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Avatar universal

Just the Facts

Here's the story Doctors.

Me:  white, married male, no drug history, overweight.
Story:  1.  Hired a sex worker in Chicago.  she performed unprotected fellatio on me, then put on a condom and had condom protected sex for 5 minutes.  I ejaculated into the condom.  Did not test it to see if it was broken after.
           2.  On 3 occasions, visited asian massage parlors and received hand masturbation with oil.  no other intercourse.
Tests:  approx 80 days post sexual exposure I had a standard blood draw at Dr's office for HIV, Syphillis, and Hep (a,b,c).  All results negative.

This weekend my wife returns from a business trip and our goal is to start a family.  I have no had sex with her since these events transpired.  
Questions:
1.  I am thinking about going to another clinic and getting the oral swab HIV test.  I am a little hesitent since I have heard there can be a false positive rate.
2.  Was my 82 day HIV test conclusive?
3.  What about other STD's?  Could manual masturbation spread an STD?
4.  I called the clinic with the oral swab test.  she told me if all I had was handjobs since my sex act, then my 80 day test is 100% conclusive, and I should be more worries about the unprotected oral part.  Would you agree?  should I look for symptoms?
5.  The only physical things wrong with me are:  when I take a really deep breath, I feel almost like a strained muscle in my neck.  Any concerns?
6.  Anything I should know that I did not ask?  testing times?  was my "risk" risky?

Again, I'm 3 days away from having unprotected sex with my wife.  we want a family.  I'm just trying cover all bases.

Thanks so much Docor.

Bernard.
7 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Yes, bet the farm:  you don't have HIV.  Move on.
Helpful - 0
Avatar universal
So I tried to put it out of my mind, but went to my Dr's office 2 days ago and they did a blood draw for HIV.

Result was negative.  I asked what kind of test, and she seemed to name off antibody, dna, eia, and pcr.

I don't know if she knows what each of these are, or which ones Quest diadnostics did, but with any of these tests is a negative result with my timeline 100% conclusive, bet the farm on it?

This is my final comment.  
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
This is re-asking a question I already answered:  "your negative tests at about 2 1/2 months after exposure are 100% reliable."  And no, I have never seen such a case.  Further the fact that you don't have HIV is not based only on the test.  The exposures carried no risk.  Your fearful scenario is irmpossible; try to put it out of your mind.
Helpful - 0
Avatar universal
Dr, I had one more question.

Seeing as tonight most likely I will be likely starting the process to have a family with my wife, I wanted to know if in your expertise, someone with an 80 day antibody test has later tested positive.

As the time draws nearer I seem to be getting very panicky: like we have sex, then all of a sudden she gets sick, I go test again, it comes back positive.  
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Just luck that I was on line when your question came in.  Thanks for the thanks.
Helpful - 0
Avatar universal
Wow, thanks for the quick reponse.

Really appreciate what you do for people here.

Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.  I'll try to help.

You are not at risk for HIV from these events.  Oral sex is safe sex with respect to HIV; even without a condom, one estimate for transmission risk for the penile partner is once for every 20,000 exposures to HIV infected oral partners, and many experts consider it truly zero risk.  Hand-genital contact is zero risk; there has never been a known HIV transmission.  And of course there is no transmission chance through intact condoms.  There is no need to "test" condoms after sex for leaks etc.  It had overtly ruptured, you would have known; and if it didn't, protection was complete.  Further, it is statistically unlikely any of your partners had HIV.  And most important, your negative tests at about 2 1/2 months after exposure are 100% reliable.

1) No more testing is necessary.
2) Yes.
3) You were at no measurable risk for any STD; none are transmitted by masturbation.
4) The clinic advice is correct.
5) Such symptoms do not hint at HIV or any STD.  They are unrelated to your sexual exposures.
6) I can't think of anything else you need to know or worry about.

If I had been in your circumstances, I would not have gotten tested for HIV or anything else and I never would have stopped having unprotected sex with your wife.  It is 100% safe for you to resume relations with yours.  I urge you to stop worrying or even thinking about these events.  They are in the past and carried no health risk.

I hope this helps.  Best wishes--  HHH, MD
Helpful - 0

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