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Question: 

hi
i has a sex with a csw , i was drunk , but i used condom , when i removed condom i saw blood outside condom and that touched my fingers and pubic hairs , i washed it with hot water within seconds , i wanna know is it possible i am infected , as there were cuts on my fingers , cuts were old like 5 days not bleeding , the cuts one gets bec of dry skin , no symptoms till now , only once i checked my body temp was 99 and rest all good , i tested on 19th day , 25 th day , 29th day , all test negative , with reference range 0.274 , 0.302, 0.243
please reply i begg u , i am asking again and again for help but no one is replying , please help

Answer: 

Hello there,

Thank you for your inquiry. From what we gather from the question, you were asking about your risk of HIV acquisition from sex with a condom, and the integrity of your test results following the exposure.

In regard to your safe-sex encounter, please consider the following:

Penetrative sex, both vaginal and anal are both considered to be acts of Low Risk (evidence of transmission occurs through these activities when certain conditions are met) if adequate protection is used during the encounter. Our transmission equation would consider safe-sex a low risk, due to the possibility of error in the protection method. ie: due to improper use and potential breakage of the condom.

Although there were cuts on your fingers when you came into direct contact with blood outside the condom, there is a very small chance that HIV in the blood could have survived exposure to oxygen outside of the body. HIV outside of the body or drying causes a rapid reduction in HIV concentration (1). The cuts you described seem superficial and healed, which eliminate the possibility of direct access to the bloodstream (2). If perhaps your wounds were deeper and more recent, there would be cause for concern.

In this scenario, seeking HIV testing following your exposure was responsible in ensuring your health and the safety of your future partners. Most post exposure HIV tests are considered to yield comprehensive and accurate results. The NAAT (PCR RNA & DNA) test, commonly administered between 2-3 weeks post exposure, is used for measuring how much virus is in the blood of positive persons (viral load testing) (3). For this test specifically, there is a 99.6% accuracy in detecting HIV (3). However, official HIV testing guidelines still recommend re-testing at 12 weeks post exposure for completely comprehensive results.

It seems as though you have taken the necessary steps thus far to ensure your health and safety. We recommend referring to a physician for further testing (4th Generation EIA) test at 12 weeks to effectively confirm your negative status.

Best, AIDS Vancouver Helpline/Online, Cody