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Possible Hiv transmission<HELP>

Question: 

I have visited thailand recently where i had only protected vaginal sex with a CSW. I have had a few drinks but i remember the condom did not break.And at the base of my penis there was red skin happens to me where new skin grown and the time the base of the penis was pink. The condom did not cover the base at the end soo i am really worried i took an hiv elisa test where it was negetive at 25 days. i am going though extreme anxiety since the sex worker was in her 50's and i heard they usually have sex with out condom soo her chances are high. what are my chances of getting hiv.

Answer: 

Hi there, thanks for contacting the AIDS Vancouver helpline with your HIV related questions/concerns. We're happy to help!

Having protected sex (with a condom) is considered to be a Low Risk activity for HIV transmission. This means that there have been a few cases of transmission in this way, but they're usually under certain identifiable conditions. In the case of protected sex, a condition would be if the condom breaks. If the condom did not break, your risk is greatly diminished.

The red skin you describe at the base of your penis does not contribute to HIV risk. This red skin would not be a sufficient entry-point for the virus into the body. HIV needs direct access to the blood stream to establish an infection, and this is provided either by mucous membranes (like in the urethra, anus, or vagina) or by severe wounds. Wounds need to be either gushing blood, or require immediate medical attention like stitches to be of the magnitude required for HIV infection. Regular cuts or scrapes or irritated skin like you describe would not be sufficient for HIV infection.

Additionally, most people develop detectable antibodies to HIV within 21-25 days of exposure, meaning your HIV ELISA test was a good indication of your status. To be safe, if you're concerned, all HIV tests are conclusive at 84 days post exposure, so should help to clear your mind at that point.

I hope this helped!

Sincerely,

Christina

AIDS Vancouver Online Helpline

helpline.aidsvancouver.org

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