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Condom wrapper with a small tear, hiv scared

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January 15th, 2011
Hi! 6 weeks ago i slept with a prostitute, we used her condom, the cover of the condom we used had a small tear about 1mm, but it did not break until we finished.
2 week later i developed a painless swollen node on the back of my leg at the knee area and dissapeared at day 5, on the 3rd week i got a bad sore throat which dissapeared on the 4th week, on the 5th week i got a bad headache that lasted for about 5hours after a few minutes i developed a tiny ichy pimple that looked like a fire wound on the hand i popped it the following day and it healed.i got my antibody test on the sixth week and it came out negative, after three days i got a pain in the neck under the jaw area and i felt some nodes which felt a bit big, the following day i got another small swollen node at the back of my ear and it is also painful up to this day, i would like to ask if this is perhaps HIV symptoms or maybe anxiety or another health problem?.
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replied January 23rd, 2011
Hello and thank you for posting your medical question on E health Forum. I am glad I can help you here.

From the available history, it seems that you are anxious regarding the exposure due to the tear of the condom. It is understandable. The constellation of symptoms described here after the exposure are not due to HIV. They could be due to unrelated but incidental skin infections and upper respiratory tract infections. If they are persisting and the symptoms are severe, you may need a short course of antibiotics for a few days.

Use of a latex condom during sex can reduce the risk of HIV infection because it reduces the chance of getting semen, blood and vaginal secretions (fluids known to carry the virus) into the body. Since condoms can break or slip, people should not rely on them as their only defense against HIV. Additional protection can be provided by using a spermicide, such as nonoxynol-9, with a condom.

The HIV ELISA antibody test detects antibodies for HIV and is very reliable with a sensitivity of 99.7% sensitive and specificity of 99.9%. It give a positive result within 4 -12 weeks of exposure. In your case since the test was done at 6 weeks post exposure, a negative test is conclusive to indicate that you are HIV NEGATIVE. There is no need to have any more doubts in this regard.

You may consider to consult your physician for reassurance and counselling as well as to treat your co-existing skin and upper respiratory infections.

I hope you find this helpful.



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