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condom broke,how great is the risk?
Jun 10, 2007

Dear Doctor, i just had vaginal sex with a stripper.after ejaculating i noticed that the condom was broken.Then i cleaned and checked my penis and could be sure that there were no visible wounds on it(i didn't feel any pain and also no blood).the condom broke about 5-10 seconds before the ejaculation.

and,as i hear,the tansmission of HIV is only possible when enough virus get into the blood system through the wounds. so...if i don't have any wounds and the time of exposure is very short,do i need to concern about the risk? if this saying is wrong,could you tell me how great is the risk?*_* Thanks!

Response from Dr. Frascino

Hello,

HIV can permeate across intact (non-wounded) mucous membranes, such as those found lining the urethra (tube connecting the pee hole and bladder) and vagina. Wounds and/or inflammation would increase this transmission risk. A wound and/or inflammation would be essential for HIV transmission to occur across intact skin. (Note this is different from a mucous membrane.)

The estimated statistical HIV transmission risk from a broken condom during vaginal sex would be essentially the same as that for unprotected insertive penile-vaginal sex. That per-episode risk is 5 per 10,000 exposures to a partner confirmed to be HIV positive. Your estimated statistical risk would be less, as we do not know the HIV status of your naughty lady from Shady Lane and your unprotected exposure was very brief (5-10 seconds). At this point I would recommend a single HIV screening rapid test (or ELISA) at the three-month mark to confirm your HIV-negative status. Also, check the expiration date on your condoms and remember "lubrication is your friend!"

Good luck. Stay safe. Stay well.

Dr. Bob



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