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three protected vaginal and unprotected oral sex with csw in China

Hi there,

I am a Canadian working in Beijing. On june 24, 2018, I ordered an outcall services, and the girl gave me an oral sex for a short while followed by protected vaginal sex (she sat on me). I think the condom did not break (my "stuff" was not leaking out, so I assume it was intact) but the condom used was not any international brand that I am familiar with.

On Agust 24 2018, I found a massage parlor and tried the service. First, it was just unprotected oral sex. And somehow I thought this girl was safe, and decide to do unprotected oral sex + protected vaginal (she sat on me) on August 29.

During September, I visited the massage parlor for another two times. On September 7th, I did unprotected oral sex only. On September 30, I did unprotected oral sex and protected vaginal sex (I inserted into her).

At first, I was not so worry about these encounters as I had used condom for all of the vaginal sexes, and I did not experience any symptom (no diarrhea lasting for more than a day, no rash, no fever, no sore throat etc;). Additionally, for all the vaginal sexes I couldn't get very hard and ejaculate after 20-30 seconds or even shorter. The outcall girl's boss told me that the girl is clean and the massage girl told me that she got check regularly.

Recently I read a news about the number of HIV paitent in China that has increased rapidly during the third quarter, which made me start to worry and led me to here. Now I am worrying about the condoms I used were not effective as they are some unknown chineses brand brand and somehow these encounters could accumulate (it sounds super stupid).

My current concerns are 1)the condom could be fake and it did not work though it covered my penis 2) the condom could have little hole that vaginal fluid can come through. Can you tell me what are the chance of getting hiv if my concerns were real.

I've already booked a body check this weekend, but start having imagination of getting a positive report back. I understand that you get questions like this a lot, and I apologise. I just want have some professional opinions regarding the chance of having negative report so that I can wait for my report more peacefully.

Thanks
A worry paranoid

HTS

Hi,

About a 3 months ago I had unprotected sex with several partners. Also oral sex, ı both received and gave. I did not know their STD or HIV status. Two weeks ago I had something like blister, papilla or pimple showed up my vagina and increased it was painful at the beginning. I've seen gynocologist and she told me I don't have any warts or herpes with physical examination. I am still waiting for pap smear test results. However, a week ago I had swollen lymph nodes on my throat. And later my gums started to swollen. Now I have problems with my gingival and worried about gingivities. I had open sores on my mouth, cheeks when I had oral sex. I am so worried abput all STD's or HIV. I already tested and waiting for the results. But these symptoms are raising every day and I am really worried.

Should I really worry about the hiv possibility, and do these symptoms look like hiv?
Thank you so much for your answer, I appreciate it very much.
Kind regards

SECOND EXPOSURE WHILE ON PEP

i recently got into a relationship with a lady i did not know of her HIV status. we eventually had an vaginal sex (with no condom). i was very worried though she told me not to that she was sure that she is negative. but out of fear, i went to my clinic and i was given PEP treatment at about 40 hrs post exposure.
the relationship continued and we had another sex 6 days after i started PEP. i was not a brief sex at all and i ended up having some injury on my penis as a result of the activity.
I almost discontinued the PEP, but asked her to just do the HIV test, and it came out positive. i was shocked!!!!!
i have not had any rashes, fever, sore throat and all that except jaundice, nausea and severe weakness once i take the drug.
i experienced an unexplained burning sensation,needle like pricks and colicky pain in and on my penis and my scrotum. sometimes i feel like something wants to come out but nothing comes out of my penis. this started about two weeks after exposure. but no discharge nor sore nor rash around my perineum nor inguinal area.
all STI screening i did were negative and i had to take treatment for STI just in case ( this was my decision).
i have completed my pep and got tested again at day 33 post exposure and day 30 on pep and im still negative.
i was placed on LAMIVUDINE AND TENOFOVIR + ATAZANAVIR AND RITONAVIR.
my questions are
1) will my second exposure limit the efficacy of PEP?
2) should i have extended my PEP to 6 more days.?
3) are those symptoms i had possibly due to seroconversion?
4) is my current negative result encouraging?
thanks a lot for your anticipated prompt response. i am honestly scared.

also, i just got an antibody test approximately 2 months post pep and 3 months post exposure. it came negative. i don not know what to make out of this as my symptoms still persist. my palms and sore of my feet are peeling of now. my bones ache and i am tired like my soul is out of my body. i need help please

hiv test and symptomps

hello.
first sorry for my poor english and i really thank you for your support and your site.
i am from iran and i had a protected vaginal sex and unprotected anal sex and with a sex worker in thailand 7 month ago!
and this is my results test:
1 month after:hiv ab/ag = negative
4 month after:hiv ab/ag=negative
7month after in another lab:hiv ab:negative
i have some question.
1-also i have some symptoms that i have not before like super dry mouth and mouth ulcer with no pain and white and burning tongue that symptomps be for hiv ?!
2-i always use supplements like amino,whey protein,vitamins and minerals and omega 3, can this supplements effected on my hiv tests!?
3-if i infected with other std's like hepatit or.. can cause that my body could not produce antibody aftr 7 month!?
4-need i retest again after 1 year?
please help me i am in very bad situation!
thanks a lot.

Risky Activity, Pep, Testing

Hi,
I had an experience that is causing me great concern. I received unprotected oral and rubber her vagina on the outside. Did feel the wetness on fingers. May have had a small cut on the underside of the head of the penis. Greatly freaking out. Im especially worried cause I saw something that would make me think she is possibly in acute phase of infection post the unprotected oral. Should I get tested? Should I try and start pep? It is about 60 hours post exposure.

FEAR - Sex with prostitute and the condom broke

i had sex with prostitu.. I used a condom for vaginal sex but it broke,i dont stopped the aft that came to know the condom was broken .. what i do i fear unable to sleep at night thing about the same thing over and over,over .. i unable to speak with other what other do r think about me .. please give suggestion ...

I did 2 HIV test, 1st test after exposure of 5 months and 2nd after 1 year of 1st test. Both were negative. Are these results conclusive?

Hello Sir, i had a girlfriend, who was HIV positive, and after our break up she told me that she is HIV positive. We had sex alot of times but most of time i used Condoms. But still i tested myself on sep 2016, it was an Antibody and antigen p24 test. The report was nonreactive. Again after 1 year i tested myself cause i was abit confused due to having a wart near my genital ... test was same Antibody and antigen p24 test. Again the report was nonreactive. can i rely on these reports or again i should go for a HIV test?

Partially inserted penis in anus.

I recently had a MSM encounter with someone. Neither one of us is on PREP. We were making out naked and I could feel is penis pressing against my anus. The tip of his penis pressed considerably inside anus but I quickly pulled back. Would this be considered low risk or am I at risk at being HIV infected? It happened last Wednesday the 4th of July. Should I consider any immediate actions?

12 Week Negative After PEP Conclusive?

Hi,

On January 23, 2018, midnight and in morning, I had unprotected sex with a woman of unknown status, five times at midnight and one time in the morning. Ours is a subcontinent country and she became a citizen of a large first world country in the East and had lived there ever since. While talking, I learned she had known nothing about safe sex and she refused to test vehemently and stated that she hadn't had sex for over five years with anyone else (and she probably meant outside her marriage). The previous boyfriend married and had a healthy girl child, she said.

She was stupid despite her ideas on progressive thoughts and a loud mouth. This got to my mind and my OCD got triggered. She had also invited our other friends before me and I knew they were negative too but doubt had its own ways.

I started PEP about 67.5 hours later and completed it without missing a single dose. I tested immediately after PEP on day 29, 30, 41, 49, 58, 70, 72, 85 and 114 (12 weeks after PEP) with fourth generation Ab/Ag tests. All of them are negative.

Some confusing guidelines say 6 months post exposure on PEP. I don't like it. And I haven't had any symptom at all I guess. I think since it got warmer due to Summer, which is extremely hot here, I have been sweating profusely and I used to since childhood. I sweat even when I eat and even if I do not allow air, while sleeping.

Can I consider my 12 week post PEP results conclusive? Doctors Sera (says test after completing PEP is conclusive), Dr Sean, Dr David Wohl and Dr. Jose say testing 4-6 weeks after PEP is conclusive. Dr Tan and Dr. Benjamin Young say 8 weeks after PEP is conclusive. Dr Tan even goes on to say testing with antibody alone is enough after week eight and that Dr Tan says he has never seen a test immediately after PEP change later on.

On Day 72, I had also cut my little finger with a knife while cutting tape. I had sutures done immediately and feared that the needle used to give me the anesthetic was reused. Anyhow, the test 42 days after that incident has come negative. I had also believed that the phlebotomist who drew blood used a used syringe on day 30. I now believe these were unwarranted irrational fears.

Now, my concerns are:

1) Can I move on with my 114 day (12 week post PEP) results?
2) I should probably enter long term relationships and even get married. So, discussing and testing before we have sex increases my fears. So, does testing at the six month mark, which I don't want to, as I have had enough of fears before testing and waiting for the results.
3) I would still believe I would have to test 6 months after PEP and 7 months after exposure, as we go on.
4) I also want to believe that this result will stay the same and the 114 day result (12 weeks after PEP) is conclusive.
5) Long term consequences and complications that we read of the disease scare me, which is, as you might have seen, a "what if" question.

I hope I can mentally free myself from all these and remain negative to move on with other things in my life. I hope you can answer me soon. Thank you for all the great work you do :)

HIGH RISK HIV EXPOSURE VAGINAL INTERCOURSE WITH SEX WORKER NO CONDOM

AFTER A HIGH RISK HIV EXPOSURE DUE TO VAGINAL INTERCOURSE WITH A FEMALE SEX WORKER NO CONDOM AND MANY ARS SYMPTOMS. HOW MUCH STOCK SHOULD I PUT IN A NEGATIVE AG/AB HIV 1/2 TEST BY CMIA AT 51 DAYS AFTER EXPOSURE.

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