Can HIV Be Contracted Through Unprotected Vaginal Intercourse?

Posted on Sat, 15 Apr 2017

Question: I had sex with a sex worker in shymkent city, Kazakhstan...... we were using condom .....
But second time when I got exhausted and then she get off from me with jerk and then we found that the condom slipped off and was inside her ..... when I touched my pens ....
It was wet ....... now I am worried about exposure to HIV ........ please suggest

Answered by Dr. Dr. Monika Dede (50 minutes later)

Brief Answer:
You should do 4th generation HIV test after 28 days.

Detailed Answer:
Hello! I have been through your question.

Please let me know when you say that your penis was wet you mean with vaginal fluids of her or maybe with your semen?

Could you Please, determine exactly what the situation was because this makes a huge difference.

You should know that unprotected vaginal intercourse is a highly efficient route of HIV transmission because high concentrations of HIV can occur in semen and vaginal fluids and because the genital tissues are very susceptible to infection.

So, based on this details, I think that if your genital tissues were in contact with vaginal fluids of the sex worker, supposed infected with HIV there exist the risk to be exposed to HIV and other STI.
In this case, I suggest to do tests for STI and a 4th generation test after 28 days and then after 3 months in order to be more accurate.

I hope my answer helps you. Feel free to ask me further.
Regards.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. Monika Dede (5 hours later)

I am not sure that was her vignal fluid or my semen, it's only 48 hours have passed so now what should I do at present ....... although I will get my tests after 48 hours

Answered by Dr. Dr. Monika Dede (1 hour later)

Brief Answer:
Yes you can do the test after 48 hours.

Detailed Answer:
Hello! Thank you writing back in healthcare magic.

I emphasize again that if your genital tissues were in contact with vaginal fluids of the sex worker, supposed infected with HIV there exist the risk to be exposed to HIV and other STI.
In this case, I suggest to do tests for STI and a 4th generation test now after 48 hours and after 28 days and then after 3 months in order to be more accurate.

Furthermore ,if you are pretty sure that she is an infected person with HIV you should consider to start a post exposure treatment within 72 hours with antivirals.

I hope my answer helps you.
Feel free to ask me further.
Regards.

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Above answer was peer-reviewed by : Dr. Remy Koshy