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HIV Prevention  (Expert Forum)
 | 
Risks/Testing/skin symptom?
Answered by
University of Washington Seattle - WA
This forum is limited to prevention of HIV and to safe sex in general. If you believe you might have been exposed to HIV and want help to judge your risk, would like advice about HIV testing, or have questions about the effectiveness of condoms or the risks associated with specific sexual practices, this is the site for you.

IMPORTANT

No questions will be accepted on the treatment of HIV/AIDS or its complications, viral load, and similar topics. If you have questions about a specific STD other than HIV/AIDS, please visit the STD Forum. Questions that do not pertain to the above topics will be removed from the forum.

If you have not done so, please review other threads in our archives for questions similar to yours and Dr. Handsfield's replies. Questions that duplicate other frequent ones, for which abundant replies exist, and that have little educational value for other forum users, will be DELETED WITHOUT RESPONSE. YOUR PAYMENT WILL NOT BE REFUNDED. The most common examples of such questions are those about low risk exposures to HIV, such as oral sex, condom- protected intercourse hand-to-genital exposure, and nonsexual contact with possibly infected blood or body fluids as well as symptoms of early HIV infection.

Risks/Testing/skin symptom?

by worried in toronto, May 30, 2006 12:00AM
Hi there Doctor,



I am a little worried/paranoid about some incidents i have had in the past year and a half since my last HIV test. I met two married women off an internet dating site, and had sex with them. I used condoms every time (twice with one, four times with the others) and i don't recall any breaks, however one time there was an oversized condom used (its a little embarassing) and i changed it after a few minutes as my unit was swimming in it! but it didn't break it was just very loose.



I didn't perform oral on either woman and prior to having sex asked both about their HIV status (which they denied having) and sexual practices with condoms (which they always use). Both were established and career oriented but not happy with marriage.



I received fellatio from both on one occassion and that was it for the oral. Otherwise i fingered both as well.



I did notice a bit of flaking skin (very small) on the side of my nose. I diagnosed myself with Seborrheic Dermatitis and have found online that its rampant in the HIV community which has me extremely worried. I haven't suffered from any of the classic acute symptoms like fever or gland swelling but the Seb Derm has me concerned.



Can you evaluate me for HIV risk Dr.? What are my chances of testing clear on the HIV test? I had the other std tests and they were negative.



thanks a million

Alan

by H. Hunter Handsfield, M.D., May 30, 2006 12:00AM
Nobody has ever been proved to catch HIV by vaginal sex with an intact condom, loose or not; nobody has been proved to catch HIV by receiving oral sex; and fingering is zero risk.  Seborrheic dermatitis can occur in HIV infected people, but it's also one of the most common of all skin conditions in HIV negative people.



So I calculate your risk of HIV as zero, assuming you have no other potential exposures you don't describe.  I would have recommended against HIV testing at all.  It will be negative.



Good luck--  HHH, MD
Member Comments (2)

by worried in toronto, May 31, 2006 12:00AM
Thanks a bunch Dr. Handsfield.



Your work here is greatly appreciated.



Alan.
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