Hello Dr. Frascino!

Do you know Ipanema and Copacabana? Do you really like Rio and Brazil, as one can deduct from some of your former answers?

So, here comes another question from a very frightened brazilian.

I had protected sex with a prostitute in a expensive sex club in Rio. This was really a silly thing, but I could not avoid it.

It was really difficult to penetrate the woman (I asked if she was a newcomer but she said she was not) and the relation lasted for only a few minutes, 5min at maximum.

However, when I withdrew I became really desperated, for the condom was totally red of blood. The woman has become also visibly frightened. I examined carefully the condom and it seemed to be intact.

I asked her if it was her period, she said it was not, and said that the difficult penetration somehow had hurt her pussy, causing that bleeding.

I dried the condom with a towel, and tried to have extreme caution when taking it out, not to pass any fluids to my shaft.

I interrogated her, but these women always say that they perform routine HIV tests and never do sex without condoms. As you always state, this in not relevant, since it can be true or not.

I noticed later a small cut in my finger, what put me in an even great fear.

After about a week, I felt the ars symptoms.: mild diarrhoea, night sweats, mild sore throat and I am also very sensible to the cold (.As I have also learned from you these symptoms are probably also irrelevant).

I would like to have you expert opinion about the risks of this event. I believe that since blood was involved, the risk is much greater than normal sex. Is it right ? Or the risk is not significantly increased, since I was using a condom and it remained intact?

Do you think I need testing?

Please answer me

I am married and I would like to stop having sex with prostitutes, but I cant avoid and it frigthens me a lot, since I fell that I put my family in danger.

Thank you a lot.

Hello,

Yes, from Sao Conrado's hang gliders to Barra da Tijuca, I love Rio, especially after a few caipirinhas!

As for your risk of HIV, the most important thing to realize is that HIV cannot pass through latex. So blood, vaginal fluids, semen, or other bodily fluids possibly containing HIV should all be considered as potentially infectious, and the same precautions applied. Since the condom did not fail and "extreme caution" was used when removing it, you should not have a significant (if any) risk for HIV transmission. The small cut on your finger is also most likely irrelevant, unless it was an actively bleeding open wound.

Should you get tested? That is up to you. If you are concerned about this exposure, wait at least 3 months to get a definitive result.

If you want to stop having sex with prostitutes, but feel you can't, perhaps counseling would help. In any case, continue to use safer sexual techniques at all times to keep your risk to a minimum.

Send my best to Biblo's Bar, Asa Branca, and Le Boy!

Dr. Bob