Anonymous
I had a vaginal sex with a sex worker and While having sex, She realized that condom slipped off. She appeared really calm and used her fingers to get the condom out of her vagina. Since then I have had the most difficult 80 days of my life from then until today. 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. Strange bodily occurrences have been happening to me, one thing after the other (specially swollen gums which is really annoying). 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,

Thank you for contacting AIDS Vancouver. I am sorry to hear you have been feeling anxious about your risk of transmission and that it has been affecting your life in a negative way. I will give you a risk assessment according to our guidelines and then give you some information on testing.

The transmission risk for unprotected vaginal or anal sex is high risk. This is determined by your activity rather than your partner or the duration of the activity. Studies have shown that circumcised men do have a lower risk of transmission, however the only way to know is by getting tested.

Your symptoms sound unpleasant and I recommend seeing a doctor if they continue to bother you. Symptoms aren't used to diagnose HIV since many symptoms are not specific to HIV and many people living with HIV do not display any symptoms.

The ELISA 3rd generation test can detect 95% of new infections starting at 4 weeks since your last exposure, so your negative test result at 46 days is an encouraging sign. Both the 3rd and 4th generation tests are considered conclusive in Canada after 12 weeks, so I would recommend a follow-up test at that time just be to certain. Just to clarify, this means the possibility of your follow-up test showing a positive result are low, since your first test has the high accuracy mentioned above.

I hope that this information and your negative test result will help you to feel less stressed, and allow you to get back to a normal routine.

Best regards,

Alex

AIDS Vancouver Helpline/Online

Monday-Friday 9am-5pm (PST)

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