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Condom Broke? Here's Your REAL HIV Risk (Specialist Pharmacist Explains)

Abhishek Katiyar - MPharm

5,504 views

A condom broke or slipped during sex, and now you are worried about HIV. Does that automatically mean HIV transmission has occurred? No. But the level of risk depends on exactly what happened.

In this video, I explain how to assess the risk of HIV after condom failure, including whether ejaculation occurred, how long the condom was broken, which partner was receptive or insertive, whether blood or sexual fluids were involved, and whether the other person is living with HIV or has an undetectable viral load.

You will also learn when HIV post-exposure prophylaxis, known as PEP, may be needed. PEP is emergency HIV medication that should be started as soon as possible after a potential exposure, ideally within 24 hours and no later than 72 hours. The earlier you seek medical advice, the better.

I also explain HIV testing after a condom breaks, HIV window periods, when to take a fourth-generation HIV test, and why an immediate negative result cannot rule out a very recent exposure. Depending on the circumstances, you may also need testing for other sexually transmitted infections, including chlamydia, gonorrhoea, syphilis and hepatitis.

Do not panic, but do not ignore a possible exposure. Contact a sexual health clinic, emergency department or urgent medical service immediately if PEP may be required.

This video is for general education and does not replace an individual medical assessment.

Chapters
0:00 Intro
0:11 What determines the level of HIV risk?
0:33 Ejaculation, blood and sexual fluids
2:24 Undetectable viral load and U=U
3:03 When HIV PEP is needed
3:43 HIV testing and window periods
4:15 Summary

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10 Comments

@rencoboy364 1 month ago (edited)

Dr i got symptoms like rashes, Headache and nausea after exposure from two weeks with protected sex. Im really worry and anxiety abt this😢. I test with test kid after three weeks and its shows negative. Im waiting for do blood test after three months.

@Tere123yrr 7 days ago

Sir mera 16 nov 2024 ko condom fat gya vaginal sex k doran sir mne turant bahar nikal liya mera dhayan condom p hi tha mne turant bahar nikal liya maximum exposer time 1 sec no ejucaltion . Sir m fear m chala gya phele pata nahi tha hiv k bare m symptoms ka wait kiya 5 se 8 week tak symptoms joint pain and muscle ache in evening and nerve pain no fever no rash sir fir mne rapid self home test se test kiya 77 and 105 din p c line aayi lakin m clear nahi hu ki blood amount sahi thi kiya or lb m jane se darta hu sir sir 2 sal ho gye depression m jeete vase helath bilkul okk h sir please help me sir 😢

@ARandomHumanBreathing 1 month ago (edited)

I have a friend that went to a worker 3 weeks ago and during ejaculation he mentioned that the condom slipped. It was stuck inside her and she claimed it broke. He is circumcised since birth, it was his first time and hes worried if he was exposed to this. He hasnt felt any symptoms. He also mentioned that when he pulled out the condom was stuck in her and the semen had not gone inside her while he was in climax. After he pulled out and saw the condom inside her some semen leaked around his penis and her outer vaginal wall skin. She then wiped him and herself with a wipe and he mentioned there were no cuts or any openings on his penis since he didnt feel any burns when being cleaned up. Hes paranoid but believes he hasnt gotten it, what do you think given this circumstance. Hes scared and was asking me for advice and ive been looking for details online for him. The condom was on the whole time and the slip as per his knowledge occured when she pulled out.

@MigealMee 1 month ago

Please sir a had sex with a friend and the sex was unprotected, so after the sex i was a bit worried and took her for a test, we did hepatitis B and Hiv the Hepatitis B came out negative but the HIV there was a very faint line, so we decided to go to another lab to perform the test and the result was negative, we had to go to a third lab to do another test and the result also was negative. But I'm still worried.. its been 16 days now.

@ArunKr-z7s 1 month ago

Hi sir mai lab mai test krwane gya tha. Needle new thi but blood draw krne ke baad mai cotton check nhi kr paya ki vo used cotton thi ya new, agar vo used hogi to kya ussey hiv ho skta h muje? Agar uske blood fresh ho?

@Biman-u6s 1 month ago

Sir ager condom break hoga toh muje malum hoga ya nehi hoga sir ..... please reply

@Hopefull-r4r 3 weeks ago

Sir 9september i go to spa and when we started sex when i inserted 2nd then she told me condom have broken she immediately out me and i was scared and ask her she told don’t worry i managed it and my status is ok but i didn’t believe her and consulted a doctor he advised me test and said you are doubtful you test her it’s not very less chances of infection because it’s very sort time and not any ejeculation he advised viral marker test and all test is ok and after 28 days HIV RNA and antibodies antigens test then i requested him prescribed me PEP because he said no need of PEP but on my request he prescribed
If i request her for testing and if her status is ok then I closed PEP or continue. PEP started at 6hr of exposure please help me 😊what’s should best for me

@salmanfarisap2351 1 month ago

Hi sir . I sexed with a sex worker and my condum were breaked suddenly i pull off and wear new .(Few months ago) Now I have face acne and night sweat

@kasims4708 2 months ago

Hello sir, how are you?
I have tested tridot test at 160 days non reactive but I have symptoms skin rashes and lympnodes and small raised bumps on the forehead . Is it hiv symptoms?
Still want to test again and again?
What's the my status 100% conclusive or not? Hiv tridot test at 160 days last exposure result non reactive, i thinka that's 3rd generation test

@danitykana 1 month ago

Always get tested every three to six months if you are regularly sexually active and engage in unprotected sex. The HIV medications are very effective in keeping people with HIV undetectable, but it is not a cure. If you have sex with someone and you think you might have gotten infected with hiv, if you go to the emergency room within 72 hours and receive PEP treatment, it may prevent you from becoming infected with the virus. They give you HIV meds and it prevents the virus from taking hold. But like I said, it has to be within that 72 hour window. If you are regularly sexually active, if you go on PREP treatment, it can prevent you from becoming infected with HIV. You have to take it for at least a week beforehand for it to be effective though. You have to build up enough of the drug first in your system. Prep doesn't prevent you from getting any of the other stds though. No matter what. Use a condom. Make sure your partner doesn't rip the condom intentionally either. I've heard of that happening.Stay safe and stay healthy everyone.