Hi, i am a male. weeks ago i got some sort of warts around my penis (basically on my underbelly). my dermatologist said it is HPV and started treatment. i got tested for HIV couple of time after that and they were all negative.
But yesterday i had Protected vaginal sex with a sex worker (unknown HIV status, but she said she get tested every 3 month, i dont believe her). now i have found out having warts (HPV) could increase risk of getting HIV.
now i wanted to ask you
1. what do you think is the risk of getting HIV considering i had protected vaginal sex (condom was used properly and didn't break) and there is no warts on my penis itself and other few warts around were not bleeding or open. i am worried that her vaginal fluid has weten (touched) my warts some how.
2. do you think if PEP is needed (assuming i get answer before 72 hours). i checked Canadian guidelines for PEP online and it seems like my doctor or emergency rooms will not give me PEP for this case! what do you think?
3. where can i do the new (4th generation, duo, p24,...) HIV test in Toronto for early diagnosis? it's really hard to wait 6-12 weeks.
Thank you for choosing AIDS Vancouver for your source of HIV/AIDS related information. It's great to see that you are taking initiative when it comes to your health and well being!
I will try my best to answer your questions:
1.) Protected sex is considered a low risk exposure for HIV. The risk stems from the possibility that the condom broke or slipped off during intercourse; otherwise, HIV cannot pass through latex or polyurethane. It is true that having other sexually transmitted infections (STIs) can increase the risk of HIV transmission, because they are points of access to the bloodstream; however, keep in mind that HIV transmission requires a direct exchange of bodily fluids. If these bodily fluids were exposed to oxygen, then HIV would have been killed before entering the warts.
2.) PEP (post-exposure prophylaxis) is generally administered to individuals who have had a high risk exposure (unprotected anal/vaginal sex) with someone that is known to be living with HIV. Considering that your risk of HIV acquirement is low, you do not require PEP.
3.) I do not know testing centres in Toronto, as we are based in Vancouver, BC. However, I would encourage you to just simply look up a local sexual health clinic in your area. All HIV testing options that are available in Canada provide conclusive 12 weeks (or 84 days) post exposure. I know it will be difficult to wait so long, but I would encourage you to focus on how unlikely it is that you will test positive for HIV, rather than focussing on an extremely improbably outcome.
At AIDS Vancouver we encourage all sexually active individuals to test for all sexually transmitted infections (STIs), including HIV, as part of their health routine. This can be in the form of testing every 3 months, bi-annually, annually or whatever suits that individual's lifestyle.
I hope I have addressed all of your concerns, and if you have any other questions please feel free to contact us!
All the best,