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Switching condoms during sex

Question: 

hi there, I'm a 30 yo Asian male in Cambodia. I am so terrified now that I think I might be exposed to HIV. About 3 weeks ago, I had sex with a prostitute in Cambodia and alcohol was involved. During sex, first she gave me oral sex for awhile and then I put on the condom. After about 10min of having sex, my penis felt uncomfortable and I decided to take off the condom and use a new condom. But before I put on the new condom, I made a huge mistake to let my urethra touched her virgina and her virgina fluid for awhile before putting on new condom and finish the sex. After that, I threw away the condom and I did clean my penis but I dont think I have cleaned it properly till the next morning. In the morning the next day, I realized that the skin layer on my corona of glans and neck of glans was kinda peeled. This really make me worried and scared. I don't know if I can get HIV through the peeled skin.

Currently (3 weeks after the sex), I'm having a bad sore throat, a minor headache, and muscle tightness and aches especially on my left sides of the body. Btw, I have been having sore throat for like 2 weeks now and the muscle tightness/aches is just only for a few days. And also I feel quite tired the last few days. My question is that base on my scenario of the sex, am I at high risk of getting infected with HIV? Please please provide some answer. I'm terrified now.

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about acquiring HIV through unprotected vaginal sex. From the information given, this scenario is determined to be High Risk (Evidence of transmission through these activities and is the majority of cases of transmission).

The scenario mentioned above does meet the three components of the transmission equation. Unprotected vaginal sex can provide direct access for HIV to enter the bloodstream. If you are continuously engaging in high risk activity there are biomedical approaches such as PrEP and PEP that help lower your risk of acquiring HIV. Refer to your physicians for further information.

HIV Transmission Equation: https://www.aidswindsor.org/healthy-me/hiv-transmission/ Risk of HIV Infection Through Vaginal Sex: https://www.ncbi.nlm.nih.gov/pubmed/19179227 Condom use errors: https://www.ncbi.nlm.nih.gov/pubmed/22348636

Recommendation: Refer to a physician for a HIV test

Regards, AIDS Vancouver Helpline/Online, Marie