Aa
Oral exposure
Hello Dr
Iam male 34 and exposure involved deep kissing and unprotected oral (twice)and protected intercourse for 2 mins with a female escort. I even blew the condom to check it did not break.
The incident happened 7 weeks back and iam scared every day after reading so much contradicting information on internet.I've read almost every thread in MEDHELP but my anxiety has been driving me nuts.
Here are the tests I took.
22 days - HIV1 RNA qualitative test by Labcorp - Not detected and other STDs negative.
29 days - 4th generation DUOtest by labcorp ( panel 083935) - Non reactive
37 days - Oral swab test - Negative
44 days - 4th generation DUO test by labcorp ( panel 083935) - Non reactive
I have had so many symptoms which has pushed me to multiple tests. Two days back My penile head and foreskin was reddish (probably candiasis ) which looked normal today.My anxiety has hit me again and thinking of another test.I have psoriasis for past 1 year and have history of elevated liver enzymes. Also my gums bleed occasionally.
I cannot say if there was some blood involved during kissing.
My questions
1)Can psoriasis or any autoimmune disorder can delay P24 antigen/antibodies causing false negatives?
2)Is it true even immuno suppressed persons ( irrespective of person's health conditon ) are detected by DuO test at 4 weeks?
3)Are my tests conclusive even if we assume my risk was high to begin with (two negative duo tests at 4 & 6 weeks)
4)Even If I have a Flu, rash, sorethroat together from now on I shouldn't be worried correct?
5)I see labcorp has recently started providing DUO tests starting Nov'2013. Any chance of incorrect diagnosis with relatively new equipment?
6)Do you suggest any further testing at 12 weeks and Can I have unprotected sex with my wife?
With your assurance I would like to put an end to this googling for each and every minor issue I have.
Iam male 34 and exposure involved deep kissing and unprotected oral (twice)and protected intercourse for 2 mins with a female escort. I even blew the condom to check it did not break.
The incident happened 7 weeks back and iam scared every day after reading so much contradicting information on internet.I've read almost every thread in MEDHELP but my anxiety has been driving me nuts.
Here are the tests I took.
22 days - HIV1 RNA qualitative test by Labcorp - Not detected and other STDs negative.
29 days - 4th generation DUOtest by labcorp ( panel 083935) - Non reactive
37 days - Oral swab test - Negative
44 days - 4th generation DUO test by labcorp ( panel 083935) - Non reactive
I have had so many symptoms which has pushed me to multiple tests. Two days back My penile head and foreskin was reddish (probably candiasis ) which looked normal today.My anxiety has hit me again and thinking of another test.I have psoriasis for past 1 year and have history of elevated liver enzymes. Also my gums bleed occasionally.
I cannot say if there was some blood involved during kissing.
My questions
1)Can psoriasis or any autoimmune disorder can delay P24 antigen/antibodies causing false negatives?
2)Is it true even immuno suppressed persons ( irrespective of person's health conditon ) are detected by DuO test at 4 weeks?
3)Are my tests conclusive even if we assume my risk was high to begin with (two negative duo tests at 4 & 6 weeks)
4)Even If I have a Flu, rash, sorethroat together from now on I shouldn't be worried correct?
5)I see labcorp has recently started providing DUO tests starting Nov'2013. Any chance of incorrect diagnosis with relatively new equipment?
6)Do you suggest any further testing at 12 weeks and Can I have unprotected sex with my wife?
With your assurance I would like to put an end to this googling for each and every minor issue I have.
MEDICAL PROFESSIONAL
1) "Irrespective of what ever medical issues I have from now, HIV shouldn't be a concern." That's what I said, and I haven't changed my mind!
2) "Also, any serious medical condition can delay antibodies...." Mostly wrong; in theory yes, but this has never actually been reported. See answer (1,2,4) above. "but not P24": Correct.
The new CDC guidelines will be entirely different than those of Massachusetts and, I think, Europe. They will depend on different tests, such as duo, and will recommend confirmatory tests other than Western blot. I don't know when to expect them-- originally I thought they would be released by now. In the next few months, I hope.
I think you have correctly diagnosed the cause of your weight loss. This doesn't change my opinion or advice.
That will end this thread; I won't have any further comments or advice. Time to move on.
2) "Also, any serious medical condition can delay antibodies...." Mostly wrong; in theory yes, but this has never actually been reported. See answer (1,2,4) above. "but not P24": Correct.
The new CDC guidelines will be entirely different than those of Massachusetts and, I think, Europe. They will depend on different tests, such as duo, and will recommend confirmatory tests other than Western blot. I don't know when to expect them-- originally I thought they would be released by now. In the next few months, I hope.
I think you have correctly diagnosed the cause of your weight loss. This doesn't change my opinion or advice.
That will end this thread; I won't have any further comments or advice. Time to move on.
Hello Dr,
last One. I have also lost around 15 lbs for past 6 weeks. Iam assuming due to my anxiety, stress and not eating well. This shouldn't be a worry factor correct?
Sorry for many questions.
last One. I have also lost around 15 lbs for past 6 weeks. Iam assuming due to my anxiety, stress and not eating well. This shouldn't be a worry factor correct?
Sorry for many questions.
Hello Dr,
Thanks. Your reply has cleared my anxiety a bit,
I have been having fatigue and muscle aches ( especially near groin and elbows, neck and back ) recently. Is this any concern?
1)Irrespective of what ever medical issues I have from now, HIV shouldn't be a concern , correct.
2)Also, any serious medical condition can delay antibodies , but not P24 Antigen correct?
One last thing , I read in one of your threads that CDC will soon revise their guidelines. When will that be?
I hope CDC soon follow European & Mass guidelines.
Thanks. Your reply has cleared my anxiety a bit,
I have been having fatigue and muscle aches ( especially near groin and elbows, neck and back ) recently. Is this any concern?
1)Irrespective of what ever medical issues I have from now, HIV shouldn't be a concern , correct.
2)Also, any serious medical condition can delay antibodies , but not P24 Antigen correct?
One last thing , I read in one of your threads that CDC will soon revise their guidelines. When will that be?
I hope CDC soon follow European & Mass guidelines.
MEDICAL PROFESSIONAL
Welcome to the forum.
Based on the title of your question, you are not at risk. Oral exposure to HIV (or genital exposure to another person's genital tract) rarely if ever results in HIV transmission.
Now having read the rest of the question: this was a zero risk exposure for the reasons above, and because HIV is uncommon in escorts (expensive female sex workers by appointment).
In any case, your test results prove you were not infected. A duo test at 4 weeks and beyond is always conclusive -- i.e. you didn't need any testing after your negative result at 29 days. No matter how high the risk (as just discussed, yours was low), and no matter the symptoms or other risk factors, the test results rule.
Those comments address your specific questions, but to be sure there is no misunderstanding:
1,2,4) There are no medical conditions that have any effect on HIV test reliability. Psoriasis, autoimmune disorders, and influenza definitely do not do this.
3) Yes, your results are conclusive.
5) The test procedures are pretty much foolproof, and Labcorp is a very reliable lab with high quality standards. This isn't a worry.
6) No further testing is needed. Given the low risk of your exposure, there was never a reason to stop having sex with your wife. For sure you can safely resume sex with her at this time.
Best wishes-- HHH, MD
Based on the title of your question, you are not at risk. Oral exposure to HIV (or genital exposure to another person's genital tract) rarely if ever results in HIV transmission.
Now having read the rest of the question: this was a zero risk exposure for the reasons above, and because HIV is uncommon in escorts (expensive female sex workers by appointment).
In any case, your test results prove you were not infected. A duo test at 4 weeks and beyond is always conclusive -- i.e. you didn't need any testing after your negative result at 29 days. No matter how high the risk (as just discussed, yours was low), and no matter the symptoms or other risk factors, the test results rule.
Those comments address your specific questions, but to be sure there is no misunderstanding:
1,2,4) There are no medical conditions that have any effect on HIV test reliability. Psoriasis, autoimmune disorders, and influenza definitely do not do this.
3) Yes, your results are conclusive.
5) The test procedures are pretty much foolproof, and Labcorp is a very reliable lab with high quality standards. This isn't a worry.
6) No further testing is needed. Given the low risk of your exposure, there was never a reason to stop having sex with your wife. For sure you can safely resume sex with her at this time.
Best wishes-- HHH, MD
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