Anonymous
I had a vaginal sex with a sex worker and While having sex I looked at my penis and realized that condom slipped off. I immediately withdrew my penis and told her about the situation. She appeared really calm and used her fingers to get the condom out of her vagina. Since then I have had the most difficult 70 days of my life from then until today. Strange bodily occurrences have been happening to me, one thing after the other (specially swollen gums). I am very scared and haven't been able to function, can´t sleep, the anxiety is taking my life away, I think about that all the time. Due to all the different information I have been reading I do not know what to believe. I have taken meticulous notes on my physical condition and have now seeked out your forum with hope that one of your experts could analyze these occurrences and give me their honest point of view on the situation. I took an Elisa test after 46 days after and it came out negative.
I ask you to first assess my risk. I am un-circumcised, It was vaginal sex just for a couple of second? How are the possibilities the seroconverting after this test?
Thank you in advance for your answers.
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Anonymous
Hello, and thank you for contacting the AIDS Vancouver Helpline. I understand you are worried about your HIV status. I will be more than glad to help.

Having unprotected intercourse is a high risk activity for transmission of HIV. That being said, the fact that you were wearing a condom for some duration of the intercourse, and the fact that the unprotected sex did not last long would decrease your chances of acquiring HIV. Now, it is great to hear that you were tested and your results were negative. Your ELISA test at 6 weeks is a very strong indication that your HIV status is negtive (over 95% accuracy). Most people that have newly acquired HIV would develop antibodies as early as 3 to 4 weeks, and therefore test positive on the ELISA test after that period.

Although your test is very accurate, for a test to be considered "conclusive" it must be done after 12 weeks post-exposure. I would recommend you do another test at 12 weeks, but most likely that test should come back negative for you, and it would be very unlikely for your HIV status to change. Also, I would like to mention that most people that acquire HIV have no symptoms, and any symptoms you experience could be, and likely is, due to other causes.

I hope I was able to answer your question. Please feel free to contact us again for more information.

Sincerely,

Ali


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