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Sexual Activity with Tran Woman and Fear of HIV



I have done sexual activity with trans woman sex worker for the first time, Both used condom, I received anal from the trans woman but after reading on internet i got anxiety that the condom was broken or had tears and that is just like condom was not used! The meeting was not too long, was like 1 hour.

I have done PCR RNA and Ab tests at day 8, with other testes like Hep B,C and Syphilis. Thankfully all were negative. After that i read in the Internet that PCR RNA test is not accurate and I read that there is 4th gen test Ab/Ag that can be done after 28 days.

I have done the DUO test at the start of day 28. The result was negative.

I still have anxiety and it is irritating my overall health.

I would appreciate your kind response. Should I stay worried?

Kind regards,



Thank you for your inquiry. From what we gather from the question, you were asking about the conclusiveness of your test results. The PCR RNA test has a window period of 2-3 weeks after exposure with a 99.6% accuracy, at day 8, the results of that test would not be considered conclusive. The DUO test is a 4th generation test that has a window period of 4-12 weeks, at day 28 after exposure, the test results would be considered conclusive with a 99.9% accuracy. [1]

In regards to using condoms for HIV prevention, when used correctly and consistently, condoms are highly effective in preventing HIV and other sexually transmitted infections. [2] Incorrect use of a condom can cause it to break, slip or leak during sex, compromising its effectiveness. Unprotected anal or vaginal sex is considered to be a high risk activity.

Please see the attached resource for the correct way to use a male condom: https://www.cdc.gov/condomeffectiveness/male-condom-use.html

Regards, AIDS Vancouver Helpline/Online, Ashley


  1. CATIE. HIV Testing Technologies. [Internet]. catie.ca [cited September 19, 2018]. Available from: https://www.catie.ca/index.php?q=en/fact-sheets/testing/hiv-testing-technologies.
  2. WHO. Condoms for HIV prevention. [Internet] who.int [cited September 19, 2018]. Available from: http://www.who.int/hiv/topics/condoms/en/