Semen on broken skin. SO scared. Plz Advise

Hi all i am a 25 y.o old male. I am into bdsm and i played with a stranger i just met on the net. he applied nipple clamps (similar to the ones to use on car batteries to hook up your car, sharp teeth like a crocodiles jaw, hope it makes sense) to me then the usual caning, whipping, etc. For the finale he took the nipple clamps of me and masturbated and shot his semen all over my body. next he went suck and sucked on my penis very briefly, like 10 seconds. i didn't have a condom and told him to stop which he did immediately.

Two days later i realize there was small scabs around my nipples, the nipple clamps he attached to me was so tight it tore of my skin without me knowing. I'm not sure if it bled or not (i didn't notice any blood anyway) but it must off tore of abit if there was a scab. i know for a fact:

his semen did shoot onto my nipples where the skin tore off. i didn't bother cleaning it up as i left it there and chatted to him after we finish playing, and didn't shower till 1 hr later

i am so worried its now been about 2 weeks and i got a sore throat today and abit of a cold, fever that has lasted over 1 week and i read that it is a symptom of hiv. i know i cant take any test until 3 months. anyone tell me am i at high risk, assuming the guy was really hiv +? i have been so worried i cant even live my life. i emailed the guy and he said he had test recently and he is 100% clean, but who knows if he is lying or not. Thanks you.

[Edward W Hook, MD]

Your risk remains low.  Let me recount the things in your favor and then suggest a course of action.  

1.  He said he was not infected.  Most people tell the truth. Thus the odds are that he did not have HIV.
2.  In the unlikely circumstance that he was infected, the odds that his ejaculate actually got sufficiently into the cuts on your nipples to put you at risk are low.  Even if it did, the odds of infection are low as well.
3.  Your symptoms are far more likely to just be a cold than anything else.  When this has been studied in the US, less than 1% of persons seeking medical care for "ARS symptoms" are found to have HIV, the remainder having symptoms due to other processes. In contrast, over a given year, there is almost no one who has not had a viral illness, night sweats or both (sometimes on multiple occasions).  In addition, it is also important to realize that many persons who acquire HIV do not experience the ARS.  For a person to try to judge their HIV risk based on "ARS symptoms" is a waste of time.

I realize that my statements above are all statistical in nature and that you wish more definitive and personalized information.  To get this, I would suggest you get tested.  You do not need to wait for 12 weeks to get reliable information.  Now, at two weeks, an HIV test would pick up over 50% of infections acquired 2 weeks earlier.  Then, to be completely sure, retest at 4-6 weeks, by then tests would be expected to detect about 95% and over 98% of infections, respectively.  By then, in your situation, a negative test would virtually guarantee that you did not get HIV.  

Hope this helps.  EWH

[ausgirl84]

Thank you for your reply, I will get tested straight away on Monday. Oh my, I am so nervous.

[ausgirl84]

Can i ask one more thing. I am also on accutane for my acne treatment, would this have made any difference to my chances of infection?

[Edward W Hook, MD]

One last answer until you have got a test result.  NO.  EWH

[ausgirl84]

I got a HIV antibody test on Monday which was exactly 3 weeks from my incident. The result was negative. How accurate is this result? How long should i wait to get a conclusive result? I heard 3 months but you stated 6 weeks in your first post.

Regards

[Edward W Hook, MD]

and I still say 6 weeks.  Three months is overly conservative.  EWH

[ausgirl84]

Hi just got a 8 week HIV AB test and came back negative. How accurate is this and can it be seen as conclusive? My GP still recommended that i got tested again at 12 weeks and then 6 months.

Thanks

[Edward W Hook, MD]

Sorry, this is not a debate - can can believe whomever you please.  This will be your last answer.  Your partner is not infected, period.  For you, follow-up testing at 3 months and 6 months is a waste of time and money.  EWH