This morning I had vaginal sex with a female CSW in Kazakhstan in a sauna. We had sex for around 5 minutes. I was wearing a condom. At some point the condom tore as when I ejaculated and withdrew my penis it was clear that the condom was torn as I ejaculated inside her. I'm now petrified about catching HIV.
She claimed that she is negative and regularly gets tested. She said she last got tested 2 months ago and everything was fine.
She admitted the condoms were cheap and were given to her by the HIV clinic so that doesn't bode well. That suggests they could often break with other clients.
I'm circumcised which helps.
The unprotected sex lasted for 5 minutes or less.
Afterwards I bought and used something called Miramistin. It's a Russian product that supposedly helps to prevent sexual infections including HIV after a potential exposure. It's a clear liquid that you insert into your penis hole. I don't know whether you've heard of it or how useful it is.
Although rising, the HIV prevalence rate in Kazakhstan is only 0.01% which I find encouraging.
I'd like to know what you think about the risk of me contacting HIV from this exposure. Also in your experience have you come across people that have caught HIV from a one time exposure with a prostitute? Is this exposure worth getting myself all worked up over because at the moment I feel unbelievably bad and depressed because of it.
Hello,
Thank you for your post and welcome to our forum.
I am afraid that I am not familiar with the medication called Miramistin and i would not be able to know how effective that would be. We do not have anything similar here in the UK.
From the point of view of your sexual encounter, because there was a period of time during which you have not been protected, there are certainly risks and you ought to have a full STD screening at the correct times. From the point of view of HIV, the risk is relatively low to you, even in the case that the lady in question was positive. The estimated risk of contracting HIV for a man having full unprotected vaginal intercourse with a HIV positive woman is 0.1% or less than 1 in 1,000. In your case, the risk would be even less because you used a condom for part of the penetration and you are circumcised. Therefore I do not believe that you need to be too worried as the risk to you is very low. You will need to be tested for your peace of mind. You could either have the Multiplex PCR RNA test after 7-10 days, or the HIV Duo test after 28 days. I am pretty confident that they will be negative. It is extremely difficult and very rare for someone to have become infected in similar circumstances as yours.
Best wishes,
José