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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Rapid Check Showed Negative For HIV. History Of Having Unprotected Anal Sex With Prostitute. Possibility Of HIV Infection?

Hi Dr.

Let explain what happened to me. I had sex with a prostitute. She put on my penis a condom that covered only 2/3 of the penis shaft. The peis head was completely covered by condom all the time. We starded with vaginal intercourse and after 2 minutes we stoped it and started anal sex with the same condom for more 8 minutes till I cum. 3 hours before that encouter I shaved my pubic area and penis shaft. I"m sure that my penis shaft touched her anus many times. 27 days later I got tested with RAPID CHECK and the result was negative for HIV. Do I need to be worried about HIV infection ?

Many thanks in advance.
Fri, 30 Aug 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
Barrier methods of contraception prevent the transmission of sexually transmitted diseases (STD).
Unprotected sexual intercourse can transmit STDs.
Any rupture or breakage of barrier contraceptive can also transmit STDs.
HIV infection should be suspected in cases of unsafe sexual activity, or rupture or damage to barrier contraceptive.
Development of fever, weight loss- > 10% over a period of six months, diarrhea are suggestive of HIV infection.
Any rash, ulcer or lymph node on the external genitalia can develop in case of STDs other than HIV infection.
ELISA test is the first line test done for HIV infection.
It can be negative during window period.
In this case the ELISA should be repeated after a period of 3 months.
If negative after 3 months, no further tests are required.
If positive western blot needs to be done.

Thanks and take care
Dr Shailja P Wahal
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Rapid Check Showed Negative For HIV. History Of Having Unprotected Anal Sex With Prostitute. Possibility Of HIV Infection?

Hello and welcome to HCM, Barrier methods of contraception prevent the transmission of sexually transmitted diseases (STD). Unprotected sexual intercourse can transmit STDs. Any rupture or breakage of barrier contraceptive can also transmit STDs. HIV infection should be suspected in cases of unsafe sexual activity, or rupture or damage to barrier contraceptive. Development of fever, weight loss- 10% over a period of six months, diarrhea are suggestive of HIV infection. Any rash, ulcer or lymph node on the external genitalia can develop in case of STDs other than HIV infection. ELISA test is the first line test done for HIV infection. It can be negative during window period. In this case the ELISA should be repeated after a period of 3 months. If negative after 3 months, no further tests are required. If positive western blot needs to be done. Thanks and take care Dr Shailja P Wahal