Anonymous
Dear volunteers,

I recently engaged the services of a sex worker. She must be from east of Europe or Russia.

I used a condom for vaginal sex.
She was on top.

After ejaculation she withdrew so quickly so I was unable to hold the condom at the base of my penis.
So we ended up with my semen all over the bed and the condom half hanging from her vagina.
As far as I recall, the condom looked intact but empty since all semen got on the bed.
She didn't seem worried at all and I tried to remain calm.
I took a shower immediately afterwards.

According to your experience, what is my HIV risk?

I thank you and congratulate you for the work you do.
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Anonymous
Hi there and thank you for reaching out to AIDS Vancouver with your questions, we're happy to help!

It sounds like you're concerned about your risk of HIV transmission from protected vaginal sex.

Protected sex is considered to be a Low Risk scenario, meaning that there have been a few reports of infection attributed to this activity, but usually under certain identifiable conditions (eg. the condom breaking).

Here is a copy of the AIDS Vancouver Transmission Equation:

HIV TRANSMISSION EQUATION


BODY FLUID
+
ACTIVITY
+
DIRECT ACCESS TO BLOODSTREAM
---------- -------- ----------------------------
• blood (including menstrual) • unprotected anal or vaginal intercourse • vagina
• semen • sharing needles • anus
• pre-cum • mother to child (in specific cases) • urethra in the penis
• rectal secretions • open cuts and sores (in theory)
• vaginal fluids • other mucosal membranes
• breast milk • points of needle injection

As you can see, in order for there to be a risk of HIV transmission, the virus requires direct access to the bloodstream. A condom prevents this access by acting as a barrier against fluid containing HIV, greatly reducing your risk of HIV transmission. The condom would have acted as a barrier against her vaginal fluids, and since it remained intact, it would have done its job properly. Just to reiterate, protected sex is considered a Low Risk situation, as I mentioned above.

I hope I have answered your questions, and feel free to contact us with any further concerns.

Regards,

Sierra, Helpline Volunteer

AIDS Vancouver Helpline/Online

Monday-Friday 9am-5pm (PST)

1 844 INFO-HIV (Toll free Canada & U.S.)

helpline@aidsvancouver.org

Private & Confidential**
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