Q. What are the chances of getting HIV after protected sex?

Answered by
Dr. Bharatesh Devendra Basti
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 27, 2018

Hi doctor,

I am a 26-year-old male. I had protected sex with a sex worker a month back. I used one condom, she gave oral sex and post that had vaginal sex for 5 minutes. Once I finished off, I went to the bathroom and got cleaned off. I could not see any tear as such on the condom. I just washed my penis and got back home. The same night after 2 hours I pulled my foreskin behind to clean my penis with soap. The frenulum got too tight and tore. It started bleeding. I washed my penis and let it heal for 2 weeks.

What are the chances of getting HIV from what had happened? I do not have any symptoms. Just had fever for a day and now I have a common cold. On the 15th-day post exposure (yesterday), I went for the HIV PCR RNA yesterday. The results are yet to come. Will the torn frenulum give chance for HIV virus to get in after 2 hours? I am feeling very anxious and stressed out. I really need your guidance. Please suggest what I need to do to rule out HIV and live a normal life. Please help.

#

Hi,

Welcome to icliniq.com.

The chances of transmission of HIV with given description is almost nil. The HIV test is likely to be negative. If the test is negative, it is almost conclusive provided there is no further risk exposure. The chance of test result coming positive later is almost nil. You can go for HIV antibodies tests after 3 months exposure to have final conclusive results to relieve your anxiety.

For more information consult a community medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/community-medicine-physician

Hello doctor,

I really appreciate your quick response. There was no further exposure. Can I take this HIV RNA test result as conclusive and not retest after that? I just wanted to know how accurate this test is after 15 days of post exposure. Is it more than 95% accurate? And are there chances of false negatives?

#

Hi,

Welcome to icliniq.com.

HIV RNA PCR is more than 95%-99% sensitive after 12 to 14 days of exposure. It is almost conclusive. But, it would be better to go for HIV antibodies tests after 3 months exposure to have final conclusive results and to relieve your anxiety.

For more information consult a community medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/community-medicine-physician

Thank you doctor,

I got my PCR RNA results but they have only done it for HIV 1. It has come back as not detected. I have attached the report for your reference. Lymphocytes are slightly high. Is this a bad thing? Please give me your feedback. I also want to know the following:

  1. Do I need to test for HIV 2?
  2. How safe am I with respect to acquiring HIV?
  3. Do I need to test for STD? I do not have any kind of symptoms.

Please suggest what I need to do to get this done and forget about this.

#

Hi,

Welcome back to icliniq.com.

The chances of transmission of HIV with given description is almost nil. HIV 1 PCR is negative. It is almost conclusive (attachment removed to protect patient identity) HIV 2 is usually rare. You can get HIV 2 RNA PCR too if you desire. It is rare.

Though the chances of tests coming positive later are nil, it is better to go for HIV 1 and 2 antibodies tests after 3 months exposure for final conclusive results.

You can get other STDs panel test if you desire like VDRL, HSV 1 and 2, IgM and IgG antibodies tests and HBsAg (hepatitis B surface antigen) as a routine.

For more information consult a community medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/community-medicine-physician

Thank you doctor,

Can I take the STD panel test now? It has been 3 weeks since the exposure. I need not repeat it later on, is it? If I do a HIV 2 PCR tomorrow and if it comes as negative, will I be 95 % safe?

#

Hi,

Welcome back to icliniq.com.

You can get STD panel test now as a baseline. If you develop any symptoms, the specific tests can be done if needed. You can get HIV 2 PCR done now. It is more than 95 % sensitive. HIV 1 and 2 antibodies tests after 3 months will give final conclusive results.

For more information consult a community medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/community-medicine-physician

Hi doctor,

I just wanted to update you with my test results. I had dont a hiv 1 pcr rna on the 15th day post potential exposure and it came out negative. On the 21st day post exposure I did a hiv 2 pcr and it also came out as negative yesterday. I have attached the report. Am I safe? Is this conclusive? Can I forget about hiv? please advice. Thanks in advance.
# Hi
Thank you for follow up query
It is almost Conclusive after both HIV 1&2 RNA PCR is Negative.The Chances of HIV test results coming positive later is almost nil. You are free from HIV provided there is no further risk exposure.
But it would be better to get HIV 1&2 Antibodies tests after 3 months exposure to have final conclusive results

Was this answer helpful?

 | 


Related Questions:
What are the preventive measures in case of slippage or breakage of condoms?

There is no need to take Truvada (Emtricitabine and Tenofovir Disoproxil Fumarate) until and unless you know the HIV status of the partner with whom you have had unprotected sex ...   Read full

What is the risk of HIV through fingering a vagina with a cut on my finger?

.. of transmission of HIV by the given description is almost nil. The wound in your finger (if at all present) most likely would have partially dried up. The skin is an effective barrier for HIV. The chances of transmission would be almost nil. The ...   Read full

Is immuno-concentration HIV test conclusive after 15 months of sexual exposure?

So rapid test is reliable and no need for further testing ...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Sporting Events During the Pandemic
If you are into any sporting event and plan a trip to an outdoor or indoor stadium, or you are an organizer or an athlet...  Read more»
Can viral fever lead to Parkinson's disease?
Hello doctor,I had a viral fever six years back. I had a very high temperature of 105, bad cough, also hallucinations. I...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask a Community Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.