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Question
Hi Doctor,
I have done something stupid and regrettably cant take back.
I got drunk and slept with 2 prostitutes. They both performed oral sex (with a condom on) and i had vaginal intercourse with them as well.
The condoms i used were government issued condoms, does this mean that the quality of the condoms were not as good?
I am very anxious at the moment, as i am worried that i have contracted HIV/AIDS.
From what i remember ( I was drunk ) the condoms did not break, and both times i ejaculated outside of her vagina.
What are the chances that i caught HIV? I am too scared to go for the test, as just now it says that I am positive.
Thank for your time
Jonathan
Hello Jonathan,
Thanks for asking the question. Let's discuss the issue you mentioned. If condom is used properly, consistently and throughout the sexual interaction, and someone did not experienced condom break, the chance of being HIV infected is very low (having protected sex is considered safer sex, not totally safe). Ejaculation inside or outside vagina is not the factor here. All that matters is how condom was used and was it protected one.
It would be better if you mentioned the date you had sex, so that we can discuss the window period of HIV. Window period is the time in between performing a risk behavior and getting tested. It can be up to 3/4 weeks. During this period, few tests may come up with false positive results. Also, since many experts agree that all the tests are not fully accurate, performing more than one tests is better to get concluding results.
It is better getting tested to get concluding results, rather than being worried dear Jonathan. So, I can request you to get tested. Please consult a specialist. Don't worry, we are by your side as always.
Sincere regards,
Gorkey
Note: I am not a medical doctor. I only tried to nurture my expertise in the sector of HIV-AIDS and STI, but do feel that the clinical issues will be better explained by experts of that area. Therefore, I requested to get tested.
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Gorkey Gourab
Expertise
Social and behavioral issues related to HIV transmission, sexually transmitted infections, Human Rights issues, rights of marginalized populations, gender and sexuality, research design and analysis related social & behavioral issues, , computer assisted qualitative data analysis and data management (using ATLAS.ti, ANTHROPAC, NVivo 8)
Experience
Specialized in Medical Anthropology. Working on Social and behavioral studies related to HIV transmission as well as Human Rights issues. Specialization in gender, sexuality, masculinity, behavioral studies related to HIV transmission. Qualitative research, programmatic and M&E experience with MSM, hijra (TG), indigenous groups, female sex workers for more than 7 years.
Organizations
International Center for Diarrhoeal Disease Research, Bangladesh (icddr,b) as Manager - M&E (Qualitative) with Center for HIV and AIDS
Publications
International peer-reviewed journals & technical papers: (1) Khan, S. I., Hussain, M. I., Parveen, S., Bhuiyan, M. I., Gourab, G., & Bhuiya, A. (2009). Living on the extreme margin: Social exclusion of the hijra in Bangladesh. Journal of health, population and nutrition. (2) Khan, S. I., Hussain, M. I., Gourab, G., Parveen, S., Bhuiyan, M. I., & Sikder, J. (2008). Not to stigmatize but to humanize sexual lives of the transgender (hijra): condom chat in the AIDS era. Journal of LGBT Health Research (Special issue: issues on male sexual behaviors and HIV risk in South Asia). Working papers: (1) Khan, S. I., Gourab, G., Ahmed, T., Sarker, G. F., Chowdhury, F. K., Ghosh, S., et al. (2009). Understanding the operational dynamics and possible HIV interventions for residence-based female sex workers in two divisional cities in Bangladesh. Dhaka, Bangladesh: NASP, Save the Children USA and icddr,b. Presentations in scientific meetings and conferences: (1) Khan, S. I., Hussain, M. I., Gourab, G. & Azim, T. (2011, 16 March 2011). Use of a new approach to count and access diverse groups of hijra for scaling up HIV-preventions services in Bangladesh. Poster presented at the 13th Annual Scientific Conference (ASCON XIII), Dhaka. (2) Khan, S. I., Pasa, K., Gourab, G., & Islam, A. (2007). Indigenous populations of Bangladesh: Living with risks and vulnerabilities to STIs/HIV. 8th International Congress on AIDS in Asia and the Pacific (ICAAP). Colombo, Sri Lanka.
Education/Credentials
MSS (Anthropology), University of Rajshahi, Bangladesh
Awards and Honors
The Vanderbilt-UAB Fogarty International Center AIDS International Training and Research Program (AITRP)Scholarship for the training on HIV-AIDS related qualitative data analysis and manuscript writing (Center for Global Health, Vanderbilt University, Nashville, TN, USA)
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