Oral sex and HIV test result

[fx1655]

Dear  Doctor
I have a exposure 12 weeks ago I am from Asia live in US . so my exposure is 11 weeks go  I received unprotected oral sex from a female sex worker ( i went to massage place in shothwest Asian )she give me a blow job about ten minutes and I did not notice any blood or sores on her .i cum in her mouth . I also fingered her. My hand had her vaginal fluids  , after that i clean my penis by hand i just touch her vaginal fluids.

1. what if the girl H+ ,and blood in her mouth , am i risk ? i am uncircumcised may be more high risk

2. what different between cum and not cum for receiving oral sex ?

Today i received my result i test at 11 weeks and 4 days after exposure .
The result is :

Test Name : HIV AB , HIV 1/2, EIA , WITH , REFLEXES HIV 1/2 EIA AB SCREEN ,
the result said A Nonreactive HIV-1/2 antibody result does not exclude HIV infection since the time frame for seroconversion is variable , If acute HIV infection is suspected , antibody retesting and nucleic acid amplification (HIV DNA/ RNA) testing is recommended .

1.I am confusing why they recommended another HIV DNA test ? I don't know what is test they did for me ? is it ELISA antibody test that the people usually have ?

2. Can you give me a advices what should i do ? do i test retesting as they recommended me ?

3. How's safe I am at 11 weeks and 4 days Nonreactive tested,

4. Is it safe if i have sex unprotected with my wife , I didn't have sex with my wife after i had exposure because i don't want infected my wife,

That all question I need to ask you Doctor ,

thanks
  

[Edward W Hook, MD]

You have nothing to worry about.

It is statistically unlikely that your partner had HIV.

Even if she did, HIV is not spread by masturbation and 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.  This includes by all of the people who had sores, blood in the mouth, gum disease, etc.

In addition, you have a negative HIV test at a time when all HIV infections acquired 11.5 weeks ago would be positive.  For you to have an HIV PCR test at this time is not needed and would be a waste of money.  The only thing it would do is make money for the laboratory.  

As for your specific questions:

1.  See above.  You had an ELISA test which is the standard test for HIV  You do not need a PCR test.
2.  You can stop worrying.  You can be sure you do not have HIV.  You do not need further testing of any sort related to this exposure.
3.  Totally safe.
4.  Yes, you can safely have sex with your wife.

I hope my comments are helpful to you.  EWH

[icxc]

one question sir ... i have heard some say that 6 weeks would already be considered conclusive ... what do you think ?

[Edward W Hook, MD]

This is not a debate.  You can find site that will claim that you need to be tested at 3 months, 6 months, etc.  I have told you that your results are conclusive.  You do not have HIV.  I have nothing more to say other than to suggest that you stay off the internet.  This ends this thread.  EWH

[fx1655]

Doctor I am apologize for my last question , can my test result be sure conclusive at 11.5 weeks with an ELISA test which is the standard test for HIV  ? and i have read somewhere about Antibody tests may give false negative , so as Expert form , have you ever see that happen ? I am very anxiety, should i take one more test ?. thanks doctor  

[Edward W Hook, MD]

The recommendations for testing at 3 and even 6 months are the result of two factors- data from older tests no longer used (you really do not need to worry about which generation of tests you were tested with, at this time virtually all tests are far more sensitive that they were even 2-3 years ago when the 3 month recommendation was made) and secondly, the fact that some mostly governmental agencies which have to provide recommendations for virtually everyone without the sort of interactions such as those you get with your doctor or from personalized sites such as this one, feel they cannot "afford" to be wrong and therefore make recommendations and guidelines which leave most people unnecessarily nervous for 4-6 weeks longer than the 6-8 weeks it takes virtually everyone to develop HIV antibodies.   EWH

[fx1655]

I am sorry , I am incorrect you didn't say should wait until 13 weeks for conclusive , but in the HIV Prevention Community .Teak and all the expert said that 13 weeks is conclusive,and CDC up date the windows periods said that also , so but any way i believe you and i am helpful with your answer . thanks lot Doctor  

[Edward W Hook, MD]

You are incorrect, we do not say that persons should wait until 13 weeks for conclusive results.  Any test performed more than 8 weeks after exposure provides conclusive results.  You do not need further testing.  EWH

[fx1655]

Thanks for your quick answer !

One more question . i saw on this form you and everybody say test 13 weeks is conclusive so my test just at 11.5 weeks it not enough time to say it is conclusive . should i have another test at 13 weeks ? what do you think Doctor ?