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Conditions and Diseases > HIV and AIDS Forum > Possibility of HIV infection after protected sex
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Q: Possibility of HIV infection after protected sex
asked by: DoctorQuestion on August 25th, 2008
Hi, I had protected vaginal sex with a brazilian escort last week. At the end I notice that the condom had slipped towards the end of my penis but was still covering the glans. This has got me somewhat concerned. Maybe I am being paranoid but I cant help thinking that perhaps some of her bodily fluids may have worked their way through the base of the condom. I have been really worried since. I had a HIV test yesterday day 6 post exposure I know this is quite early but I opted for the duo test which tests for the P24 antigen as well as HIV 1 and 2 antibodies. The test came back negative. I am still worried though because I have read that the P24 antigen peaks at around day 14. My logic is if I had contracted HIV surely the test would have come back with some kind of positive result. Am I being paranoid here? Do you think what I described put me at high risk? your advice is much appreciated.


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Dr. Nikola Gjuzelov , MD
replied on August 26th, 2008
HIV and AIDS Answer A4591
HIV can be present in great quantities in both sperm or vaginal secretions. During the vaginal sex there is friction between the vaginal walls' mucosa and the penis's skin. The friction always causes micro-lesions on both surfaces that are not visible but still big enough for HIV to pass through. I seems that in your case the risk for HIV-transmission was low because even if vaginal secretions touched the penis's skin, the condom prevented lesions on the penis's skin from occurring.





The p24 test is generally only positive from about 1 week to 3 - 4 weeks after infection with HIV. The p24 protein cannot be detected until about a week after infection with HIV because it generally takes that long for the virus to become established and multiply to sufficient numbers that they can be detected. The p24 proteins then become undetectable again after sufficient antibodies to HIV have been produced because they bind to the p24 protein and eliminate it from the blood. You could have waited for a few more days before you took a p24-test. Now you may repeat the p24-test so that the results become valuable.










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