Expert: Kristen Brannock, MPH - 5/8/2007

Question
QUESTION: Hello Kristen,

I'm Oswald Q. heterosexual 24 M from India
I'm a nervous mess at this point of time, I was with a CSW on 05/01 and the condom broke, I realized it ripped as soon as it happened and I withdrew it the very next moment, I would not have been inside her for more that 6 - 7 seconds.(NO ejaculation.No penetration after I realized)

I tested negative on a routine STD (including HIV) check up on 04/03/2007 since then I did not have sex with any one this was my first encounter after the tests.

I would like to know:

a. Is there any risk associated ?

b. If yes, any odds / assessment on it

c. Do I need to test?

c. If yes, Can a real time RNA PCR at the 10 th day would be   good enough to be indicative ?

Please help me, your expertise would be much appreciated, I am very anxious at this point of time, I feel I am heading towards the end,I would be very grateful to you.

Regards

Oswald
ANSWER: You took an HIV test in April of this year which came back negative. That means you do not have HIV. You dont need to test again...

---------- FOLLOW-UP ----------

QUESTION: Kristen,

I apologize for the confusion, 05/01 meant May 1st, I had an exposure on the FIRST OF MAY after taking the test.

Please help me
ANSWER: Please re-state your question and include the pertinent background information with the accurate dates included.

---------- FOLLOW-UP ----------

QUESTION: Hello Kristen,

I apologize for all the confusion created, this is the third time I'm posting the same question to you, please pardon my ignorance

I'm Oswald Q. heterosexual 24 M from India
I'm a nervous mess at this point of time, I was with a Sex Worker on the 1st of May and the condom broke, I realized it ripped as soon as it happened and I withdrew it the very next moment, I would not have been inside her for more that 6 - 7 seconds.(NO ejaculation.No penetration after I realized)

I tested negative on a routine STD (including HIV) check up on 3rd April 2007 since then I did not have sex with any one this was my first encounter after the tests.

I would like to know:

a. Is there any risk associated ?

b. If yes, any odds / assessment on it

c. Do I need to test?

c. If yes, Can a real time RNA PCR at the 10 th day would be   good enough to be indicative ?

Please help me, your expertise would be much appreciated, I am very anxious at this point of time, I feel I am heading towards the end,I would be very grateful to you.

Regards

Oswald

Answer
a. Yes, there is risk associated because the tear could have allowed her vaginal fluid to enter your body

b. no way to know this

c. If you think you should

d. speak with your testing center counselor concerning the test they use and any associated window periods