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Symptoms after 2 days of exposure and continues till 2 weeks

Question: 

Hi,
I had an exposure with a Thai girl in a massage parlour . We had sex two times a night but with condom and i didn't ejaculate both times. Both sessions lasted for maximum a minute . I was completely drunk at that time . And i have sucked her nipples and hugged her . Immediately after two days of that incident i am feeling tired with mild headaches and drowsiness . And these tiredness continues till now which is almost 2 weeks from exposure . Is these symptoms due to HIV . Kindly reply on this as i am completely stressed out and not able to sleep or concentrate in my daily works .
Thanks in advance .

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of HIV transmission after a protected sexual intercourse encounter. From the information given, this scenario is determined to be Low Risk (Evidence of transmission occurs through these activities when certain conditions are met).

When assessing HIV transmission, it is not helpful to speculate of an individual's HIV status, or provide an assessment based on an individual's occupation. For the the most accurate assessment, we focus on the activity/activities engaged in and how this activity/these activities either satisfy, or do not satisfy the HIV transmission equation(1).

Protected sexual intercourse, either vaginal or anal, can satisfy some of the components of the HIV transmission equation(1).

  • For transmission to occur, the three components of the HIV Transmission Equation(1) must be met: there must be HIV present in a bodily fluid (ie: in blood, semen or rectal secretions), direct access to the bloodstream (ie: inside of the vagina, anus and other mucous membranes) paired with a high risk activity (ie: unprotected anal or vaginal intercourse, sharing needles, mother to child)(1).

Transmission through protected sexual intercourse(either vaginal or anal), that is sexual intercourse with a condom, is given a Low Risk assessment because of the possibility for improper condom usage, which can lead to the condom breaking(2). This can lead to a possible exchange of bodily fluids and provide direct access to the bloodstream.

The other activities you have described in this scenario, hugging and sucking on nipples, carry No Risk(transmission of HIV is not possible in the given scenario) for HIV transmission.

The symptoms that you are experiencing can be an indicator of various viral infections. Therefore, we cannot attribute any of these symptoms specifically to HIV. The responsible thing to do in this scenario, is to visit with your healthcare provider and discuss your symptoms in depth. Your health care provider will know what, if any, tests need to be administered. During your visit with your healthcare provider, we would also encourage you to ask for an HIV test. We recommend this in all Low Risk scenarios. We also recommend that everyone consider making HIV testing a regular part of their healthcare maintenance routine.

Recommendation: Refer to a healthcare provider for HIV testing and to talk about the symptoms that you are experiencing.

Regards, AIDS Vancouver Helpline/Online, Hilary