Anonymous
Dear Dr.,

2 years ago, my wife and i had a great fight and i ended up getting laid with a sex worker in the Philippines. I had protected sex but the problem, as i have read from a post here, i touched, masturbated with the condom still on, removed and again masturbated until i ejaculate. i am circumcised but some foreskin left under my penis head. after sex, i even washed my penis with soap and water, which ive read, putting me on greater risk of acquiring hiv. About 1 month after this, i flew to the middle east for work and experienced sore throat, slight fever and flu, muscle weakness and weight loss. i just realized that what happened 2 years ago might be a symptom of ars, when now i am having dry cough for 2 months now, dry skin, eye floaters and white, hairy tongue (no thrush), pain in my right foot, slightly swollen lymph nodes under my jaw, tired,red eyes. Now im worried that my wife was infected also as she is having the same symptom as mine now. i just want to ask if what happenned to me 2 years ago has put me of having hiv. as you know, testing with hiv here in the middle east would mean deportation if you will be found hiv positive. Any help i will appreciate dearly. Thank you so much.
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Anonymous
Hello and thank you for contacting Aids Vancouver Helpline. I'm sorry to hear you've been stressed about this matter, and I hope I can help you alleviate some of your stress.

Let me first address the risks about the commercial sex worker. It is great to hear that you used a condom, which is the best barrier against HIV. From what you described, it sounds like the condom was intact and not broken. In that case there is no risk of acquiring HIV. Using a condom can pose a "low risk" of HIV infection if the condom breaks during usage. The fact that you masturbated also does not put you at a risk for HIV infection.

Here in Aids Vancouver we don't diagnose HIV based on symptoms, since symptoms can be due to other infections, like cold or flu. The only accurate method to diagnose HIV is by testing. Now based on the scenario that you described, you are not at a high risk for HIV infection, but if you still like to be tested for your peace of mind you can let us know and we will try to find a safe place for you that you can anonymously be tested. Feel free to contact us again if you like us to provide that for you.


In health,

Ali,

Helpline Volunteer

AIDS Vancouver Helpline/online

Monday-Friday 10am-4pm (PST)

604 253 0566 Ext. 299

Private and Confidential
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