Anonymous
Hello and thank you for answering my question. A month ago I had unprotected vaginal sex with a prostitute and to make matters worse i also had some minor inflammation and soreness on my penis. Prior to this incident occurring i had an STD test done on me and they all came back negative. However I still had this inflammation or urethritis in my penis head when i engaged in unprotected sex with the prostitute. I have read online that the risk of Hiv transmission increases three times in the presence of STD's and such, so based on this fact, if the average risk of transmission for males is said to be .04%, does this mean that with the presence of urethritis, my risk could be as high as .12%?
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Anonymous
Hello and thanks for reaching out to the AIDS Vancouver Helpline.

It seems you are concerned with the risk level of HIV transmission after you engaged in unprotected vaginal sex. We are glad to provide some information.

At Aids Vancouver we regard having unprotected sex as High Risk activity. This is because this activity has been repeatedly associated with transmission of HIV. We do not use numbers to determine the risk level but as you can see below.

*NO RISK
to our knowledge, none of the practices in this category have ever been demonstrated to lead to HIV infection
Kissing (with no blood present)
Non-insertive masturbation
Receiving unshared sex toys
Contact with feces or urine
Injecting with unshared needles
Sadomasochistic activities (using Universal precautions)
Using drugs with new pipe or unshared straw
Tattooing, piercing, electrolysis and acupuncture with sterilized and new equipment
Manicures or pedicures

NEGLIBLE RISK
all of the practices assigned to this risk level present a potential for HIV transmission because they do involve the exchange of body fluids. However, there has never been a confirmed report.
Receiving Oral sex
Anilingus
Fingering
Fisting
Using shared sex toys w/condom
Using disinfected sex toys
Sadomasochistic activities
Contact with feces or urine (on broken skin)
Vulva to Vulva rubbing
Docking - head of ones penis inside the foreskin of another's penis
Taking breast milk into the mouth
Sharing toothbrushes and razors

LOW RISK
all of the practices assigned to this risk level present a potential for HIV transmission because they involve an exchange of body fluids. There have been a few reports of infection attributed to these activities (usually under certain identifiable conditions).
Injecting with cleaned needles
Tattooing with non professional equipment
Taking blood into the mouth
Occupational Exposure
Giving Oral sex (either on a man or a woman)
Vaginal or Anal sex with condom
Mother to Child transmission
Fighting

HIGH RISK
all of the practices in this category present a potential for HIV transmission because they involve an exchange of body fluids. In addition, a significant number of scientific studies have repeatedly associated the activities with HIV infection. There have been a lot of confirmed reports of infection in this way.
Unprotected Anal or Vaginal sex
Injecting with shared needles*

We do not determine the HIV status of an individual using symptoms because some symptoms are caused by other viral infections that are not related to HIV. The only way to determine your HIV status is by getting tested. We are encouraged that you were tested for STIs but do recommend that you get tested for HIV as well. You can


The Aids Vancouver Helpline Online forum has postings that are related to your question that you can read for additional information. You can also read addition information on safe sex from [TheBody.com](http://www.thebody.com/Forums/AIDS/SafeSex/). If you have any further questions feel free to contact us again.

Thank you for contacting the AIDS Vancouver Helpline.

In health

Lawrence

AIDS Vancouver Helpline/Online

helpline.aidsvancouver.org
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