HIV and STD possible exposure

[Anonymous1100]

Hello,

I made a mistake a couple of days ago that I now regret and being overcome with anxiety over.

I had a sexual encounter with an escort.

She performed unprotected oral sex on me for about two minutes, then I performed unprotected oral (cunnilingus) on her for about a minute.

We then proceeded to have protected vaginal intercourse, twice. In each of the two times, I used a new condom. The condom did not have any visible wears or tears. However, during the second time I noticed that it slipped partially leaving the bottom half of my penis shaft uncovered. The glans were totally covered throughout, only the bottom half was exposed, perhaps it was not the right size.

I am not educated on these things and I wonder if I had exposed myself to HIV with this encounter? I now remember that about 10 years ago I had some open sores on the base of my penis that went away in a week, thought it was herpes but didn’t test for them as they don’t usually do herpes test in STD screenings in my country, and didn’t bother for it again as it never came back since then. But now since I am researching online that having previously contracted herpes means a higher risk for HIV, I am getting more worried as I don’t know what I had.

After the encounter I did not notice any cuts or sores on any part of my penis.

Does this exposure warrant an HIV or other STD tests to be done? I usually do routine STD screenings once a year but now I am wondering if I should be worried about this encounter and test soon.

Thank you.

[Jim Allen]

Hiya,

Read your post three times, receiving a blowjob and cunnilingus isn't an HIV concern.

Regarding intercourse, understand from your post the condom slid up somewhat; Look, HIV can't transmit through an intact latex or polyurethane condom. Unless a condom obviously fails during intercourse, there is no reason to be stressing or testing for HIV outside of the standard yearly routine.

I usually do routine STD screenings once a year

Good, move on with your life, continue to use condoms for any intercourse, and as you are sexually active, test out of standard routine yearly for HIV & STIs.

Here's what you need to know to avoid HIV infection:
Use condoms for anal or vaginal intercourse correctly and consistently, with no exceptions. Consider talking to your healthcare provider about PrEP as an additional layer of protection against HIV

Keep in mind that some sexual practices described as safe in terms of acquiring HIV still pose a risk for other easier acquired STIs. So please do get tested at least yearly for STIs, including but not limited to HIV, and more frequently if condomless intercourse occurs.

Also, note that it is possible to have an STI and show no signs or symptoms, and the only way of knowing is by testing.

Kind regards

Jim

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[Jim Allen]

Oh yeah, nearly forgot to mention, regarding herpes, you could consider talking to your healthcare provider about medication as although you have not had an outbreak, it would reduce the risk of passing it on to your partners, as herpes can be passed on during viral shedding (skin contact) even when you don't have a visible outbreak.

[Anonymous1100]

Thank you for your reply. Appreciate the details.

I will consider looking for a herpes antibody test just to confirm and possibly even taking treatments as you suggested even if I have no outbreaks.

Thing is I read a study posted in 2009 that suggests that even healed herpes sores can provide easy access to HIV into the body. Now I haven’t been able to find further studies on this subject nor any similar cases of HIV infection through a healed herpes sore location. Do you know if there are any documented case of that happening or is it just theoretical? Is this study accurate? Assuming that what I had was actually herpes and it healed 10 years ago, and since it was at the part not covered by the condom, would it mean that HIV can pass through this location easily? This is just to increase my knowledge for any future sexual encounter.

Regarding testing, I will take a fourth generation test just for the peace of mind, when is the earliest I can take it in which it will be accurate? Some pages suggest 4 weeks, others 6 weeks or 3 months, what is your opinion on that based on your experience?

Thank you very much.

[Jim Allen]

Asked and answered.

You mentioned herpes in your original post, and I gave you an assessment already. You are not providing me with any new details.

Now, if you had been a petri dish, I would have a negligible HIV concern for you and tell you to move on with your life. However, you are not.

The theory of an STI "increasing," the odds of HIV transmission works a bit like this if you have a preexisting STI causing, let's say as an example inflammation or open sores, and you engage in an activity that is already an HIV risk, such as condomless intercourse it might (slightly) increase the likelihood of HIV being transmitted.

However, it does not create an HIV concern where there was none to start with and no panic is needed.

This is just to increase my knowledge for any future sexual encounter.

Useless knowledge. What is useful is the following:

Use condoms, correctly and constantly, no expectations. Consider talking to your healthcare provider about PrEP as an additional layer of HIV prevention.

Test at least yearly out of routine and treat where possible STIs. Get vaccinated against STIs such as HEP B, and HPV.

Finally -

move on with your life, continue to use condoms for any intercourse, and as you are sexually active, test out of standard routine yearly for HIV & STIs.

[Anonymous1100]

Hello Jim,

I think I need another assessment.

Yesterday I went to a massage parlor , and the lady there performed naked body rubbing on me. Both of us were naked. She rubbed my penis against her vagina while she was on top, and also against her anus, this lasted for about 10 minutes. There was no penetration as far as I could tell (it was dark but I didn’t feel any penetration and she assured me that she’ll make sure it doesn’t slip inside).
She was wet however as I could feel the fluids when she was rubbing.

What is the hiv risk from this encounter, if any? Would there be a risk from vaginal fluids that enter my urethra during the rubbing?

[Jim Allen]

Hello Jim,

I think I need another assessment.

Yesterday I went to a massage parlor , and the lady there performed naked body rubbing on me. Both of us were naked. She rubbed my penis against her vagina while she was on top, and also against her anus, this lasted for about 10 minutes. There was no penetration as far as I could tell (it was dark but I didn’t feel any penetration and she assured me that she’ll make sure it doesn’t slip inside).
She was wet however as I could feel the fluids when she was rubbing.

What is the hiv risk from this encounter, if any? Would there be a risk from vaginal fluids that enter my urethra during the rubbing?

Read your post three times, it's not an HIV risk.

[Anonymous1100]

Hello again,

I’ve had another encounter today with an escort that got me worried and I am wondering if there is any risk.

She gave me unprotected oral for about 10 minutes, then we proceeded to have vaginal intercourse (protected) for about 10-15 minutes. When I wanted to change the position I noticed that there were drops of blood on the condom , the condom was fully intact and covering two thirds of my penis (was not covered around the base). It turns out that unknown to me she had her period (but it seems that it was towards the end because there were a few drops and it was not heavy blood).

I proceeded to remove the condom from the bottom and ended the encounter.

Is there any risk to this encounter? And do I need testing for this? I have never had situation with blood before and I know that the condom was intact when I removed it.

Thank you.

[leatherman]

have vaginal intercourse (protected)

and there you have your answer.
you had protected vaginal sex and removed an intact condom afterwards. That was the epitome of safer sex practices and not a risk for HIV

Have a great day,
Michael

Reducing Your HIV risks:
With no exceptions, use condoms correctly and consistently for anal or vaginal intercourse
Talk to a healthcare provider about PrEP as another layer of protection

Get tested yearly for HIV and other STIs.
If you don’t use condoms and/or PrEP, test more frequently

Some sexual practices described as safe in terms of acquiring HIV still pose a risk for other more easily acquired STIs. It is possible to show no signs or symptoms from an STI so testing is the only way to know.

Get tested at least yearly for STIs, including but not limited to HIV, and more frequently if condomless intercourse occurs.

What’s the ONLY way to know if you’ve been infected by HIV or an STI?
Get tested.


Please Note.
As a member of the "Do I have HIV" Forum, you are required to only post in this one thread no matter how long between visits or the subject matter. You can find this thread by going to your profile and selecting show own post, which will take you here. It helps us to help you when you keep all your thoughts or questions in one thread, and it helps other readers to follow the discussion. Any additional threads will be removed.