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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hello, Last Night, I Had Sex With A Woman I

Hello,

Last night, I had sex with a woman I just met same day online, and she revealed to me that she was from an aboriginal reserve. The reason for mentioning this is that HIV rates on reserves where I am from (Canada) are several times higher than the rest of the population. She has claimed she has no STDs (says she was tested 6 months ago), and that she does not use drugs. However, she also said that hadn't had sex in a long time, which I found hard to believe given how easily we had had sex.

The incident that occurred was kissing, her performing oral sex on me twice (before and after sex) and penetrative vaginal sex with a condom for about 5 minutes. I ensured the condom did not have ruptures by filling it with water afterwards.

My questions are as follows:

1. The risk statistics say that the risk for insertive vaginal sex is anywhere from 1/500 to 1/2500, with modifying variables such as viral load etc. If we were to assume her to be HIV positive and a high viral load, then what is the actual risk that occurred?

2. A second concern I had was that I was concerned how easily the condom came off when I pulled. While my penis was very wet from her saliva prior to applying the condom, I did not think there was that much liquid in there. Perhaps the additional liquid was my ejaculate. I wanted to ask whether vaginal secretions can enter the condom from the base of the condom during sex. I.e. under the condom? Secondly, if this is the case, what is the risk of infection?

3. This question is regarding which HIV tests are reliable. I have read conflicting information on the internet. I am considering the following tests: RNA test at 12 days, P24 test at 14 days, and Antibody test at 30 days. How accurate are these tests at these time frames? I have full health insurance for such tests in Canada, so cost is not a concern.

4. Any other thoughts or advice that you think would be helpful is welcome.

Hopefully one or more of the doctors can answer here. Thanks in advance for your assistance.
Wed, 12 Oct 2016
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Hello, Last Night, I Had Sex With A Woman I