Just want to get this fear behind

[Montrealais]

Dear Doctors,

I have been refered by a colleauge apperently has high esteem in doctors in this form.

In short, I am hetero, circumcised healty and rarely exposed risky sexual intercourses, although unfourtunatly, I have been sexually active and involved in polygamy situation since 3 years, but I have tested ever year for all STD-s. My last exposure was PROTECTED vaginal sex (made sure condoms is not broken), and UNPROTECTED receptive oral sex, actualy I have touched my partners clits with my tongue for a very short priod of time and fingered her vagina for while. My hand were intact clean. and she has healty gums, hygenic, shaved etc...I respect her, she is a professional but did not want ask her HIV status.

Since that relation I have stopped sex possibly for all,in the meantimeI have developed very severe symptoms of anxiety thinking all mistake I did in past, cheated on my honest wife and risk my life although being father of two kids. I did not have any visible sytmpoms of ARS except at weeks 4th week I had a slight fever 37.5 C which last only a day. However, my mouth is dry and white, sudden skin breake on my arms, like allergies once a week, tension headaches and I have been obcessed to search for sign of diesease.

Here are my test results

2nd weeks ELISA negative
4th weeks ELISA negative
6th weeks ELISA negative
7th weeks Combo HIV 1-2 (AB/AG) negative
60 days Combo HIV 1-2 (AB/AG) negative

1. My negtive HIV status is concluisve.
2. Shall I see mental health professional

I will appreciate your help counting on your long and extensive expereinces.

[Edward W Hook, MD]

Your results are conclusive.  Believe them.  EWH

[Edward W Hook, MD]

Welcome to the Forum.  I hope I can help you to move forward from this.  We hear from many clients who are anxious about sexual encounters they wish they had not had.  In your case, before I comment on your test results, let me state clearly that the nature of your exposures is very low risk.  There is virtually no risk from condom protected genital sex and the risk of HIV from oral sex is miniscule.  The quoted figure for HIV risk, if one has oral sex with an infected partner is less than 1 in 10,000 and, in my estimation that is too high. Some experts state there is no risk at all from oral sex.  Neither of us on this site have ever seen or reading the medical literature of a convincing instance in which HIV was passed by oral sex.  thus even before testing your risk of HIV was vanishingly low.

The numerous HIV test results you mention confirm that you did not get HIV from the exposure of concern.  HIV antibody test are now considered to provide highly reliable results by 8 weeks following exposure and the combo tests are even more sensitive.  Thus your results, both at 7 weeks and 60 days are absolutely conclusive in showing that you did not get HIV from the exposure of concern.  While the internet and even some overly conservative "official" sources indicate that a result is not conclusive until 12 weeks or later, this simply is not the case.

i hope this comment helps.  You can forget about this exposure and work to move forward.  EWH

[Montrealais]

I forgot to mention, I have all these test in labs, and I meant whether my results are concluive. I have been reading conflicting info on nets about Elisa and Combo tests. However, empirical researches clearly indicate Combo picks positive resultve earlier and antigen remain high in body about 10 weeks after infection. Accordingly, my result should be 100% conclusive.

I just need your kind asstemetn based on your expereinces