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HIV Prevention (Expert Forum)
Concerned about HIV exposure with oral sex and also fingering with an open cold sore and cut on the finger
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.
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.
Concerned about HIV exposure with oral sex and also fingering with an open cold sore and cut on the finger
by booksnore, Feb 19, 2007 12:00AM
I had sex with an Escort in New York city 28 days ago (Jan 21st). I wore a condom but I gave her oral sex and I also fingered her. After the encounter I realized that there was an open cold sore and a small cut on my finger the one I used to finger her (the sore and cut were there prior to the encounter) so I'm worried now about HIV, also I'm worried because I gave her cunnilingus. I'm thinking about getting tested for std's. I've seeen online the Proviral HIV DNA by PCR
test advertized by Affordable Health Screening ( see this link http://www.affordablehealthscreening.com/categories///61.html?zip=10031) and I've also seen a web page from a company called tstd (see this link
http://ny.tstd.org/index.php?refcode=GNY101&pg=index&gclid=CJqhrpX58okCFQzqgAodPng2Gw) that offer a screening service for 7 STD's. I've read conflicting reports on whether Provial HIV DNA testing is reliable. What do you think I should do? Can I trust the Proviral HIV DNA by PCR test or do you think I should get both that test and the other screening test for the 7 STDs?
test advertized by Affordable Health Screening ( see this link http://www.affordablehealthscreening.com/categories///61.html?zip=10031) and I've also seen a web page from a company called tstd (see this link
http://ny.tstd.org/index.php?refcode=GNY101&pg=index&gclid=CJqhrpX58okCFQzqgAodPng2Gw) that offer a screening service for 7 STD's. I've read conflicting reports on whether Provial HIV DNA testing is reliable. What do you think I should do? Can I trust the Proviral HIV DNA by PCR test or do you think I should get both that test and the other screening test for the 7 STDs?
Doctor's Answer
by H. Hunter Handsfield, M.D., Feb 19, 2007 12:00AM
, Feb 19, 2007 12:00AM
My main reactions are 1) you are spending far too much time and energy wasting time on the web and 2) you don't HIV HIV testing at all, certainly not the expense of a PCR test; and you do not need testing for other STDs. You had safe sex by all definitions. The likelihood your escort partner has HIV is low; see my second reply in a recent thread on this forum (http://www.medhelp.org/forums/hiv/messages/808.html). Even if she were, the likelihood you were infected was near zero; there has never been a documented HIV transmission (in either direction) by cunnilingus or by hand-genital contact, with or without cuts or other lesions (search the forum threads for 'cunnilingus' and 'hand-to-genital transmission' for other discussions). The likelihood you were infected with HIV is zero. But for anxiety relief, have a standard HIV antibody test 6 weeks after the event.
Good luck-- HHH, MD
Good luck-- HHH, MD
I'm having trouble getting an informed opinion regarding a slight variation of this individual's concern. Would your risk assessment be essentially the same if that person's same finger-cut had come into contact with SEMEN instead of the vaginal fluids of his situation?
Thanks very much; I see much discussion regarding cuts and vaginal fluids, but very little concerning semen exposure to a cut.
Sincerely,
DM
While my above question regarding a cut's exposure to semen (vs vaginal fluid) was directed to the doctor, I'd very much appreciate input from anyone with insight in this area.
Thanks!