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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Transmission Modes Of HIV?

i fucked a guy with a condom and he took off my condom as he said it was making him sour in his ass. He placed my dickhead tightly on his asshole and my dick head was in his ass but I refused to fuck him without condom.



Later on, i fucked him with a condom again. do u think that as my dickhead was in his ass withotu condom can cause hiv?
Mon, 13 Oct 2014
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General & Family Physician 's  Response
Hello
This is a very confusing situation , as your penis was inside his anus ( only head ) , you had sexual intercourse ( anal ) with protection ( condom ) .
But when your glans was inside his anus , this is a cause of concern .
HIV has been demonstrated in the seminal fluid ( I didn't say semen but seminal fluid , a fluid secretes from urethral opening due to excitement before ejaculation )but if there is urethritis and /or epididymitis , there is increase in the concentration of HIV.
Now something about anal intercourse or ( head of penis in anus ).
There is a stron association of transmission of HIV with receptive anal intercourse, probably because only a thin, fragile RECTAL mucous membrane separates the deposited semen from potentially susceptible cells in and beneath the mucosa and a trauma may be associated with anal intercourse.
Anal douching and sexual practices ( may be in your case , strongly ) that traumatize the rectal mucosa increase the likelihood of HIV infection ( in your case , since head of penis was inside anus , so you were at risk).
Antibodies to HIV begin to appear within 2 weeks of initial infection ( contract ).
So I recommend you get in rapid P 24 NUCLEIC ACID AMPLIFICATION ( pcr , rna ) test for HIV infection confirmation.
Hope this will help you.
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What Are The Transmission Modes Of HIV?

Hello This is a very confusing situation , as your penis was inside his anus ( only head ) , you had sexual intercourse ( anal ) with protection ( condom ) . But when your glans was inside his anus , this is a cause of concern . HIV has been demonstrated in the seminal fluid ( I didn t say semen but seminal fluid , a fluid secretes from urethral opening due to excitement before ejaculation )but if there is urethritis and /or epididymitis , there is increase in the concentration of HIV. Now something about anal intercourse or ( head of penis in anus ). There is a stron association of transmission of HIV with receptive anal intercourse, probably because only a thin, fragile RECTAL mucous membrane separates the deposited semen from potentially susceptible cells in and beneath the mucosa and a trauma may be associated with anal intercourse. Anal douching and sexual practices ( may be in your case , strongly ) that traumatize the rectal mucosa increase the likelihood of HIV infection ( in your case , since head of penis was inside anus , so you were at risk). Antibodies to HIV begin to appear within 2 weeks of initial infection ( contract ). So I recommend you get in rapid P 24 NUCLEIC ACID AMPLIFICATION ( pcr , rna ) test for HIV infection confirmation. Hope this will help you.