Patient's Query
Hi doctor,
I am a 31-year-old male, and I had sex with two female partners three months ago. I had vaginal and oral sex. The intercourse lasted for about five minutes, twice with each partner. I had a condom on throughout the time. Starting a week or so later, I had a pimple-like bump at the edge of my eyelid, a boil in the lower abdomen, and an oral infection behind the wisdom tooth. I got both my wisdom teeth from that side extracted. I also got a skin tag in the underarm area, which got sore, reddish, and painful. My blood pressure and triglycerides are also high. I have had diarrhea for the past 8 to 9 days. I do not have a fever, but I get headaches at night. I am also getting dizzy from 5 to 6 days. Is there any probability that I might have contracted HIV (Human Immunodeficiency Virus)? Do any of the above health issues indicate HIV infection? Please help.
Thank you.
Hello,
Welcome to icliniq.com.
The answers to your queries are as follows: If you had sex with a latex condom, used properly, separate for each act, separate for both partners, and it did not break or slip, then it was a protected act. It not only prevents HIV (human immunodeficiency virus) but also other STIs (sexually transmitted infections). The probability of HIV acquisition through condoms is very low, but it is not impossible. Laboratory evidence has shown that if a male condom is used correctly, it is up to 99.5 % effective. In reality, condoms are not used correctly; they might be used only halfway through intercourse, or not changed for each time of sex, or not used during oral sex. I advise you to get your HIV rapid antibody test done, and if it is negative, repeat the test after six months. I also suggest you get tested for other STIs (Sexually Transmitted Diseases), which include syphilis, herpes, gonorrhea, chlamydia, and HPV (human papillomavirus). The symptoms that you have mentioned could have multiple reasons and cannot necessarily be attributed to HIV. You have already mentioned raised BP (blood pressure), which could be the cause of headaches. I hope your query is answered, but if you still have any other questions, please do not hesitate to ask.
I hope this helps you.
Thank you.
Patient's Query
Hello doctor,
Thank you for your valuable response. Just a couple of more queries, please. By 'condom did not slip', do you intend to mean slip off completely? I do not remember it tearing or slipping off. But just assuming it did, is it that I will contract HIV (Human Immunodeficiency Virus) for sure, or is there a probability of it?
Thank you.
Hi,
Welcome back to icliniq.com.
A torn or slipped condom carries an Human Immunodeficiency Virus or Sexually transmitted diseases risk, almost same as that of without condoms or unprotected sex. It might be a brief exposure, but the risk is not eliminated. So, better get yourself tested.
I hope I have answered your question.
Thank you.
Patient's Query
Thank you, doctor.
I understand your point. I will go ahead and get the test done. I read at a few places on the internet that the risk of catching HIV (Human Immunodeficiency Virus), from unprotected sex, for a male is 0.38 %, that is, 38 out of 10,000 exposures, implying there is risk indeed, but the risk is quite negligible. Is that so?
Thank you.
Hi,
Welcome back to icliniq.com.
The risk of HIV (Human Immunodeficiency Virus) acquisition is dependent on various factors, type of exposure or behavior, which includes unprotected sex and needle sharing. At certain times, transmission is biologically possible, but the risk is too low. Over a certain time period, the risk might add up, which subsequently leads to a high risk of acquiring HIV. There might be a small risk with one infected person when engaged in high-risk activity, but when the exposure is multiple, the overall risk is increased. During vaginal sex with an HIV- infected woman, where the virus is in the vaginal fluid and blood, men get it through the penile opening, this is more so if they are uncircumcised or have small abrasions or cuts or sores on the penis. In this scenario, the chance of HIV acquisition is 0.05 % per exposure, which means a one in 2000 chance each time. In low-income countries, the biological risk of HIV acquisition is found to be higher, 0.38 % (1 in 263). In one of the study, it was shown that insertion anal sex has a risk of 0.62 % (1 in 161) in uncircumcised and 0.11 % (1 in 909) for circumcised individuals. Insertion of oral sex carries a risk of 0.005% per exposure (1 in 20,000). The risk of acquisition is also dependent on the other person's HIV load, whether the person is on antiretrovirals or not, other co-infections or opportunistic infections, or STIs (sexually transmitted diseases).
I hope this helps you.
Thank you.
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Answered byDr. Ravinder K. Sachdeva
Medically reviewed byiCliniq medical review team
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