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RELAX100:
Dear All,

I am a 40 years man , married with three great kids.. I was on an over seas trip , and at night, got a girl from a dirty Asian night club (Money in exchange) .. After I finished inside her, I relized that the condom was apart , and the main part was already left behind on the bed.  I freaked out, rushed to the hospital just to speak to a doctor, who did for me LB-HEP B Antigen + antibody then HIV PCR & Handling fee  + Haemaglucose test and Anti - HIV screening.. I'm really worried, first , will those tests which Dr. said will have to wait two weeks to get results, secondly, can from one incident (mistake) in life such this to make me positive ?  What are the posiiblites ? and do I have to do a test after 13 weeks or what I did is enough though it was only a few hours after the case ? Thanks guys in advanced for your advice

Matty the Damned:
Relax,

From what I can gather you're telling us you had vaginal intercourse with a sex worker and the condom broke. This is indeed a risk for HIV transmission and you do need to be tested 13 weeks from the date of the sexual encounter.

Nevertheless don't freak. HIV is a fussy virus and is quite difficult to transmit. Especially from female to male. Not only that you would have been protected up until the condom failed. So the chances of you having contracted HIV from this incident is quite low.

But low risk isn't the same as no risk so you do need to test and no, the testing you've had so far is not sufficient to tell you conclusively if you're HIV negative. You need to test again at 13 weeks.

In fact all sexually active people should have a full STD screen at least once a year. Twice a year is better. There are STD's such as gonorrhoea and chlamydia which are far more prevalent and transmissible than HIV so a full STD screen is in order here. A full screen will include an HIV antibody test. You should make an appointment with your doctor or local clinic to arrange this.

It's important that the HIV test you have is an antibody test not the HIV PCR test you had peformed immediately after the incident. PCR testing is not approved for diagnostic purposes and has an unacceptably high rate of false positive results. HIV PCR testing is used to monitor disease progression and treatment efficacy in HIV positive people.

Finally you should take the time to read our Welcome Thread which contains links to our testing and transmission lessons.

Regards,

MtD

Matty the Damned:
One other thing.

Given that you're talking about a broken condom incident perhaps you might benefit from visit these links which explain the proper use of latex condoms and water based lubricant.

Condom information
Lubricant information

These links are provided courtesy of Ann who is one of our Global Moderators and HIV experts. Take the time to read over them and learn how to use condoms properly. Remember that the proper use of latex condoms and water based lubricant will ensure that they don't break in the future.

Regards,

MtD

Ann:
Relax,

Further to what Matty has already told you, you need to be aware that the ONLY thing those tests will tell you is your status BEFORE the condom incident. Tests taken a few hours after the event will not, in any way, reflect any infection that may or may not have just happened. If you explained the situation to the doctor, well, he ripped you off unless he explained that the result would only be what is called a baseline.

You also need to be aware that hiv is a fragile, difficult to transmit virus, and even more so from a woman to a man. As you did use a condom, you were protected for at least some of the time.

I've yet to see a man end up positive over a condom break with a woman - but you do still need to test. Hiv status is nothing to assume or guess about.

There is another condom link in my signature line (in addition to the two Matty mentioned) - it leads to an excellent site out of Amsterdam and includes videos. Check it out. A correctly used condom rarely breaks.

Anyone who is sexually active should be having a full sexual health care check-up, including but not limited to hiv testing, at least once a year and more often if unprotected intercourse occurs. Don't forget to always get checked for all the other sexually transmitted infections as well, because they are MUCH easier to transmit than hiv. You can test for the other, more common sexually transmitted infections ten days/two weeks after the incident, however, syphilis shares a three month window with hiv.

Ann

And by the way - if you often travel to the Far East, you would be wise to take your own condoms with you. Condoms available in the East Asian countries tend to be a bit on the small size. A condom that is too small for you will break more easily. Yes, condoms come in sizes. Check out the Amsterdam website and you will find info on sizing.

Central79:
Relax

I just wanted to second what others here have said about you being at low risk from this incident, and in the correct use of condoms and lube. A 13 week test is important, as the HIV test you took will only tell you your status a few weeks to 3 months previous to the test.

You mention your wife and great kids. HIV is just biology - not a judgement on you, or anybody else. If you take practical steps to prevent yourself, you will stay negative.

All the best,

Matt.

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