HIV risk afta sex wit sex worker

Why di partner matter pass

Your risk from any one act depend on two tins: di chance say your partner get HIV, and di chance say di act go pass am. To pay for sex no dey change di second part. Condom dey change am, and di type of sex too.

Wetin different na di first part. One review of 102 studies cover nearly 100,000 female sex workers for 50 low- and middle-income countries. E find say di chance say dem get HIV dey about 13.5 times di chance for women wey dey di age to born pikin generally. Di calculator dey use dat figure wen you tell am say your partner na sex worker. Di rates dey different well-well between countries and places, so di figure na rough guide, no be fact about any one person.

Estimates for one act

For man wey do vaginal sex one time wit female sex worker wey e no know her status:

• United States, no condom: 0.00088% (around 1 out of 110,000)
• United States, wit condom: 0.00018% (around 1 out of 570,000)
• Thailand, no condom: 0.00072% (around 1 out of 140,000)
• South Africa, no condom: 0.0079% (around 1 out of 13,000)

Circumcision dey reduce man risk for vaginal sex. Di calculator dey reduce di estimate by 50%, so di United States figure without condom go turn 0.00044% (around 1 out of 230,000).

For man wey be bottom (di person wey dem enter) wit male sex worker wey e no know im status for United States, without condom, di estimate na 0.05% (around 1 out of 2,000). Anal sex (sex for anus) get more risk than vaginal sex; see HIV risk from anal sex.

To receive oral sex (wen dem use mouth for your private part) get very small risk, becos HIV no dey pass through saliva. See HIV risk from oral sex.

Condom dey make di biggest difference

For real life use, including di times wey condom burst or comot, condoms dey reduce di risk of sex by about 80%. If you use condom from start to finish and e no tear, your risk dey very low. If e burst, slip or comot, count dat act as sex without protection and read wetin to do if condom burst.

Tins wey dey raise di risk

• Oda STIs (sexually transmitted infection, wey be infection wey dey pass through sex). Sores and swelling dey make HIV pass easy. Di calculator dey multiply di estimate by 2 if any of una get one.
• More than one act or more than one partner. Each exposure (wen HIV fit don enter your body) na anoda chance. See exposure wey dey happen again and again.

Wetin to do now

1. If you no use condom or e fail, and e neva pass 72 hours, go for PEP. Tok true to di doctor or nurse about wetin happen. Dem dey dere to help you, no be to judge you, and di details na im go decide weda dem go recommend PEP. You go take PEP every day for 28 days.
2. No wait to do test first. Test wey you do now no fit show infection from dis exposure. Di clinic go do baseline test (di first test before you start), and you fit start PEP before di result come out.
3. Do test afta di window period (di time afta infection wen test neva fit show HIV). NAT (nucleic acid test, wey dey look for di virus itself) fit detect HIV from 10 days. Lab antigen/antibody test (blood wey dem draw from vein) dey give final negative result from 45 days. If you take PEP, expect follow-up tests about 4 to 6 weeks and 12 weeks afta di exposure. See how accurate test be week by week.
4. Do STI check. Sex without condom, or wit condom wey fail, fit pass oda infections too.
5. Plan ahead. If sex for moni na wetin you dey do pass one time, ask about PrEP (pre-exposure prophylaxis: HIV medicine wey you dey take before any exposure to protect yourself). If you take am di way dem prescribe, e dey reduce di risk by about 90% for vaginal sex and about 99% for anal sex. Condoms dey protect against oda STIs too.