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Avatar universal

I need advice

Hello doctor.

Yesterday I was drunk and picked up a street sex worker. Took her to a motel and had oral and vaginal sex both protected with the same condom. At the end I filled the condom with water to make sure it had not broke, and it was fine. I am trying to have a baby with mi wife and don't want to infect her.

Should I test for hiv?
Can I continue unprotected sex with my wife?

Thank you doctor!
7 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
New HIV infections do not cause cold symptoms like coughing sputum (phlegm) or nasal congestion or dripping.  Your symptoms are unrelated to the sexual exposure; you have a cold or allergy.

Do not post a new question.  You won't get any advice you haven't already had.
Helpful - 0
Avatar universal
Hello doctor. I am sorry for posting again but I have a doubt to ease my mind. It has been 9 days since my exposure and I am having sore throat, and green phlem. Does this sound like ars, extreme tiredness. No fever or rash.

Please tell me I a should pay againn for you to answer this. I assure it will be my last post ever. Appreciate your help you are great!
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
http://www.medhelp.org/posts/STDs/How-safe-are-condoms-when-used-correctly/show/665887

Especially see the first paragraph, about biological effectiveness versus use effectiveness of condoms.

That will be all for this thread.  No more comments.
Helpful - 0
Avatar universal
I want to know the effectivenes of condoms since I read an article where the cdc says that condoms are not 100% effective, but 80%.

If the condom doesent break or fall will it be 100% protection against hiv?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
1) 100% for infections transmitted by sexual secretions (like gonorrhea, chlamydia, and HIV) but somewhat less for those transmitted by skin-skin contact (e.g. syphilis, herpes, HPV).  But these are rare after any single contact.

2) Already explained: "The notion of small leaks that wouldn't be noticed is an urban myth."
Helpful - 0
Avatar universal
Thank you doctor for your reply.

I will follow your advice and forget this episode without testing.

Just need clarification on something.

1. Is condom protected vaginal sex 100% safe if the condom stays on and does not break?

If this is the case, in risk perspective, i did not even have a risk, right?

2. Why dont you recomend testing condoms following an exposure?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.  Thanks for your question.

You had a brief but accurate reply on the community forum.  Testing for HIV is not usually recommended after any single exposure unless partiularly high risk, such as unprotected vaginal or anal penetration with a known HIV positive person.  Even though a street sex worker is at high risk for HIV, most are not infected; and condoms are effective protection whey they don't break wide open.  (The notion of small leaks that wouldn't be noticed is an urban myth.  I don't recommend "water testing" condoms following exposure.)

So from a risk standpoint you definitely do not need HIV testing and can safely continune unprotected sex with your wife.  However, if you remain nervous despite this advice, you're always free to be tested for additional reassurance.  (Most people who come to this forum to ask questions like your probably are more reassured by negative test results than by our judgment and advice.)  This isn't "code" that means I really believe there was significant risk for HIV.  There wasn't.

I hope this helps.  Best wishes--  HHH, MD
Helpful - 0

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