Q. Condom broke while having protected vaginal sex. Can I get HIV?

Answered by
Dr. Bharatesh Devendra Basti
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 08, 2016 and last reviewed on: Jan 18, 2020

Hello doctor,

I am a 26 year old male. I had protected vaginal sex with a sex worker 15 days back. However, the condom broke and I ejaculated inside her. I asked her whether she was HIV positive and she said no. But, I cannot trust her. I have been having chills all over my body since yesterday. I was told by the HIV helpline to do the DNA PCR test on the 21st day. What are the chances of me being HIV positive? Should I be worried about the chills? I have never had such chills before, especially in the legs and hands. I am panic. What should I do? Please suggest

Dr. Bharatesh Devendra Basti

Community Medicine Dermatology HIV/AIDS Specialist Preventive Medicine Venereology
#

Hello,

Welcome to icliniq.com.

  • The chances of transmission of HIV (human immunodeficiency virus) by single unprotected intercourse is very low that is 1/200 to 1/1000.
  • Condom tear can be almost similar to unprotected intercourse. If she is negative, then no problem.
  • You can get her tested or you can go for human immunodeficiency virus 1 and 2 polymerase chain reaction (HIV-1 and 2 RNA PCR) after 10 days to allay your anxiety.
  • The symptoms are non-specific and may not be due to HIV. It may be due to any simple infection or anxiety.

For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist


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Hello doctor,

I had the RNA PCR test as you suggested and it came back negative. I have the following doubts. Does a negative RNA PCR after 10 days of exposure mean I have nothing to worry about? Is the test result accurate just after 10 days of exposure? Do I need to do any confirmatory test after a few days again? Please guide.

Dr. Bharatesh Devendra Basti

Community Medicine Dermatology HIV/AIDS Specialist Preventive Medicine Venereology
#

Hi,

Welcome back to icliniq.com.

  • HIV PCR is a sensitive test (99%) after 10 days. With the given history, it is almost conclusive.
  • But, it would be better to go for HIV 1 and 2 antibodies tests after three months to have conclusive results.
  • The chance of test coming positive later is almost nil.

For further doubts consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist


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