Anonymous
Hi, 

My friends and I went to a strip club in Medellin and I ended up bringing one of the dancers back. I was very drunk and couldn't get erect and briefly remember moving my penis head around the inside of her vagina lips. I was VERY limp so I do not think that I was able to make any deep penetration. I'm almost positive of that. 

She also performed oral for a very short period of time because again, I was very limp so it wasn't happening. 

That weekend we were doing heaving drinking so for the entire following week I was resting hungover and once Friday (exactly a week later rolled around) I noticed a very brief burning sensation in my penis. 

My heart dropped because that must of meant that somehow there was a transmission (assuming I got an UTI). Which then means there was a possibility that I contracted HIV. 

Since then I have been in a PANIC. The following Monday (10 days later) I went to get a STD check and HIV testing. 

It has only been a week -(week and a half) but I appear to have a light sinus headache, stuffy nose,  my skin is itching/burning at times, I have NO soar throat, No swollen lymph nodes. 

Tomorrow I go in to get my STD results and I am TERRIFIED. My question is: 

1) What are the chances of contracting HIV from a sex worker if you had very brief sexual contact from moving penis head inside the vagina lips 
2) Will my blood test be accurate if it's been taken 10 days after POSSIBLE exposure 
3) I have never displayed burning sensations this much on my skin, is this a good indicator that I have contracted HIV 

Any additional words of wisdom is very much appreciated and thank you so much for your help. 



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helpline-volunteer
Hi there,

Thank you for your inquiry. From what we gather from your post, you were asking about the possibility of HIV transmission through a brief sexual encounter presumably involving unprotected vaginal sex. From the information given, this scenario is determined to be High Risk (there is evidence of transmission through these activities and are the majority of cases of transmission). 

The scenario mentioned above does meet the three components of the HIV transmission equation (see image below) which postulates that HIV transmission requires a bodily fluid (e.g. vaginal fluid) to have direct access to one's bloodstream (e.g. urethra in the penis) through a High/Low/Negligible Risk activity (e.g. unprotected vaginal intercourse). Although you mentioned that the encounter was brief, and that you believe you did not have deep penetration, there is still a window of opportunity for HIV transmission to occur.

You did the very responsible thing of going in for an STD/HIV testing. From the timing of your HIV test, it is likely that you received one of the 3 following tests [i) NAAT PCR RNA aka Pooled RNA NAAT Test or "Early Test", ii) P24 antigen test, or iii) a 4th Generation EIA test]. All of these tests have a high degree of accuracy. However it is highly recommended to go in for a follow up test to confirm your status due to the HIV window period, which varies from person to person and can vary depending on the type of HIV test taken. For more information about this, please see the resource that I have linked at the bottom of this post, and/or consult your healthcare provider or the testing agency that you went to for specifics on the test you did and what are the next steps.

Lastly, with regards to the burning/itching as well as the other symptoms that you are experiencing, it is nearly impossible to attribute this to HIV. Symptoms of HIV present differently from one person to another and many symptoms of HIV are identical to other illnesses, such as the common cold/flu. One's HIV status cannot be determined without testing confirmation.

Recommendation: Refer to a healthcare provider for HIV testing.

Best regards,
AIDS Vancouver Online/Helpline,
Shirley

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Helpline Transmission Equation  (1).jpg
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