring HIV or other STDs. In theory, a nearly zero risk might be slightly higher, but still too low for worry.
If you find these comments reassuring, nothing need be done. On the other hand, if you remain concerned, you could visit a doctor or clinic for STD/HIV testing if the negative results would help you with your anxieties about it. And all people who are sexually active outside mutually monogamous relationships should be tested for STDs and HIV from time to time, even if there have been no obvious lapses in safe sex. So if you haven't been tested in the past year or two, this might be a good time, while it's on your mind. But not specifically because of the events described.
I hope these comments have been helpful. Best wishes-- HHH, MD
Thank you for your help, replying so quickly, I really appreciate the advice, Many Thanks
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