Assessing Your HIV Risk: Concerns After Unprotected Sex

Q: Assessing Your HIV Risk: Concerns After Unprotected Sex

Hello： About two years ago, I attempted anal intercourse with a male classmate at different times (I was the insertive partner). <br>At that time, we did not use condoms, and there was oral sex and ejaculation inside, so I am now worried about whether I could have contracted HIV.

Is there a risk of HIV infection?

Hello, doctor.
About two years ago, I attempted anal intercourse with a male classmate at different times (I was the insertive partner).
At that time, we did not use condoms, and there was oral sex and ejaculation inside, so I am now very worried about whether I could have contracted HIV.
However, we were both inexperienced and, theoretically, should not have been infected.
Earlier this year, I used a sex toy (a masturbator) that belonged to another classmate.
He cleaned it after use, and I also cleaned it after using it.
I am unsure if I could contract HIV through this method.
I have forgotten if I experienced any post-exposure symptoms like fever.
I have purchased the "Kenvail" test kit provided by the Ministry of Health and Welfare for testing.
How accurate is it? It hasn't arrived yet, and I am a bit anxious, so I wanted to ask first.
Thank you.

Niming, 20~29 year old female. Ask Date: 2021/07/03

Dr. Du Shixi reply Urology

Hello: About two years ago, I attempted anal intercourse with a male classmate at different times (I was the insertive partner).
At that time, we did not use condoms, and there was oral sex and ejaculation inside, so I am now worried about whether I could have contracted HIV.
(However, we both had our first sexual experience, so theoretically, we should not have been infected.) --> If both individuals do not have HIV, there is no risk of infection.
Earlier this year, I used a sex toy belonging to another classmate, but he washed it after use, and I also washed it after using it.
I am wondering if I could contract HIV this way.
--> No, you cannot contract HIV this way.
However, I have forgotten whether I had any post-exposure symptoms like fever.
I have already purchased the "Kenvair" test kit provided by the Ministry of Health and Welfare for testing.
Is the accuracy high? It has not arrived yet, and I am a bit worried, so I wanted to ask first! Thank you.
--> It is for reference use, but it has a certain level of accuracy, so please rest assured.
Wishing you good health.

Reply Date: 2021/07/03

More Info

When assessing your risk of HIV infection after engaging in unprotected sex, it's essential to consider several factors, including the nature of the sexual activities, the HIV status of your partner(s), and the time elapsed since the exposure.
In your case, you mentioned having unprotected anal sex and oral sex with a male partner approximately two years ago. Since both of you were inexperienced and presumably HIV-negative at the time, the immediate risk of transmission might have been lower. However, it is crucial to understand that HIV can be transmitted through bodily fluids, including semen, vaginal fluids, and blood.
Unprotected anal intercourse is considered a high-risk activity for HIV transmission, especially if there is a possibility of blood exposure (e.g., if either partner has any cuts or sores). Oral sex is generally considered lower risk, but it is not without risk, particularly if there are cuts or sores in the mouth or if the partner has a high viral load.
Regarding your concern about using a sex toy (the "flying cup") that another person had previously used, the risk of HIV transmission through shared sex toys can exist if the toy is not properly cleaned between uses. HIV does not survive long outside the human body, but it can still be present in bodily fluids on the toy. Therefore, if the toy was not thoroughly cleaned and you had any open cuts or sores, there could be a risk, albeit low.

You mentioned that you are planning to use a home testing kit for HIV. The accuracy of these tests can vary, but many are quite reliable when used correctly. The "Kenbai" test you purchased should provide you with a good indication of your HIV status. However, it's important to note that most HIV tests are most accurate when taken at least 3 months after potential exposure, as this is the typical window period for the virus to become detectable.

If you are feeling anxious about your situation, it is advisable to consult a healthcare professional for a comprehensive evaluation and testing. They can provide you with more accurate information regarding your risk and the appropriate steps to take. Additionally, if you are experiencing symptoms such as fever, fatigue, or swollen lymph nodes, it is crucial to seek medical attention promptly.

In summary, while your risk of HIV from the described encounters may be lower due to the circumstances, it is still essential to get tested and to practice safer sex in the future. Using condoms consistently and correctly can significantly reduce the risk of HIV and other sexually transmitted infections (STIs). If you have further concerns or questions, don't hesitate to reach out to a healthcare provider for support and guidance.

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