Can One Contract HIV From Protected Intercourse With A Sex Worker?

Posted on Wed, 18 Oct 2017

Question: What are chances of getting hiv from first protected sex with high end call girl who charged 15000 for one hour. They claimed their call girls are safe from hiv. One moment the condom slipped off as penis reduced and hence second condom was used. Condom covered maim portion of penis all time during insertive vaginal intercourse. Pls help

Answered by Dr. V. N. S. Parinam (40 minutes later)

Brief Answer:
Negligible chance

Detailed Answer:
Hi,

Thanks for the question.

Points that go in favor of you not contracting HIV.
1) High end girls are very strict they way choosing customers.
2) 15000 per hour is extremely professional and they do it like that maintain hygiene and body. In fact they can be more healthy than their customers. They charge so high to maintain these standards.
3) There was condom all the time so the transfer of fluids is very less
4) If the agency claims they are free from HIV.... they maintain standards as they can be sued.

Points in favor of trasnsmission of HIV
1) High risk behaviour having intercourse with call galls who are polygamous

Hope you understand my answer.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. V. N. S. Parinam (46 minutes later)

Will one get hiv while handling penis by call girl. During intercourse the condom was on always.

Also can I get accurate result if I take p24 duo antigen test on 19th day post exposure. What are the chances of getting this report positive on 19 day. Also if I have typhoid can this test results be affected.

Answered by Dr. V. N. S. Parinam (1 hour later)

Brief Answer:
No

Detailed Answer:
HIV is not transmitted by just handling penis while condom is put on.
Yes you can get p24 DUO test.
The chances are very less to be positive. No it would not affect with Typhoid.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. V. N. S. Parinam (6 hours later)

What are the chances of getting positive p24 duo test. I have been feeling symptoms of fever, chills, cough and lot of weakness in first three weeks post exposure. Is it related to typhoid or these are due to ars.

Pls help me with this as I am feeling stressed about all these. I just received results of p24 antigen antibody 4th generation test which is negative. The exposure was on 2nd and the the test was taken on 21st. Can I rely on the results of this test.

Do I have to get more tests done later on for this.

Answered by Dr. V. N. S. Parinam (17 hours later)

Brief Answer:
Most specific test

Detailed Answer:
You can rely on this test.
what you have is a fear or anxiety syndrome against HIV.
You should immediately believe this test and avoid doubting.Fear can cause unrelated and non specific symptoms which can start doubtful of HIV.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. V. N. S. Parinam (2 hours later)

What about the accuracy of this report. I have seen on Google that this 4th generation combo test can be taken post 14 days however the accuracy of the report is 95% on 28 days only.

If I have to rely on this report what is the accuracy percentage and whether I can have positive report at later stage if I repeat the test on 28 days.

Answered by Dr. V. N. S. Parinam (42 hours later)

Brief Answer:
HIV p24 Duo test

Detailed Answer:
Hi,
What you read was right. The accuracy increases with days.
the next gen tests would definitely improve over the older tests.
We still rely in our practice on these Duo test as it is cost effective to repeat at 4 weeks. We get even lower cost Elisa Antibody test at 90 days. The sensitivity is much higher with this.
Even the p24 HIV DUO test, is considered 99.8% accurate at 28 days, this accuracy increases to 99.9% at 90 days after potential contact.

Note: Get personalized answers to your HIV related queries You can choose to talk face to face with your doctor. Book a Video Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar