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Can a herpes outbreak increase HIV risk after protected sex?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had protected sex with a massage parlor woman but had a herpes outbreak above my penis; it was pretty high. I am worried about HIV (human immunodeficiency virus).

Kindly help.

Answered by Dr. Davie Wong

Education:

Bachelor of Science

Professional Bio:

Dr. Davie Wong is a Venereologist specializing in General Medicine, Internal Medicine, and HIV/AIDS with 18 years of clinical experience. He obtained his Bachelor of Science and Doctor of Medicine degrees at the University of Manitoba, Canada. He then completed his Internal Medicine residency at the University of Manitoba before moving to Vancouver to complete his Infectious Diseases fellowship in British Columbia, Canada. He served as Chief Resident for the Infectious Disease Training Program from 2015 to 2016. He is certified as a Fellow of the Royal College of Physicians and Surgeons of Canada in Internal Medicine and Infectious Diseases. He is fully licensed by the College of Physicians and Surgeons of British Columbia. He holds active membership in the Doctors of British Columbia and the Canadian Medical Association and had prior membership in the Association of Medical Microbiology and Infectious Diseases Canada (AMMI) and the Infectious Diseases Society of America (IDSA). Dr. Wong is currently appointed as medical staff at Royal Columbian Hospital and Eagle Ridge Hospital. He works alongside other internal medicine specialists and subspecialists at Centrio Medical Specialists' multidisciplinary clinic. He provides consultations in hospital and office-based settings, manages patients in the community outpatient parenteral antibiotic therapy program, and participates in an interdisciplinary team to care for complex HIV and hepatitis C infection patients. He is an active member of the regional antimicrobial stewardship committee. He is a Clinical Assistant Professor in the Department of Medicine, Division of Infectious Diseases at the University of British Columbia, and provides training to medical students, residents, and fellows. He has published institutional guidelines on infectious diarrhea and peer-reviewed journal articles on Staphylococcus aureus bacteremia and infective endocarditis. As part of the antimicrobial stewardship committee, he reviews and provides feedback on local guidelines and policies.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I can understand your concern.

The chance of contracting HIV in this situation is highly variable, depending on many factors. Having genital herpes at the time of sexual intercourse does increase the risk. Other factors include proper or improper use of a condom, whether or not the condom broke, the type of intercourse (oral, vaginal, or anal), the partner's HIV status, and whether or not she is taking antiviral medication.

The best way to find out is to get an HIV antibody test. With the fourth-generation HIV serology, HIV can be detected as early as 18 days from exposure. By the way, did you have any flu-like illness following this sexual event?

I hope this helps.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

No, I did not have the flu; it has been three weeks without any symptoms. The blisters were about five or six inches above my penis, and I had the condom on. I was worried when she pulled out or was on top of that; some fluid got into my herpes.

Kindly help.

Answered by Dr. Davie Wong

Education:

Bachelor of Science

Professional Bio:

Dr. Davie Wong is a Venereologist specializing in General Medicine, Internal Medicine, and HIV/AIDS with 18 years of clinical experience. He obtained his Bachelor of Science and Doctor of Medicine degrees at the University of Manitoba, Canada. He then completed his Internal Medicine residency at the University of Manitoba before moving to Vancouver to complete his Infectious Diseases fellowship in British Columbia, Canada. He served as Chief Resident for the Infectious Disease Training Program from 2015 to 2016. He is certified as a Fellow of the Royal College of Physicians and Surgeons of Canada in Internal Medicine and Infectious Diseases. He is fully licensed by the College of Physicians and Surgeons of British Columbia. He holds active membership in the Doctors of British Columbia and the Canadian Medical Association and had prior membership in the Association of Medical Microbiology and Infectious Diseases Canada (AMMI) and the Infectious Diseases Society of America (IDSA). Dr. Wong is currently appointed as medical staff at Royal Columbian Hospital and Eagle Ridge Hospital. He works alongside other internal medicine specialists and subspecialists at Centrio Medical Specialists' multidisciplinary clinic. He provides consultations in hospital and office-based settings, manages patients in the community outpatient parenteral antibiotic therapy program, and participates in an interdisciplinary team to care for complex HIV and hepatitis C infection patients. He is an active member of the regional antimicrobial stewardship committee. He is a Clinical Assistant Professor in the Department of Medicine, Division of Infectious Diseases at the University of British Columbia, and provides training to medical students, residents, and fellows. He has published institutional guidelines on infectious diarrhea and peer-reviewed journal articles on Staphylococcus aureus bacteremia and infective endocarditis. As part of the antimicrobial stewardship committee, he reviews and provides feedback on local guidelines and policies.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

Your concern is very valid, given the circumstances. If the exposure was three weeks ago, you should get an HIV test now. If that test is negative and you are still worried, then you can repeat it at six weeks and 12 weeks from exposure to ensure you did not get infected. In addition, you should get tested for other sexually transmitted infections. I would suggest getting tested for hepatitis B, hepatitis C, syphilis, gonorrhea, and chlamydia.

I hope this helps.

Thank you.

Answered by Dr. Davie Wong
Medically reviewed by iCliniq medical review team
Published At March 10, 2023
Reviewed At December 17, 2025

Education:

Bachelor of Science

Professional Bio:

Dr. Davie Wong is a Venereologist specializing in General Medicine, Internal Medicine, and HIV/AIDS with 18 years of clinical experience. He obtained his Bachelor of Science and Doctor of Medicine degrees at the University of Manitoba, Canada. He then completed his Internal Medicine residency at the University of Manitoba before moving to Vancouver to complete his Infectious Diseases fellowship in British Columbia, Canada. He served as Chief Resident for the Infectious Disease Training Program from 2015 to 2016. He is certified as a Fellow of the Royal College of Physicians and Surgeons of Canada in Internal Medicine and Infectious Diseases. He is fully licensed by the College of Physicians and Surgeons of British Columbia. He holds active membership in the Doctors of British Columbia and the Canadian Medical Association and had prior membership in the Association of Medical Microbiology and Infectious Diseases Canada (AMMI) and the Infectious Diseases Society of America (IDSA). Dr. Wong is currently appointed as medical staff at Royal Columbian Hospital and Eagle Ridge Hospital. He works alongside other internal medicine specialists and subspecialists at Centrio Medical Specialists' multidisciplinary clinic. He provides consultations in hospital and office-based settings, manages patients in the community outpatient parenteral antibiotic therapy program, and participates in an interdisciplinary team to care for complex HIV and hepatitis C infection patients. He is an active member of the regional antimicrobial stewardship committee. He is a Clinical Assistant Professor in the Department of Medicine, Division of Infectious Diseases at the University of British Columbia, and provides training to medical students, residents, and fellows. He has published institutional guidelines on infectious diarrhea and peer-reviewed journal articles on Staphylococcus aureus bacteremia and infective endocarditis. As part of the antimicrobial stewardship committee, he reviews and provides feedback on local guidelines and policies.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Bachelor of Science

Professional Bio:

Dr. Davie Wong is a Venereologist specializing in General Medicine, Internal Medicine, and HIV/AIDS with 18 years of clinical experience. He obtained his Bachelor of Science and Doctor of Medicine degrees at the University of Manitoba, Canada. He then completed his Internal Medicine residency at the University of Manitoba before moving to Vancouver to complete his Infectious Diseases fellowship in British Columbia, Canada. He served as Chief Resident for the Infectious Disease Training Program from 2015 to 2016. He is certified as a Fellow of the Royal College of Physicians and Surgeons of Canada in Internal Medicine and Infectious Diseases. He is fully licensed by the College of Physicians and Surgeons of British Columbia. He holds active membership in the Doctors of British Columbia and the Canadian Medical Association and had prior membership in the Association of Medical Microbiology and Infectious Diseases Canada (AMMI) and the Infectious Diseases Society of America (IDSA). Dr. Wong is currently appointed as medical staff at Royal Columbian Hospital and Eagle Ridge Hospital. He works alongside other internal medicine specialists and subspecialists at Centrio Medical Specialists' multidisciplinary clinic. He provides consultations in hospital and office-based settings, manages patients in the community outpatient parenteral antibiotic therapy program, and participates in an interdisciplinary team to care for complex HIV and hepatitis C infection patients. He is an active member of the regional antimicrobial stewardship committee. He is a Clinical Assistant Professor in the Department of Medicine, Division of Infectious Diseases at the University of British Columbia, and provides training to medical students, residents, and fellows. He has published institutional guidelines on infectious diarrhea and peer-reviewed journal articles on Staphylococcus aureus bacteremia and infective endocarditis. As part of the antimicrobial stewardship committee, he reviews and provides feedback on local guidelines and policies.

This doctor is not available for online consultations on the platform anymore.

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