Help.. situation killing me.....

Originally Posted: 
Saturday, June 2, 2012
Question: 

 

Hello.

Please help me as i am really nervous and your comments will really guide me. On 17.05.2012 i was with a csw and she was looking in a lot of hurry to finish the job . The lady was from russia. We started the sex as she rubbed durex play and put a condom for me and we started sex and i went doggy style and noted the condom half way on my penis and held it. Then i lied for a while she was on top and i think within a minute she got a call so she got up and answered it an i was flacid with a drop of cum. I noted that the condom was on the side of bed an i asked how it came off she then said that when she got to answer her call she saw me flacid and condom was just on tip on my penis and she just took and threw on aside with intention to put new. I hadalot of drinks though i remeber most of it just this part i dint realise that she threw so i don remember if she threw the condom and we had sex for 30-40 seconds or she threw the condom later that is when she got a call. Now i am really paranoid and scared and think i was exposed. She showed me some result in turkish which she says that is a neg hiv result which she took a month ago but the way she had attitude i dont trust her.

I am not sure if i had unprotected sex with her for less than a minute but if so what are the chances as i am not circumcised and how early can i test.
can you also help me with below questions.
1. Despite me being uncircumcised what are the chances of acquiring HIV through unprotected sex with a confirmed HIV+ ? (though in my case i dont even know if i was exposed for a brief while)
2. On day 12 i came down with fever 100.5 with body pain,pain in knees, chills and head ache. After i took medicines the fever went away. Could this be early symptoms. Usually when do symptoms show and how long do they last.
3. I still have tingling sensation in my feet which i think could be stress but dont know, any comments?
4. My mind is killing me so if i do a PCR RNA test on day 17 which is 03.06.2012 do i need to confirm the test with any other test and what would be the reliability of this test as most of the internet sites say this it is not very reliable and should be backed with a 3 month elisa test.
5. If i opt to wait for 28 days would a elisa 4th generation test be enough(which i think looks for antigen and antibodies both)

 
Answer: 

 

Hi There,

Thank you for using AIDS Vancouver as your source of HIV/AIDS related information.  Unprotected sex is considered a high risk activity for HIV transmission.  Even if it was only for a few seconds, there is still a potential for exposure.  However, it is important to note that it is activities and not people that are high risk for HIV transmission. In fact, Commercial Sex Workers (CSWs) often get tested more regularly than the general population & are also more likely to use protection properly because they want to protect themselves from you, just as much as you would like to protect yourself from them. 

1)It is hard for me to say what the chances are of HIV transmission for the incident you have described because there are a number of factors to consider.  First of all, for HIV transmission to occur, your partner must be HIV+.  This is quite an assumption to make, especially if she specifically denied it, and provided a test to confirm her negative status.  However, if she was in fact HIV+, whether or not she is on medication and/or her viral load is also an important factor to consider as they could increase or decrease the risk involved with unprotected sex. The US Centre for Disease Control have statistics that suggests that when a negative male has vaginal sex with a positive female, there is a risk factor of 5 out of 10,000 exposures. In addition, it sounds like she was using water based lubricants (which decrease the risk of condom failure) and also ensured that you used a new condom when activities between you resumed.

2) Usually someone who has recently acquired HIV will get a strong flu-like illness 2-6 weeks after infection, which will last several days.  However, because HIV symptoms can mirror other viral infections, testing is the only way to really know.  The flu you have experienced could be explained by other things so if you are questioning your HIV status, you may wish to consider testing at this time.

3) While HIV symptoms vary from person to person, it is not likely that the tingling in your foot is related to HIV.  However, you may want to seek the advice of a physisian you trust regarding this.  

4) A PCR RNA test (or NAAT test) is not the standard protocol for HIV testing in Canada.  It is usually used to screen babies of HIV+ mothers or to screen blood and organ donations.  However, if you are able to obtain this test, it is close to 100% accurate 2-3 weeks post-exposure.  Further testing would likely not yield a different result, however, standard testing protocol suggests that an individual take an EIA test after 12 weeks post exposure in order to obtain a conclusive result.  

5) The 4th generation EIA test looks for both antibodies and the P24 protein.  This P24 protein is only detectable immediately after infection, while antibodies start to build up 4-12 weeks after exposure.  Most specialists consider this DUO test to be conclusive at 6 weeks, however international testing guidelines still recommend a test at 12 weeks in order to yeild conclusive results.

Please feel free to contact us if you have any further questions.

In Health,

Stephanie
AIDS Vancouver Helpline Volunteer
E-mail: helpline@aidsvancouver.org
Phone (Mon-Fri 9-4pm): (604) 696-4666
Web: www.aidsvancouver.org/helpline

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