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Please Help! High Anxiety of HIV

Hi Doctors,
14 days ago, I met a lady who I knew from the internet. I performed an oral sex on her (I bite myself inside of my cheek when I chewing gum the day before. It’s bleeding when I bite myself, but I don’t think it’s bleeding when I performed the oral sex her a day later). Then we had sex with a condom for about 3 minutes. I was on the bottom. After my ejaculation, she kept moving for about 20 sections and then she stop for 20 seconds. But she when came off from me, I found that the condom slipped off and is not on my penis any more, it’s in her vagina. I don’t know when it slipped off. She gave the condom to me and I saw the semen was in the condom and the condom is not broken. Then she said she had a little vaginal bleeding after the sex. I start to worry about HIV. Three days later, I took her to take a rapid test for HIV and came back as negative. She assured me that she is in the middle of divorce and have not have any sex life in the past three months. But I’m still so scared, what if she is not telling me the truth. For the symptom, I had a minor sore throat about a week 3 days after the exposure, and there may be two swollen lymph nodes on each side of my neck which is just appeared at two weeks.
I really scared of get infected of HIV now and cannot eat and sleep. Is this a high risk event for both my oral sex and condom slipped off? What is my possibility to catch HIV from her? If I use 4th generation after 4 weeks, is that consider conclusive results? Thank you so much for your response! Sorry for some broken English within the post. Thank you!
9 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

Condoms work.  Withdrawal of the penis, leaving the condom in the vagina, is not believed to increase the risk; protection is still considered to be complete.  And cunnilingus (oral-vaginal contact) has never been known to transmit HIV.  Oral sex in general is low risk; even swallowing HIV infected blood usually would not result in infection.

In addition, the chance a partner like yours had HIV is very low, probably no higher than one chance in a thousand -- and her specific sexual history (recent divorce, no sex for the past 3 years) makes it even less likely she is infected.

On the basis of your risk, I don't even see a need for HIV testing.  However, you probably should do it anyway:  the negative result probably will be more reassuring than anything I can say.  A negative duo ("4th generation") HIV test at 4 weeks indeed will be conclusive.

I hope this has helped.  Best wishes--  HHH, MD
Helpful - 1
Avatar universal
Dr.
Is it possible to get ARS at 60 days after exposure?
I would be really gratefull if you could answer this for me
Thank you
L
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
YES!!!
Helpful - 0
Avatar universal
Doctor, is my result conclusive? no further testing is needed?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
1) Even 2-3 days probably makes no difference.  Certainly a few hours does not.

2) Yes. Your negative test proves you didn't catch HIV, and therefore any symptoms you may have now or in the future cannot be due to HIV from the exposure you are concerned about.
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Avatar universal
Hi, Dr. HHH.  I took HIV Screen 4th generation WRfx test at 4 weeks and came back as Non-Reactive. I just have 2 final follow up questions.

1) When I took the test, it’s not fully 28 days. It is 27 days plus 13 hours. Is my negative result considered conclusive and no further test is needed?
2) If I have any so called “symptom” recently after this test, can I sure that it is definitely not HIV related?

I will really appreciate for your answers. I hope I can gain a peace of mind and move on my life after hearing from you. I feel lucky to find this forum and thank you for your great work!
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Avatar universal
Thank you, Doctor! I really really appreciated it!
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
My advice wouldn't really be any different even if you had had entirely unprotected intercourse.  But if you think the condom was off for a time before withdrawal, you might want to consider having a urine test for gonorrhea and chlamydia, in addition to the HIV test.
Helpful - 0
Avatar universal
Thank you so much for the instant response, Doctor! I will take your advice and take a test to have peace of mind. I just have a one quick follow up question. I'm sure the condom is on when I ejaculated. But my concern is I'm not sure the condom slipped off at some point when she kept moving after my ejaculation, is it a big risk? I will really appreciate your help, since your words ease my mind significantly! Thanks!
Helpful - 0

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