Hi, several weeks ago I had an intercourse with a sexual worker. When I pulled out, a condom left stayed inside her. I also forgot pinch the tip.
I got tested for
p24 at 13 days
RNA PCR qual at 24 days
Finger prick test at 6 weeks.
The results came back negative. Could you please assess a risk of the encounter?
Thank you for your inquiry. From what we gather from the question, we assume you were asking about your risk of HIV acquisition from your act of protected intercourse (safe-sex).
From the information given, this scenario is determined to be low risk (Evidence of transmission occurs through these activities when certain conditions are met). You were responsible in your practice of safe-sex. One of the most safe and effective ways to protect both you and your partner from HIV acquisition is through diligent condom use. The use of a prophylactic such as condoms in the act of penetrative vaginal sex can significantly reduce your risk of HIV incidence by up to 80%, yet this does not reduce the possibility of transmission to zero (1).
Condoms are impermeable to HIV, but can fail to prevent exposure to HIV if they break, slip or leak during use. A break, slip or leak during condom use is known as condom failure and can happen even when used correctly. These factors can reduce the ability of condoms to prevent HIV transmission (2).
In the case of a low risk, we would have recommended you to a physician for HIV testing following your exposure. However, due to your diligence with testing and the described negative result of your tests (RNA PCR is considered highly conclusive with accurate results from between 2-3 weeks post exposure), you can consider your negative results conclusive.
Please continue to practice safe sex to promote you and your partner's health and safety.
Best, AIDS Vancouver Helpline/Online, Cody