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unprotected sex with an escort (period blood present)

Question: 

the details I recently booked a Romanian escort in the uk for unprotected sex. stupid I know. basically I penetrated her for around 10-15 seconds then pulled out as realised I was being an idiot when I pulled out there was blood on the head and shaft of my penis ( was obvious she was on her period) I immediately grabbed a wipe to get it off,
I realise this is a risk so I will test at 8 weeks anyway.

but I have read vaginal sex is 1/2000 exposures if they have hiv, I don't know her status she assured me she was clean but not sure on hiv rates of Romanians and if they understand testing and so on due to language barrier I couldn't explain what I meant,
I also read that hiv dies as soon as it comes in contact with air, so I was wondering is 10/15 seconds inside a vagina long enough to become infected as would the hiv in the blood or on my penis (if I missed any blood when wiping) would it of died as soon as I pulled out my penis?

I'm extremely worried about this and I guess I just want to know if this is extremely high risk, is it likely she had hiv going by statistics of escorts who offer this service from her country and is the fact it was extremely brief does this lower the risk at all

thank you in advance

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of acquiring HIV after engaging in 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 because unprotected vaginal sex is an activity that allows direct access of potential HIV-containing fluids (eg. vaginal fluids or menstrual blood) to the bloodstream (eg. through your urethra). The risk assessment is based solely off of the unprotected vaginal sex mentioned in the scenario. It is not based on HIV statistics in the escorts country or the length of time the activity lasted, as all unprotected sexual exposures with someone of unknown status are treated the same. 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 physician for further information.

The statistic you provided is fairly accurate, and in fact it has been determined that for every 2,500 unprotected insertive vaginal sex acts with exposure to HIV, there will only be one transmission of HIV (1). It is important to note that this does not mean that you can have 2,499 unprotected insertive vaginal sex activities and not get HIV. It means there is always a 0.04% chance that the activity will result in an HIV transmission, and thus using a condom and accessing PrEP or PEP is highly recommended to drastically reduce this chance.

Recommendation: Refer to a physician for an HIV test outside of the window period (6 weeks and 3 months post-exposure for completely conclusive results).

Regards,

AIDS Vancouver Helpline/Online, Marie