Anonymous
I had protected sex with a prostitute 3 weeks back, prior to that I had shaved my beard and had a cut on my lower chin.. After the sex was over.. I removed my condom (which had vaginal fluids) and immediately scratched my chin where it had a cut.. I am very anxious of the results.. I am waiting for the six weeks window which will be on 18th of july.. I have also developed a rash in the base of my penis.. I just wanted to know , how high are my risk of contracting HIV and how conclusive is a six weeks 4th gen ELISA test?
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Anonymous
Hi there, and thanks a lot for contacting the AIDS Vancouver Helpline for your HIV/AIDS related health information. It seems you're concerned about the possibility of HIV transmitting. We're happy to answer your question for you.

Protected sex is considered a low risk activity, meaning that while transmissions are possible, specific circumstances (like the condom breaking) are required.

The other situation you described is no risk. To understand why, know that HIV is a a very fragile virus that is rendered intransmissible on exposure to air. Any virus potentially in that fluid would not be able to be transmitted to you. Also consider the 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
You'll see that required for transfer are all of a fluid involved in transfer, an activity involved in transfer, and direct access to the bloodstream. This does not involve an activity involved in transfer, nor does it provide direct access to the bloodstream to any significant extent. For these reasons, this is a no risk situation.

As for the symptoms you are experiencing, we at AIDS Vancouver are not healthcare providers, so cannot comment on them. However, HIV infections are never diagnosed based on symptoms alone, simply because the symptoms of an HIV infection are quite common to many other common medical conditions. Testing is the only way to diagnose an HIV infection. If you're concerned about any symptoms you're experiencing, we'd encourage you to see a healthcare provider.

It's great you've gone for testing, as we at AIDS Vancouver recommend routine testing for all sexually active individuals. We've already gone over the risk levels associated with the activities you've engaged in, but you'll need to wait at least 12 weeks for the 3rd generation ELISA test to be conclusive from this activity. A test at 6 weeks will be a good indicator of your status, but will not be conclusive.

Thanks a lot for contacting the AIDS Vancouver Helpline with your question, we hope it has been answered fully.

Trevor

AIDS Vancouver Helpline/Online

helpline.aidsvancouver.org
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= RISK OF HIV TRANSMISSION