A condom burst after ejaculation and having sex with my HIV positive girl friend. We first did tests and I'm negative. Is there a chance that I have it?
Hi there and thanks for reaching out to the AIDS Vancouver Helpline. My name is Colin and I am happy to help you out today.

I understand you are concerned about the risk of HIV transmission after a condom broke during sex with your girlfriend who is living with HIV. This is a potentially serious situation and I will give you some advice and resources I hope can help.

Right off the bat, sex with a broken condom is considered unprotected, and coupled with the fact that it is known that your partner is living with HIV this is considered a high risk encounter. For there to be a successful transmission of HIV, there must be HIV present, there must be an exchange of bodily fluids and there must be access to the bloodstream. Because in the encounter you described, these conditions were met, it is considered high risk and should be taken seriously.

You mention that your girlfriend is HIV-positive. Do you know if she is on a course of medication that has her viral levels at undetectable levels? If so this would significantly decrease your risk. However regardless of your girlfriend's viral load, I would highly highly encourage you to seek medical advice *immediately.* During the first 72 hours after a high-risk exposure, it is possible to start a course of [Post-Exposure Prophylaxis (PEP)]( that can potentially halt HIV's ability to take root in your body. It is a cocktail of drugs that a doctor can prescribe if they deem you a good candidate and your risk during exposure to be high enough to warrant the sometimes pretty nasty side effects that go along with the 28-day course of medicine. Because this was a high risk exposure, if it happened within the past 72 hours I would again highly encourage you to speak to a doctor to see if PEP is a possibility, and something they and you think you should be taking. If you are in Canada or the United States and need help finding the best testing and/or medical facility, I would recommend checking out [Aso411]( or the [CDC's Get Tested Site]( respectively to find the best resources for you.

I hope I managed to give you some useful information and point you in the right direction. If you decide to seek medical help and PEP, it is absolutely critical that you start the medication as quickly as possible. 72 hours is the upper limit for prescription, but starting it as close to the moment of exposure increases its chance of success. If you would like any more information, resources, or clarification, please don't hesitate to contact us again.

All the best,


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