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Too much Worried

Question: 

I had a protected sex with a sex worker whom I think to be hiv positive, I have used the condom but there was small cut at the base of the penis which was made two hours before while shaving which was bleeding at a time when it was made, and stopped within a few seconds. Although I have used the condom but I think It did not covered the cut which might have exposed to the vaginal fluids.Cut was made two hours ago and is not bleeding.After second day of sex I had a high fever with chronic fatigue which lasted less than two weeks than after two weeks I am suffering from white coated tongue with ulcers in mouth but no fever, I think my lymph node had started swelling and will get enlarged by the end of the week.
What is my risk of contracting hiv through small non bleeding cut which has been exposed to vaginal fluids.

Answer: 

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of acquiring HIV after engaging in protected vaginal sex. From the information given, this scenario is determined to be Low Risk . There have been a few reports of infection attributed to the practices assigned to this risk level (For example: vaginal sex with a condom can be attributed as a risk due to improper use and potential breakage of the condom)

In order to contract HIV the following conditions must be met: There must be HIV present in a bodily fluid. The five bodily fluids that carry the HIV virus include: blood, semen (including pre-ejaculate), vaginal fluids, breast milk, and rectal secretions. The bodily fluid containing HIV must have direct access to the bloodstream. This can be through cuts, tears, rips, mucous membranes, open sores, or needles. Transmission occurs through a risky activity in which the first two conditions are met. For example: condom less sex, sharing needles, unsafe tattoos or piercings, vertical transmission–from mother to child (in utero, during delivery, breastfeeding)

The above scenario carries a low risk as there is an exchange of body fluids and access to the mucous membranes. Usually, small, non bleeding cuts and sores do not carry a potential high risk for transmission of HIV. Also, keeping in mind the unknown HIV status of the partner your overall risk of acquiring HIV is low. Regarding the symptoms you are experiencing; these symptoms are unreliable in predicting if a person is HIV infected or not. Testing is the only reliable way to know.

Recommendation: Refer to Physician for HIV test.

Regards,

AIDS Vancouver Helpline/Online, (Vardah)