Dr. Basti Bharatesh Devendra
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
Yesterday, my condom broke as I was entering the vagina of an unknown lady. The whole episode happened so fast (less than five to 10 seconds). I am not sure if the tip of my circumcised penis was in contact with the inside of the vagina or the butt hole, as I could not see. The lady said the condom rubbed off against her dry vagina, and it caused the condom to break, and that she does not think I penetrated her. We were only going to start sex when this happened. I also did not feel like my penis was entirely inside her, but I was only trying to get my penis in when this happened. But then I inserted my penis shortly because of this incident, and it started to worry me. I was afraid that my penis may have made contact with the entrance of her vagina. The lady did mention that she tests herself regularly and is clean and that if I did penetrate her, she would be more worried than me. Despite the assurances, I am still worried. From the above information, do you think that I engaged in any unprotected penetrative sex? Should I be worried about HIV or other STIs? Please help.
Thank you.
Hi,
Welcome to icliniq.com.
I can understand your concern.
The chances of transmission of HIV (human immunodeficiency virus) through single unprotected intercourse are low. The act can be considered almost as unprotected intercourse as there was a condom tear. If the person is HIV-negative, then there is no chance of transmission of HIV.
You can consult your doctor for further risk assessment and the need for PEP (post-exposure prophylaxis). If needed, PEP must be initiated as early as possible and not later than 72 hours of exposure. Some STDs (sexually transmitted diseases) like herpes simplex virus can be transmitted by skin-to-skin contact or through kissing. Please go for baseline STD panel tests now and after 90 days of exposure to be relieved of anxiety totally and to obtain conclusive results.
I wish you good health.
Do revert in case of any further queries.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
Is touching the vagina considered risky? I am asking this because I do not think I was inside fully. Is this still considered 'unprotected intercourse'? Kindly let me know.
Thank you.
Hi,
Welcome back to icliniq.com.
Glad to have you back.
There is no chance of transmission if there is no contact with infected fluids, secretions, or blood. The possibility of transmission through just intact skin (penis) to intact skin (vagina) contact is nil. If there is the possibility of contact with vaginal fluids, then there are chances of transmission of HIV (human immunodeficiency virus), but the risk may be too low.
I wish you good health.
Do revert in case of any further queries.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
For the infected fluids, secretions, or blood to make problematic contact, I should have penetrated deep inside the vagina. Am I correct? Or can it also be present on or around the entrance of the vagina? I am 90 percent sure that there was no penetration involved because if it did, then I would normally feel it while pulling out. Kindly help.
Thank you.
Hi,
Welcome back to icliniq.com.
Thank you for the follow-up query.
There are possibilities for vaginal secretions to be present around the vaginal entrance. The chances of transmission of HIV (human immunodeficiency virus) are possible, but the risk is very low even if secretions are present by the act mentioned. Penetration and intercourse can further increase the risk. The chances of transmission of HIV through single unprotected intercourse are low, and the risk with the act mentioned is further very low.
I hope this helps. Do get back in case of any further queries.
Thank you.
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Dermatology
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