Think I have HIV

[chili]

Hey guys, this is the deal. I slept with a prostitute a week ago. I used rubber and came maybe after 10 min. The condom didnt break or anything that I could see. Im not even sure she has HIV, but im getting anxiety badly. Cant sleep, thinking I have HIV. I ordered a doctors appoitment to test myself, but that is not before 3 weeks from now. Can you guys help me out, what is the chance that I have been infected?


thanks

 

[seraphElite]

slim to none

 

[chili]

What if we say she has HIV, was are the chanses?

thanks

 

[GoldenDelicious]

even without a condom, still quite low

since you used a condom, virtually nil chance

get a test for the hiv, and a benzodiazepine in the meantime for the anxiety

really, chill, youre in teh clear

 

[alanchiras]

You can get a 'Home Access' kit at your local CVS that can test and get you the results by phone in three days. BTW, you were the insertive partner so there is a low chance of infection. Thanks!

 

[Lee]

very slim chance, not enough to have anxiety over. with a wrap its basically impossible, the virus cells are bigger then the miniscule holes in the condom. so they cant fit though, and if they did, there is almost no chance they would make it into your bloodstream.

 

[jonny jacked]

I am interested why everyone is saying no chance. if you sleep with a person with aids and you use a condom - the condom eliminates all chances? what if you did not use a condom? what are the chances then?? what are the determining factors at play here?

 

[Mr_Vain]

Condoms do not not eliminate all risk, but there is a good chance you are OK.

Studies have shown in HIV serodiscordant heterosexual couples (one HIV+ and one HIV-) that with correct and consistent condom use, infection rate was surprisingly low, even after multiple intercourse during years of marriage. An HIV- man paired with an HIV+ woman, with correct condom use, is at low risk because the vagina is naturally resilient to the tearing which could be caused by intercourse, exposing blood to the man's urethra. With an intact latex barrier present, the risk is even lower.

There is a great article in the March 2004 issue of "Details" which blows the lid off of the myths about the heterosexual risk of contracting HIV. In other words, in the United States, heterosexual transmission has not become the epidemic it was once expected to be.

Gay men, unfortunately, are still the highest-risk and most disproportionately affected group plagued with HIV, and that is the sad truth of it.

 

[chicagobuffedbod]

All this fear over HIV, I think it's rather silly. First off this guy hires a sex worker and then worries about HIV after the fact. What sort of self torture game are you playing with yourself? You just said yourself you don't even know if she is hiv+. Perhaps you can ask her. I know quite a few people who are HIV+ and of all of them do you know how many got it even though they used a condom? It doesn't apply, meaning they all go HIV because they didn't use a condom. I even got this one guy to eventually tell me the truth after I caught discrepancies in his story as he first said he did use a condom but later admitted to not using one.
I figure, if you want to avoid hiv yet enjoy the carnal pleasures of the flesh use a condom, don't exchange body fluids and you should be okay. Yes I know there are true instances where people still get it even if they are exceptionally careful, but hey if it were me I'd say fuck it, I'm not gonna live in a bubble. I'd rather go out with a bang and feel human then live in fear. And HIV isn't a death sentence. Hell I personally know of more guys who died from addictive behaviors (this includes recreational drugs along with roids) than from HIV. Actually I don't know of anyone who died from hiv, it's a manageable condition.

 

[alanchiras]

I am interested why everyone is saying no chance. if you sleep with a person with aids and you use a condom - the condom eliminates all chances? what if you did not use a condom? what are the chances then?? what are the determining factors at play here?

It's all a matter of if you are the insertive or receptive partner. I believe that I read that the CDC determined that the risk ratio was about 20 to 1 with the receptive partner at risk. Thanks! Alan

 

[chicagobuffedbod]

Alan it doesn't matter if you are ther receptive partner or the inserter. I know of guys who are total "tops" and don't take it up the butt who have HIV. Over a half dozen guys in fact.

 

[alanchiras]

I too know of one so-called total top who recently converted. But he is the only one, and I know a lot of tops. This goes for Gay and straight relationships. I try to get over to the CDC web site and try to find what I read before. Thanks! Alan.

 

[alanchiras]

From CIRP:

Circumcision and male-to-male sexual transmission of HIV




In recent years, evidence from observational studies in sub-Saharan Africa has shown that circumcised men have a lower risk of acquiring HIV infection than uncircumcised men. [1]. The proposed mechanism by which the circumcised state might protect against HIV infection is twofold. First, the inner surface of the foreskin contains Langerhans celles, which have HIV receptors, and is also vulnerable to traumatic epithelial disruptions during intercourse. Second, an intact foreskin exposes a man to a greater risk of ulcerative sexually transmitted infections, which in themselves are a risk factor for HIV acquisition. The evidence that circumcision may protect against HIV infection is now considered strong enough that trials evaluating the efficacy of transmission as part of an HIV prevention program have been advocated [2].




Almost all of the literature suggesting that circumcision protects against HIV infection in men has been conducted in heterosexual individuals, mostly in devloping countries [3]. We examined the relationship between circumcision and HIV transmission in homosexual men in Sydney, Australia.




Between 1993 and 1999, we interviewed 74 homosexual men shortly after their diagnosis with newly acquired HIV infection. Men were asked to nominate an event of unprotected anal intercourse (UAI) with a serodiscordant or HIV status-unknown partner at which they believe they became HIV infected. If there was more than one such high-risk event, the interviewer selected the highest risk event as the occasion on which HIV was likely to have been transmitted. Participants were also asked to report all instances of UAI in the 6 months before seroconversion. We hypothesized that if the presence of the foreskin was important in HIV transmission, then those men who were infected by insertive UAI would be more likely to be uncircumcised than those infected by receptive UAI.




Sixty-three men nominated an event of UAI as their highest risk activity. After clarification of the most likely high-risk event by the interviewer, the highest risk practice reported was insertive UAI in 11 men, and receptive UAI in 52. Of the 11 men in whom insertive UAI was deemed the most likely mode of HIV transmission, all but one reported no receptive UAI in the 6 months before seroconversion (one reported receptive UAI with a singular regular partner who was definitely HIV negative). Overall, 20 men were uncircumcised (27%) There was no association between circumcision and reporting insertive UAI as the highest risk practice (odds ratio 0.89, 95% confidence interval 0.18--5.98, see Table 1). Of the additional 11 men who denied UAI as the event that they believed led to their infection, eight also denied having had UAI in the previous 6 months. Of these eight, three were uncircumcised. (38%).

Thanks! Alan.

 

[alanchiras]

From thebody.com:

Insertive/receptive

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Posted: Aug 12, 1997











Hello doctor, I was wondering if you could clear something up for me. With regard to risk, I always see or read people who say insertive intercourse is high risk but receptive is higher risk. But isn't blood more infectious than semen? Since the insertive partner would have a greater chance of being exposed to blood wouldn't he be at more risk? Is receptive anal intercourse all that much more risky?















On a good day, the penis is covered by intact skin. Exposure to blood through intact skin is not risky. That is why, when there are no open lesions on the penis, the risk of transmission through insertive intercourse (anal or vaginal) is so much lower than it is with receptive intercourse.

Thanks! Alan.

 

[alanchiras]

From the International AIDS Society:

Homosexual role separation and the spread of HIV.

Int Conf AIDS 1992 Jul 19-24; 8:Th68 (abstract no. ThC 1518)
Van Druten HA, Hendriks JC, Van Griensven GJ; University of Nijmegen, The Netherlands.



OBJECTIVES: A role separation mixing model is developed to study preference in homosexual role behavior and the changes therein as a possible co-factor in the spread of HIV. The model is linked to data from the Amsterdam cohort study.



METHODS: Homosexual men from the Amsterdam cohort study are classified into four sexual subgroups based on the preference for: 1) no anal intercourse; 2) anal insertive only; 3) anal receptive only; 4) both insertive and receptive. The analysis accounts for variability and changes in sexual role behavior and loss to follow up. The sexual mixing matrix is determined from the number of insertive and receptive partners in each subgroup (under the assumption of proportionate random mixing).



RESULTS: There are large differences between the risks of receptive and insertive anal intercourse; the latter carrying the smallest risk. In the Amsterdam cohort the spread of HIV is mostly restricted to subgroup 4, the largest and sexually most active subgroup. In this subgroup the estimated probability of HIV transmission from an infected insertive partner (in subgroup 2 or 4) to a receptive susceptible (in subgroup 4) is between 1 and 5 percent (assuming a closed cohort).



CONCLUSIONS: The results support the conjecture that homosexual role separation is a potential important co-factor in the spread of HIV. This stresses the need for incorporating sexual role separation and the changes therein when modelling the spread of HIV in homosexual populations.

Thanks! Alan.

 

[alanchiras]

From METROCK:

Anal Sex Transmission of HIV





Top to bottom transmission: Semen carrying HIV can enter the body of the receptive (or bottom) partner through the mucous membrane (lining) of the rectum.

Bottom to top transmission: Blood carrying HIV can enter the body of the insertive (or top) partner through the head of the penis or other cuts, sores or lesions on the penis.







Anal sex is the most efficient means of sexual HIV transmission. It is clear from many epidemiological and biological studies that most HIV transmission between men who have sex with men occurs via unprotected anal intercourse. Studies of homosexual men have shown consistently that the receptive partner (bottom) in anal intercourse is at higher risk of HIV infection.1,2,3 The rectal mucous membranes seem to have more receptors to bind HIV and the tissue is more easily traumatized, leading to more easy access for HIV transmission. The area susceptible to infection is much larger for the bottom (entire lining of the rectum) than in the top (head of the penis, exposed urethra). The bottom is exposed to a larger quantity of infectious fluid (ejaculate) than the top (blood from possible cuts or tears). And the bottom retains the secretions within the body after sex while the top is only exposed during the actual sex act.


Even though the bottom is at higher risk during anal sex, studies have shown that HIV infection has also occurred among men reporting only insertive anal intercourse (top)."

Thanks! Alan.

 

[alanchiras]

Alan it doesn't matter if you are ther receptive partner or the inserter. I know of guys who are total "tops" and don't take it up the butt who have HIV. Over a half dozen guys in fact.

Have I proved my point that it DOES matter? Thanks! Alan.

 

[satchboogie]

it really depends on how much she cost you?

the $150 ones, are dirty.

the $1000 ones, look more clean.

ok i'm stupid.. a slut is a slut.
i avoid them skanks at all costs.

in times of urgency, my right hand does quite a fine job stacked with some lotion at 100mg every 2 minutes.

 

[Sartan]

Alen,
I know you are making a serious point here but this whole receptive partner and inserter thing is killing me. Im sure this is common language in your circles but I say man and woman not inserter or reciever.
I have no point!! Its just hard to read and my mind keeps saying man/woman.
I am open minded but im obviously straight and its just a new terminology for me.
peace,
Sartan

 

[Fatbastard02]

Sartan,

Condoms arent perfect, trust me on that one, and sleeping with someone that has probably slept with hundreds if not thousands of men is also not very smart as well. I know we haven't met, and taking this advice may be hard, but I strongly encourage you not to have causal sex unless you know your partner is clean. I know sometimes you want to get some ass, and chances not be as plentiful as you might like. I am not your brad-pitt so I understand this even more then you can believe. But you still got to say no.. Once the puntang has been offered once, its ussually offered again . This might mean not doing it.... sometime unless right tests are done.

The good news is you are probably NOT infected. I hope you used the condom correctly, because if you didn't that does createS complications. While aids is pretty dominate, you did use protection, and looking at the amount of people in the us vs the aids penetration... your chances are good that you arent infected. Get tested like these other bloaks said... Look at this as your SECOND chance bro!! Don't make the same mistakes twice, i am sure you won't.


FatBastard

Alen,
I know you are making a serious point here but this whole receptive partner and inserter thing is killing me. Im sure this is common language in your circles but I say man and woman not inserter or reciever.
I have no point!! Its just hard to read and my mind keeps saying man/woman.
I am open minded but im obviously straight and its just a new terminology for me.
peace,
Sartan