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How Is HIV Transmitted?

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Posted on Tue, 12 Aug 2014
Question: Hello sir,
1 week ago i did sex with chinese prostitute in Dubai with condom. BUt during sex, one time when i pulled my penis, i found condom missing. Then immidieatly i ask her & she shown me condom in her hand & told that it was left inside her vagin. Then i wear new condom & finished. After 2 days of this event, there was a burning on my tip of penis continously& continue upto today. So i am afraid & i am really in anxiety. I can not sleep also & My apetite also reduced. So Is there any chance of HIV? Each & every moment i am thinking of hiv & i can't explain you how i am feeling? So can you give me sir your guidance about HIV & i can relax myself. BEcause burning on tip make me thinking of HIV.And what is chance of getting HIV from my exposer?
doctor
Answered by Dr. Venkat Sivayogi (1 hour later)
Brief Answer:
I have outlined everything...

Detailed Answer:
Hello,
Welcome to Healthcare Magic,

First of all, you need to reassured of yourself and dont afraid of HIV with out testing the status. You try to come out that fear because , most of the times constant fear with out any problem kills us. So you first need to come out of that scene and read my ponts carefully below :-

1. You will only acquire HIV infection if she is confirmed sero positive and she should have good viral load in her blood. And that too with single shot of intercourse there are chances from 1:200 to 1:2000. The rate of transmission depends upon the viral load of the opposite partner in her blood.

2. So you be relaxed, above said numbers are counted only if she is confirmed of positive for HIV.

3.If she is unknown person and her status of serology is unknown, you can test yourself by rapid tests like PCR.

4.Burning sensation in the tip of the penis may be due to some other infection possibly herpes? But you need to be vealuated for that.

5. I suggest you to consult a physician near by and explain your problem , because if you stay alone and keep on thinking about your problem leads sleeplessness and deppression.

If you have any further queries , please contact

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Venkat Sivayogi (1 hour later)
Thanks a lot Dr.
Yesterday i went again to meet her just to confirm & more detailed study of her. She shown her resident ID of UAE which is only issued to resident visa holder of UAE. And that will be issued only after HIV test which is compulsory for UAE resident visa.
And she also assured me that she don't have any problem & clean. But how can i beleive her because she is professional. Eventhough i assured her yesterday, i felt good last night but again my anxiety killing me from today morning. I don't know how can i control myself & comeout from this situation & start my happy familly life. Right now my family is in XXXXXXX on vacation. And also i wants to go vacation with my family in XXXXXXX next week but i am affraid that how can i go infront my wife with full of worries. If she will know my abnormal behavior & then i will be in big trouble. Really i filling shame one me that why i did this. Even i know that what i did , it look's safe but still anxiety killing. I am not afraid because of me but because of my wife &

Thanks a lot Dr.
Yesterday i went again to meet her just to confirm & more detailed study of her. She shown her resident ID of UAE which is only issued to resident visa holder of UAE. And that will be issued only after HIV test which is compulsory for UAE resident visa.
And she also assured me that she don't have any problem & clean. But how can i beleive her because she is professional. Eventhough i assured her yesterday, i felt good last night but again my anxiety killing me from today morning. I don't know how can i control myself & comeout from this situation & start my happy familly life. Right now my family is in XXXXXXX on vacation. And also i wants to go vacation with my family in XXXXXXX next week but i am affraid that how can i go infront my wife with full of worries. If she will know my abnormal behavior & then i will be in big trouble. Really i filling shame one me that why i did this. Even i know that what i did , it look's safe but still anxiety killing. I am not afraid because of me but because of my wife & my kids.
So waiting for motivated reply so i can calm down my self.

Also from that incident, i am taking alcohol too much everyday to keep calm my mind. So is that any relation of alcohol with burning on tip of my penis?
doctor
Answered by Dr. Venkat Sivayogi (9 hours later)
Brief Answer:
Dont worry..its big relief now

Detailed Answer:
Welcome back,

As you are confirmed about her HIV status that it is negative. You dont want to think too much about it. You can relax now.
Only the problem you are facing is burning of penis which can be due to friction during sex or it can be due to herpes infection.

Constant thinking , anxiety and loss of appetite may further reduce your immune status. So dont do like that.

I suggest you to consult a good physician nearby you and discuss your problem , you will be examined for your burning problem,for that you will be treated before you meet your family . This will give you good mental relief.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Venkat Sivayogi (1 hour later)
Dear Sir,
her visa is expirying is next month so that mean she given medical 2 years back.But after that i don't know about her. But what is sign & herpes. And you think that, i have to go for HIV test or no need?
doctor
Answered by Dr. Venkat Sivayogi (27 minutes later)
Brief Answer:
I have outlined..about it

Detailed Answer:
welcome back,

Signs of Herpes include small water filled vesicular lezions over the penis and they may later rupture to form small superficial sores which may cause burning feeling. Herpes can be diagnosed by simple physical examination of your genitals.

Your question about HIV testing, It cant be ruled out by antibody kits available in market . Because to appear antibodies in the blood it takes minimum of 3-6 months period. If you want to confirm right away you need to go with a expensive method known as PCR.

But i dont see that you may require all this. Even though her visa is expiring,she already got screened for HIV and confirmed negative.

Any ways seeking medical attention is must from any of your nearby physician.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Venkat Sivayogi (17 minutes later)
Dear Sir,
I don't see any physical chage in my penis. Only i am continously filling burning. So is it possible that it may infection of condom?
And she was hiv -ve 2 years back while her visa issued. Now again she will go for medical for renewing her visa because it is going expire next month.
And if i will do duo 4th generatin hiv test at 20 days, how accuracy of it?
Because i will go XXXXXXX on 27th & next day i will go for test.
doctor
Answered by Dr. Venkat Sivayogi (12 hours later)
Brief Answer:
Physical examination is required to conclude

Detailed Answer:
Okay,
Condom can cause mild irritation by the lubricating chemical and the latex. I cant conclude that with out physical examination.

One thing you can do is keep in touch with her,as her visa is expiring next month she has to undergo series of medical tests again to re-apply for visa.

About the HIV test.. Before going for that , you seek the medical attention first and
you will be guided in a right way.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Venkat Sivayogi (16 hours later)
Dear Sir
Still burning is continue. And that me causing more worry about infection. And here in dubai to visit a doctor is diffcult. Because i am afraid if he will ask me for HIV test. Really i am sleepless. Everyday i wack up 3 am & continuous thinking of fear of HIV. Because i am thinking that, while pulling my penis may be touched to her vargina. So really i am in tense. Just give some relief to me for my peace of mind. Today i will buy ciprofloxacin for may be suspected UTI infection. Sir, really i am in panic & just tell me what are probabilty of HIV infection to me. Yesterday, i talked her on phone about her visa renewal & she told me that still i am waiting for sponserar call. So really i am in tense. You can understand my situatiotion. I am feeling shame on me & thinking of what will happen to my family.
Thanks in advance.
doctor
Answered by Dr. Venkat Sivayogi (19 hours later)
Brief Answer:
You can use cipro twice aday for a week

Detailed Answer:
Welcome back,
I can understand your problem , I can feel how much stress you are facing. But you need to be brave enough, nothing will happen. You already got her contact number, I can suggest you one thing - If you can able to convince her get thru the HIV testing , either by requesting her or by tactically convincing her ..it becomes easy for you to come out of your problem. If this thing doesnt work out ..be in touch with her ,as soon as she gets a sponsor,you could know her health status.

Mean while for your burning problem you can use cipro for a week, but I advised you to seek a medical visit, you told that was a difficult thing in Dubai. Okay. As soon as you arrive in XXXXXXX ,consult a good physician.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Venkat Sivayogi (6 hours later)
Dear Sir
Yesterday i took 500mg Ciprofloxacin (1 time) & now today from morning i am feeling itching & also the tip little bit red. You remember before i was feeling burning & now it's different scenario.So what you think about this symptoms? Because this changing condition make me more worsen. So is there any relation of this symptoms with medicine?
Actually i have long live starting from 24th July upto 5th sept, but i am affraid to go XXXXXXX as my family is already in XXXXXXX
Sir, waiting for your reply.
doctor
Answered by Dr. Venkat Sivayogi (26 hours later)
Brief Answer:
Redness may not be related to cipro

Detailed Answer:
welcome back,

I cant conclude the present scenario with out physical examination of your problem. But I can say the redness on the tip pf your penis may not be related to cipro drug. I suspect it may be due to frictional force or abrasion during sexual act.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Venkat Sivayogi (47 minutes later)
Thanks for reply sir
As you know sir, before there was burning & no redness.But not the top of penis is iching & redness. And i experienced from last 3 days from where i started ciprofloxacin. Becuase the incident happened it was 11 days before & still now facing iching & redness & sometime lookd top of penis swallow & some time looks normal.Really i am afraid that's why i am distubing you. But i am outisde XXXXXXX & so i can't go to dodctor here. Hopefully next week i will be in XXXXXXX But i am really in panic because of thinking continously about hiv. Also i am thinking is that if she having any other STD means having her HIV ALSO?
Because when condom slipped off i only realised when i show my penis without condom. I am really in panic. And really feeling shame that why i did this. What will happen to my wife & kids, this make me sleepless.
Waiting for your reply Sir
doctor
Answered by Dr. Venkat Sivayogi (29 hours later)
Brief Answer:
Just redness doesnt conclude HIV/STD

Detailed Answer:
Hello,
welcome back.,
It doesnt mean to have HIV/STD if you just have redness or itching . Even I cant conclude final diagnosis wit out examining you. Just relax and wait for 2-3 days to see any positive result from cipro.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
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Dr. Venkat Sivayogi

Internal Medicine Specialist

Practicing since :2007

Answered : 454 Questions

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How Is HIV Transmitted?

Brief Answer: I have outlined everything... Detailed Answer: Hello, Welcome to Healthcare Magic, First of all, you need to reassured of yourself and dont afraid of HIV with out testing the status. You try to come out that fear because , most of the times constant fear with out any problem kills us. So you first need to come out of that scene and read my ponts carefully below :- 1. You will only acquire HIV infection if she is confirmed sero positive and she should have good viral load in her blood. And that too with single shot of intercourse there are chances from 1:200 to 1:2000. The rate of transmission depends upon the viral load of the opposite partner in her blood. 2. So you be relaxed, above said numbers are counted only if she is confirmed of positive for HIV. 3.If she is unknown person and her status of serology is unknown, you can test yourself by rapid tests like PCR. 4.Burning sensation in the tip of the penis may be due to some other infection possibly herpes? But you need to be vealuated for that. 5. I suggest you to consult a physician near by and explain your problem , because if you stay alone and keep on thinking about your problem leads sleeplessness and deppression. If you have any further queries , please contact