Anonymous
Hello

5days ago I have sexual relationship with prostitute in Indonesia - vaginal intercourse only

I used Condom whole progress

But I'm really worried and scared, also feel guilty

1. Next day I poured water and there is no leak but i found a little blood on condom
2. I have some sort of atopy( psoriasis) on groin, so i'm worried about vaginal fluid may touch that point
3. I contacted owner of red-light district and he told me that every women in his area has regular examination but I don't know should I trust him

I want to know my risk and how should I act from now on

Thank you
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Anonymous
Hi there! Thanks for contacting the AIDS Vancouver helpline with your HIV related questions and concerns. We're happy to help!

I understand this can be a stressful experience, but hopefully my answer will help to ease your worries.

Great job for using a condom! That is the best way to protect yourself against STIs/HIV!!
Having protected sex is considered a Low Risk activity for HIV transmission. What this means is that although there have been a few reports of infection in this manner, they're usually under certain identifiable conditions. For example, if the condom breaks or is used incorrectly, this could be a condition. If your condom remained intact (like you said it did) then this greatly diminishes the risk!

1) like I said, this is a great sign! that means the condom was protecting you effectively.

2) This type of condition shouldn't affect HIV transmission, since in order for a wound to provide direct access to the bloodstream, it must be severe. We describe it as a wound that is gushing blood, or requires immediate medical attention such as stitches.

3) Sex-workers are usually very on top of their sexual health, and are often found getting regular tests and check-ups! THat being said, we like to avoid discussing other people and rather focus on the activity and the risk level associated.

So overall, you had a Low Risk level. I wouldn't say that testing is required for this incident on it's own, since like you said the condom was intact, however if it would make you more comfortable and ease your mind to get tested then that would be good too! We do recommend that all sexually active individuals get regular HIV/STI testing for general health anyways!

For testing, there are early tests available such as the NAAT or PCR tests (or the 4th generation combo test) that test for antigens, and these are effective immediately after exposure to about 2-3 weeks later. After that, antibody tests are generally administered. Tests are considered to be conclusive at 12 weeks post exposure, but most people develop detectable antibodies in just 21-25 days. Additionally, tests are around 95% accurate at just 4-6 weeks.

I hope this helped! please visit avert.org for more reliable info on HIV!

Sincerely,

Christina

AIDS Vancouver Helpline/Online

Monday-Friday 9am-5pm (PST)

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

helpline@aidsvancouver.org

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