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Question
Dear Doctor,

I am very nervous now 2 days back I had a sex with a sex worker. I have taken all precautionary measures by using 2 condoms during the sex. Initially she opted to have oral sex. She first spitted in her own hands and then touched my penis at the same instant I asked her to put condom on my penis and then she gave me the oral sex(blow job).I have not been to her mouth during the entire process. Then I Used one more condom on top the one which was already there as I have not ejacuated and then I had sex using both condoms on top of my penis. The She again gave me blow job removing the top condom but there was still One more condom on my penis and at that time I ejacuated but I ejacuated inside the condom. I checked  the condoms had no cuts or holes. I have not kissed her mouth and lips.

Now I am worried thinking when she first touched my penis with her hand having spits not very much spit on her hand. It will be that amount when we spit once not more then that and as she was about to take in her mouth I asked her to put condom on my penis.

Please help me doctor is there any risk of HIV/AIDS Transmission. Do I need to worry.I have madeup my mind of not having sex with any sex workers and will always take the right advice and wil be loyal to only one partner and will not make these mistakes in future.

Thanks
Jimmy


Answer
Dear Jimmy:

Peace.  

One intact condom produces as much protection as two and is easier to manage.  Bring a spare in case of breakage.

Saliva (spit) won't transmit HIV.  I am not a physician but you might see one to be tested for other sexually transmitted infections.  

Being committed to a partner and resolving to not make mistakes in the future is helpful, but just as helpful is learning from what happened - that you have the capacity to make 'mistakes' - and make sure you are equipped with a condom in case something similar happens again.

Summary:  From what you describe, no HIV risk.  Slight possibility of some other infection.  Please go to www.avert.org and/or www.thebody.com and read more about sexually transmitted infections as well as HIV and how to avoid both.

Best to you and yours,

Terry

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Terry B

Expertise

Help in assessing personal and professional risk of HIV transmission; tips in teaching about HIV/AIDS; cultural competency for teaching about HIV/AIDS in Catholic settings; considerations in US and overseas HIV/AIDS programs and education for health and other professionals. Specific questions about treatment should be referred to your health provider; opinions and information offered are not meant to replace medical advice

Experience

Seven years with academic medical center and national AIDS education and training center, seven subsequent years with focus on international HIV/AIDS in East and South Africa. Former clinician, bioethics preceptor at an academic medical center and presenter in wide range of fora including international AIDS conference.

Organizations
Disabled American Veterans American Public Health Association MENSA AA

Publications
Human Variety, EC Sociological Society Proceedings of the International AIDS Conference, Durban, South Africa "HIV and Primary Care"

Education/Credentials
BS Psychology MPH Master of Public Health PhD studies underway

Awards and Honors
Naval School of Health Sciences, Hospital Corps with Highest Honors, Neuropsychiatry with Honors and High Distinction

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