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Dear dr, I am a 44 years old circumcised male, 4 days ago I had sex with a csw in abu dhabi, uae. While having sex with the condom broke, it was not more than 10 seconds before I found out, no ejaculation happened and I had no open sores on my penis or any other cuts, yet still I found a tiny amount of blood on the condom, I can't think of any reason for the blood except that she it was menstruation blood? just the beginning of it- I am of a good general health, smoker and have never been diagnosed with any std or any serious disease, right now I am freaking out because of the hazardous of hiv that I have put myself in. I have asked her if this was the first time for her to have a condom failure indecent and she answered yes, she even had a general blood test for a full checkup and she was in good health as well as the hiv blood test 2 years ago for residency visa and she already has her uae visa stamped (which means she was a negative at the time), my questions are as follows. 1- I have read somewhere on the internet that the risk of transmission from a single encounter of unprotected vaginal sex is 0.065%, meaning that 99.935% do not get hiv, is that true? 2-do you recommend I get tested for hiv? I am thinking of getting a pcr test to check myself, how long should I wait before getting tested (pcr) and how accurate and reliable is that test? 3- do you recommend that I go for the pcr test or should I go for the 4th generation test and how long should I wait as well before the result is conclusive? 4- dose being circumcised have anything to do with minimizing the risk of hiv infection? 5- dose the presence of menstruation blood increase the risk of hiv infection? thank you in advance for helping me on this, I would really appreciate to hear from you as soon as possible as I am really freaking out.
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1. Yes, it is true. 2. You should wait for four months to get hiv test done as antibodies take 3 to 6 months to appear in blood. Go for elisa test and western blot test. 3. Chances increase if there is blood to blood contact but if you don't have any cuts or bleeding on your penis then there are no chances of infection. So need not worry.
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