Brief Answer:
Nearly no chance of HIV infection in this scenario.

Detailed Answer:
Hi XXXX,
Welcome to health care magic.

I have read all your question and narration as said by you and will give you the answer.

First of all, I would like to tell you that HIV infection occurs only when our mucosa linings in the mouth, vagina, penis or rectum come in direct contact with blood or bodily fluids such as semen, vaginal fluid and rectal fluid that can contain HIV virus.

Also,you had sex to that girl with 'condom on' most of the time and only it might get slipped inside her vagina when she was on top of you.

1) Therefore in your case, if there was no cut or scratch or even bruise on your penile skin then,I do not think there is any chance of getting HIV in this scenario.

2) Through bare hands or bare body skin or even by just lip to lip kissing (excluding deep mouth kissing), the virus cannot get transmitted into other's blood circulation.

Also, the materials used to make most condoms such as latex, polyurethane and polyisoprene do not allow bacteria, viruses or other germs to pass through them.

Therefore condoms act as a barrier to HIV infection by preventing the mouth, vagina, penis and rectum from being exposed to bodily fluids such as semen, vaginal fluid and rectal fluid that can contain HIV.

3) Yes,chances of female to male transmission is less (like around 2 to 3 %) and it is only when there is HIV positive female and you had a forceful unprotected sex with tearing of your genitals during sex which has not occurred in your case.

Therefore, do not bother and be rested.

4) Your eye infection (conjunctivitis) could be due to some other infection (other than HIV) for which you can take appropriate treatment from some local doctor or GP (if you still have the symptoms).

5) PCR-RNA qualitative test for HIV is highly sensitive & specific test, you can be sure of the test result (as a negative) after 25 days of exposure (90% accurate) since the chances of false negative result will be rare here.

Generally incubation period of HIV ranges from 1 month to 3 months and if you did the test after 25 days of exposure then it could give around 90 to 95 % accurate result.

So,you can go for this tests after 25 days of exposure to clear remaining doubt but the chances of HIV negative will be greatly.

Hope this will help you and if any doubt then you can ask me.

Regards,

Dr.Sandip kabra

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Brief Answer:
Will clear your queries one by one.

Detailed Answer:
Hello,
Thanks for reply.

1) Uncircumcised penis is not so dangerous or high risk condition for HIV transmission.Means circumcision of penis does not provide full protection against HIV.

2) With first sex encounter,it is very rarely to get HIV even if the girl is HIV positive especially when there is no cut or scratch or even bruise on your penile skin.
Means through bare penis skin (when come in contact with vagina or its fluid) or even bare body skin HIV transmission is not possible.

3) Suppose if that girl is HIV positive and one will do sexual intercourse forcefully (with tearing of penile tissue and vaginal tissue and blood leaking) then it does not necessarily mean that you will get infected with only first time.It will require multiple sex encounters like you said 20 to 30 times.

4) pap test (Papanicolaou test or cervical smear test) is used to detect pre-cancerous and cancerous cells in cervix of a woman.
It is not for HIV.There is no need of pap test in your case.

5) Window period for PCR RNA test is approximately 2 to 3 weeks but it gives results with only 90% accuracy.If you do that test after 25 days then it may give you nearly 100% result.

Finally,in your case there is no chance of contracting HIV from our all discussion but still if you want to clear any doubt then you may go for PCR RNA tests after 25 days of exposure which will give you final confirmation.

Hope this will clear to you now.

If you have any more query in future then you can ask me DIRECT QUERY TO PHYSICAN or ask a GP query by addressing my name (query for Dr.Sandip kabra).

Wishing good health and Happy Diwali in advance.

Regards,

Dr.Sandip Kabra

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Brief Answer:
Kindly send me pictures of the glans penis.

Detailed Answer:
Hello,
Thanks for the Diwali Wishes,

I have read your query in detail.

First,kindly send me the picture of your glans penis to have a single look at those red colour marks, I will give my opinion after inspecting the lesion.

As you have developed rash at some part of body after 2nd or 3rd day of exposure, but we can not think of HIV from these rashes because it might take up to 2 to 3 weeks to develop symptoms like flu or rash. Feeling cold or chills could not be the symptom of early HIV.

Means it is almost impossible to have HIV symptoms within 24 hour.So do not worry about it.

If you want to know about all STDs then you can visit nearest VCTC center.

For,gonorrhea the window period is 7 to 10 days,for syphillis it is 15 to 20 days and for HIV it is 1 month to 3 months (maximum upto 6 months in some cases).

So,at present I do not think you should go for any tests for STDs.

Gonorrhea and syphillis are quite uncommon nowadays but for HIV,you can go for either RNA qualitative tests or ora quick test kit at home but only after 25 days exposure to rule out any false negative results and to clear remaining doubt.

It is good that you are getting married within few months,but there is no need to be worried unnecessarily.

As far as I am thinking,you won't have any STD (especially HIV) from our discussion.

Kindly get back to me with images of glans penis for further discussion.

Hope you will enjoy this diwali holidays now.

Regards,

Dr.Sandipkabra

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