Anonymous
On Tuesday i have protected sex with a sex worker she made me wear 4 condoms i did not came in her i kissed her in lips and licked her nipples please help me can i get hiv please reply me i feel like I'm dying Mu joints are paining please reply me
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Anonymous
Hi there,

Thanks for contacting the AIDS Vancouver Helpline for HIV related information.

Provided you used protection properly, you are at a very low risk of contracting HIV from this situation. Let me explain why.

HIV transmission requires all of the following:

1. Body fluids containing high levels of HIV, e.g. semen, vaginal/rectal secretions, blood;

2. A high-risk activity, e.g. unprotected anal or vaginal intercourse or the sharing of needles; and

3. Direct access of HIV-containing body fluids into the bloodstream, e.g. through the vagina, anus, mucus membranes, or points of needle injection.

Protected vaginal sex is considered a low risk activity for HIV transmission. Using a condom properly (i.e. the condom does not break and there is no accidental insertion) significantly reduces the risk of transmission of HIV/other STIs. Nonetheless, it is important to note that condoms and other forms of protection make sex safer but not 100% safe. I would also like to note that HIV does not discriminate based on someone's occupation (commercial sex worker or otherwise), gender, age, sexuality, ethnicity, or any other factor. The risk for HIV transmission is determined solely by the activity you engage in, and nothing else.

Kissing someone and licking someone's nipples pose no risk for HIV transmission. Saliva contains an enzyme that kills off HIV, which is why you cannot contract HIV from kissing someone or sharing food/drinks with them. Licking someone's nipples also does not involve any body fluids (other than your own saliva), which means you cannot contract HIV from this activity.

Finally, HIV has no clinically defined symptoms -- i.e. HIV cannot be diagnosed based on symptoms. The symptoms related to HIV are very inconsistent -- some people experience a flu-like illness 2-3 weeks post-exposure that disappears within 8-10 days, and some people experience no symptoms whatsoever. It is very unlikely that your joint pain is associated with HIV infection, especially since your risk of contracting HIV from this exposure was low to begin with. Please keep in mind that anxiety related to HIV can cause bodily issues, which could perhaps be an explanation for your joint pain.

To conclude, this situation posed a very low risk for HIV transmission. By using a condom, you already took a great step toward protecting yourself from HIV. Nonetheless, let me just inform you that AIDS Vancouver encourages all sexually active people to get tested for HIV and other STIs on a regular basis as part of their personal healthcare maintenance. The best way to be sure of your HIV status is to get tested!

I trust I have addressed your concerns. Should you have any further questions, please feel free to contact us again.

In good health,

Tiina

AIDS Vancouver Volunteer
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