Hi, I had sex with a sex worker on February 17th 2012 in the Red Light District. I was ignorant of proper condom usage and put on two condoms, she gave me oral for about 3 minutes, then I had vaginal sex with her for about 1 minute and a half, pulled out because it was my first time with a sex worker and it felt kind of wrong. She then pulled off my condoms, which didn't look ripped but intact, and put a new one on finishing me with a hand job.
Hello and thank you for using AIDS Vancouver as your source for HIV/AIDS related information.
First of all, a sex worker is not necessarily at a higher risk for HIV than anyone else. Any individual can pass an STI/HIV, no matter what age, occupation, ethnicity, sexual orientation or gender. It is the activity that poses the risk.
As well, condoms are still the most effective way to prevent HIV transmission because if the condom does not break or fail in some way and is used properly, transmission of HIV is really not possible. However, using two condoms is not advised, as it increases the likelihood of the condoms ripping.
Receiving oral sex is a negligible risk, which means there have been no confirmed cases of HIV acquisition this way. The primary reason for this is that saliva is not a fluid that can pass HIV and it also contains an enzyme that actually inhibits HIV from entering the bloodstream. Protected vaginal sex is considered a low risk activity. As mentioned previously, with proper condom use and no breakage, there is really no way for HIV to pass through the latex or polyurethane of the condom (but wearing two condoms is not recommended in the future). Handjobs pose no risk of HIV transmission.
It is great to hear that you got tested for both HIV and other STIs. The PCR HIV test detects the genetic material of HIV itself, and the window period for a PCR test is 2-3 weeks (14-21 days). BCCDC Testing Guidelines here in Vancouver only discuss antibody testing (ELISA) and not PCR testing, and these guidelines recommend re-testing at 12 weeks to be completely sure or "conclusive." Saying that, your negative PCR test at 13 days is a good indication of your status, however, I would recommend re-testing at the 12 week mark (84 days) for both HIV and STI testing to be completely sure and to help ease your anxiety and nightmares. However, since a standard antibody test (3rd generation/ELISA) has a window period of 4 weeks to 3 months (28-84 days) and since you are at your 68th day post exposure, you can test right away and get a very reliable result and that may ease your worry.
As well, we do recommend all those who are sexually active to get regularly tested for other STIs, as well, so when you do re-test, it would be beneficial to be tested again for other STIs, as well as HIV.
In terms of symptoms, a strong flu-like illness may arise 2-6 weeks after HIV acquisition, but this is very variable and symptoms may be due to other things. As well, HIV symptoms are not chronic and do not persist for very long. Therefore, as you said, since HIV symptoms do not last, your ongoing body pain for 7 weeks would not be due to HIV.
I am sorry to hear about the ongoing pain in your body and your anxiety and nightmares. All your stress may, in fact, be causing your body pain, however, I am not a medical professional and am not able to diagnose your symptoms. If this persists, I would recommend seeking a medical professional you trust to discuss and address your symptoms.
I hope this helps answer your questions and eases your anxiety, but if you have any further questions please feel free to email or call us.
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