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Anal Sex ...condom broke during intercourse

Question: 

I am 29 year old male from INDIA. Just 24 hours back I had intercourse with one commercial sex worker male. I used condom for intercourse, but meanwhile i found that condom has broken and immediately i stop there and bring out my penis outside. I was not ejaculated till that time. After that I did not have the session. I did anal sex when I was 15years without condom, and second time I did 24hours before I had anal sex with condom however it broke during intercourse. I consulted with the local doctor, he told me that go for regular check up. 
I am too much worried since last 24 hours, did so many gooles, feeling guilt also,that why I did that. I also know that no one test can assure me before 3 months. Please let me know, what is the risk for me to affecting HIV.
 
I also heard about RNA test, Can I go for RNA test after 7 days? Please help me I am too much anxious now and out of control also. some expert recommend PCR RNA test can be done after 72 hours of exposure also. Please help me.
 
 
Regards,
 
 
AADI RAYAT
 

Answer: 

Hi Aadi and thank you for using AIDS Vancouver Helpline as your source for HIV/AIDS related information. 
 
I am so sorry to hear that you are going through such emotional distress after the exposure. Here I will try my best to ease some of your concerns. 
Having a condom failure for sure brings you to a higher risk of acquiring HIV than having protected anal sex. It is very important to get a check up, just like your doctor recommended. 
According to many international guidelines, all HIV tests are conclusive at 3 months and no retest is needed after that time mark. 3 months may seem to be a long time for many of us to wait, but it is the standard period of time. 
 
However, many HIV tests do not require 3 months to receive a good indication of one’s status. Pooled RNA NAAT (“Early Test”) has a window period of 10 to 12 days. The test can detect 90% of the infections within 10-12 days and is conclusive at 12 weeks. There may be clinics providing Early Test in your locations. 7 days might be too early to get tested. It is ideal to wait for a several days to get an accurate result. 
 
There is another test known as 4th Generation EIA (Combo/ DUO) test that has shorter window period of time and is starting to be commonly used. The Combo test looks for both p24 antigen and HIV-specific antibodies. p24 is detectable immediately after infection and only for the first few weeks; and the antibodies are detectable within 4-12 weeks. Most HIV specialists consider the test conclusive at 6 weeks. 
 
I hope I have addressed your questions. Please feel free to write us back at anytime for further information. 
 
In Health, 
Tina 
AIDS Vancouver Helpline Volunteer 
E-mail: helpline@aidsvancouver.org 
Phone (Mon-Fri 9am-4pm): (604) 696-4666
Web: www.aidsvancouver.org/helpline