Aa
A bit scared, need your advice
Hello Dr. HHH and Dr. EWH.
First of all, excuse me for my English, it is not my native language. I'll try my best to explain my situation as well as I can.
I had a risky situation with CSW in Turkey 6 months ago. We had protected sex, then I took off the condom and masturbated with her vaginal fluid on my hands. Then she performed an unproteced oral sex on me (actually it was protected in the beginning, but condom fell off and during the next 20-30 seconds it was unprotected, because she didn't stop till I ejaculated). I tested on combo AG/AB ELISA after 10 weeks, it was negative. But I have one increased lymph node on back side of my neck thus far, and few days ago noticed two suspicious red spots on my leg. Is my result definitive for this exposure?
A week ago I had a contact with a girl from Russia, as you may know epidemiological situation in Russia is far from ideal...We didn't have condom, so I declined her offer to have an unprotected vaginal sex, but she performed an unprotected oral sex on me, which was quite traumatic (she was using her teeth during the whole process), although I didn't notice any injury on my penis. Then I was fingering her, and we were kissing: again she was not so cautious and bited my lips few times. As I noticed next morning, she bit me so hard that inner side of my lip had red spot on it and it was damaged (I suppose it was bleeding when she bit me). If I also bit her to blood, is it possible that I could get infected through such a kissing? Because blood to blood contact could happen there..
She also bit my nipples very hard, they were very red and hurted a lot, although i didn't notice a blood. But few scrabs appeared on them in few days, just like after lesion. Is there a chance to get infected that way?
I'm circumcised white male. If this girl was ready to have unprotected vaginal sex with me, I suppose she is not so exacting in choosing sexual partners and protecting herself from STD. It makes me worry and get scared...
First of all, excuse me for my English, it is not my native language. I'll try my best to explain my situation as well as I can.
I had a risky situation with CSW in Turkey 6 months ago. We had protected sex, then I took off the condom and masturbated with her vaginal fluid on my hands. Then she performed an unproteced oral sex on me (actually it was protected in the beginning, but condom fell off and during the next 20-30 seconds it was unprotected, because she didn't stop till I ejaculated). I tested on combo AG/AB ELISA after 10 weeks, it was negative. But I have one increased lymph node on back side of my neck thus far, and few days ago noticed two suspicious red spots on my leg. Is my result definitive for this exposure?
A week ago I had a contact with a girl from Russia, as you may know epidemiological situation in Russia is far from ideal...We didn't have condom, so I declined her offer to have an unprotected vaginal sex, but she performed an unprotected oral sex on me, which was quite traumatic (she was using her teeth during the whole process), although I didn't notice any injury on my penis. Then I was fingering her, and we were kissing: again she was not so cautious and bited my lips few times. As I noticed next morning, she bit me so hard that inner side of my lip had red spot on it and it was damaged (I suppose it was bleeding when she bit me). If I also bit her to blood, is it possible that I could get infected through such a kissing? Because blood to blood contact could happen there..
She also bit my nipples very hard, they were very red and hurted a lot, although i didn't notice a blood. But few scrabs appeared on them in few days, just like after lesion. Is there a chance to get infected that way?
I'm circumcised white male. If this girl was ready to have unprotected vaginal sex with me, I suppose she is not so exacting in choosing sexual partners and protecting herself from STD. It makes me worry and get scared...
MEDICAL PROFESSIONAL
It is a definitive result on a highly reliable test by an apparently reliable lab. Even a bad lab can't really screw up HIV testing; the test procedure is highly automated and reliable. Your test result proves you didn't catch HIV. No further testing is necessary. Congratulations!
Hello Dr. HHH!
I got my HIV AG/AB Combo test on 9 weeks, it is negative with index 0.12. Can it be considered as definitive result? It's from Turkish lab, but their quality is controlled by American College of Physicians Medical Laboratory Evaluation and also BIO-RAD Laboratories Diagnostic Group Lab Unity QC Program according to the information on the test results' paper. Can we consider this lab as competent one? Than you in advance!
I got my HIV AG/AB Combo test on 9 weeks, it is negative with index 0.12. Can it be considered as definitive result? It's from Turkish lab, but their quality is controlled by American College of Physicians Medical Laboratory Evaluation and also BIO-RAD Laboratories Diagnostic Group Lab Unity QC Program according to the information on the test results' paper. Can we consider this lab as competent one? Than you in advance!
MEDICAL PROFESSIONAL
This makes no difference. Do not over-analyze this. There is no other information about this sexual encounter that would change my opinion or advice. Try to move on.
Dr. Handsfield, sorry for wasting your time...I was having a shower and noticed some red spots on my penis, just like after cuts. I'm sure that it's because of this traumatic oral sex. Does cuts on the penis which appeared during the oral sex increase the risk of contracting HIV? I tried to reassure myself, but i could not. I promise, I will not ask any other questions. Thank you for your understanding.
Thank you doctor. Best wishes!
MEDICAL PROFESSIONAL
No need for testing on the basis of the recent non-exposure sexual event.
Thank you Dr. Handsfield. Previous time I was getting my ELISA results I got so overstressed that my blood pressure was 80/40 and had tachycardia about 130 heart rate, so I almost passed away. I don't want to get tested without reason, so do you think that I definitely don't need test for HIV? Last described situation was my only exposure after this negative ELISA result. This question is last one.
MEDICAL PROFESSIONAL
Welcome to the forum. I'll try to help. (Your English is fine, by the way.)
We can dismiss the first sexual exposure you ask about, and your possibly inflamed lymph node. Your negative HIV combo test 10 weeks later prove you did not catch HIV and that something else the bump on your neck. A negative combo txest any time after 4 weeks always overrules exposure history and symptoms. (But the exposure was zero risk anyway, and HIV is not a possible cause for a single inflamed lymph node.)
The second exposure also carried no risk formHIV. Both this questuon and your others on theHIV community forum show you misunderstand HIV transmission, and that you have difficukty understanding it. HIV is difficult to transmit. Even with unprotected vaginal sex with an infected partner, the virus is passed an average of once for every 1,000-2,000 exposures. There is no risk from kissing, hand-genital contact, fingering, or superficial bites that do not even break the skin. Cuts and nicks on the fingers etc make little or no difference: still no risk. Receiving oral sex may carry a slight risk, but very low; some experts believe it is no risk at all.
I agree a partner from Russia who behaves like yours did (offering vaginal sex without a condom) is high risk. But still, the chance she actually has HIV is low. Anyway, you were smart not to accept her offer, and what you did with her was safe.
If you feel a need for more proof you weren't infected, you can have another combo test 4 weeks after the event. If this is your only recent risk for HIV, you can expect the test to be negative.
I hope this answers your questions about HIV transmission once and for all. Bottom line: select your partners with care and common sense, and always use condoms for vaginal or anal sex. Then stop worrying about HIV.
Regards-- HHH, MD
We can dismiss the first sexual exposure you ask about, and your possibly inflamed lymph node. Your negative HIV combo test 10 weeks later prove you did not catch HIV and that something else the bump on your neck. A negative combo txest any time after 4 weeks always overrules exposure history and symptoms. (But the exposure was zero risk anyway, and HIV is not a possible cause for a single inflamed lymph node.)
The second exposure also carried no risk formHIV. Both this questuon and your others on theHIV community forum show you misunderstand HIV transmission, and that you have difficukty understanding it. HIV is difficult to transmit. Even with unprotected vaginal sex with an infected partner, the virus is passed an average of once for every 1,000-2,000 exposures. There is no risk from kissing, hand-genital contact, fingering, or superficial bites that do not even break the skin. Cuts and nicks on the fingers etc make little or no difference: still no risk. Receiving oral sex may carry a slight risk, but very low; some experts believe it is no risk at all.
I agree a partner from Russia who behaves like yours did (offering vaginal sex without a condom) is high risk. But still, the chance she actually has HIV is low. Anyway, you were smart not to accept her offer, and what you did with her was safe.
If you feel a need for more proof you weren't infected, you can have another combo test 4 weeks after the event. If this is your only recent risk for HIV, you can expect the test to be negative.
I hope this answers your questions about HIV transmission once and for all. Bottom line: select your partners with care and common sense, and always use condoms for vaginal or anal sex. Then stop worrying about HIV.
Regards-- HHH, MD
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