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HomeAnswersHIV/AIDS specialistprotected sexWhat are the chances of STD transmission through protected sex with a CSW?

Can protected sex with commercial sex workers cause HIV?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At December 16, 2021
Reviewed AtAugust 3, 2023

Patient's Query

Hi doctor,

I had protected sex with a commercial sex worker four days back. And also, before three years, I had HSV(Herpes Simplex Virus)1 and IgM(Immunoglobulin) is greater than 3.5. I have to discuss STD (Sexually Transmitted Disease).

Hi, Welcome to icliniq.com.

The chances of transmission of HIV (human immunodeficiency virus) by single protected intercourse is nil if the condom is used correctly. HSV IgM (Herpes Simplex Virus Immunoglobulin M) positive implies recent infection. HSV can be transmitted by skin-to-skin contact, kissing, or as STDs (sexually transmitted disease). If there are active lesions, the chances of transmission to the partner are high.

Patient's Query

Hi doctor,

Thank you for answering. The IgM results were positive before three years. I never had any lesions. But last month, I had a cut type on my genitals, and it healed in two or three days. The only concern is that I have had some burning sensation in my feet, thighs, and genitals for the past three years, but not regularly. And my genitals are also moist all the time. My vitamin B12 is also deficient is at 96 pg/mL. I want to know that whether I need PEP or not.

Hi, Welcome back to icliniq.com.

If the condom is intact and used properly, then the chances of HIV transmission are nil. You may not need PEP (post-exposure prophylaxis). You can discuss with your doctor in detail for assessment of the need for PEP (Post-exposure prophylaxis). PEP for HIV has to be initiated as early as possible post-exposure, not later than 72 hours. If beyond 72 hours, then there is no benefit of PEP.

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

Dr. Basti Bharatesh Devendra
Dr. Basti Bharatesh Devendra


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