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Summary of Sexual life with recent oral & WORRIED!
Greetings Dr. Handsfield
Dr. H I am a 24 year old white, straight male. I’d like a risk assessment based on some technical info I’m giving please. Nov 2007 – One unprotected vaginal exposure (Tested for EVERY std and HIV 3 months later, all negative), October 2009 - Unprotected Oral/Protected Anal (HIV test at 10, 12 weeks, and 6 months, donated blood) August 4th of this year I received a 5 second blowjob from a woman before I stopped it. I felt her lips (and possibly tongue) on the head of my penis. ALL encounters have been with the same woman. The woman is 45 years old, white, and swears that she practices safe sex. She apparently has been with a few men, although she claims safe sex was practiced. 6 weeks later, (about a week ago) I went to a Planned Parenthood and got an Oraquick antibody test. The test came back negative. I did not have any cuts, sores, or open wounds on my penis that I could see and no other sti’s. I have been feeling a substantial amount of anxiety. I am living in a constant state of depression and anxiety over the fact that I have overcome the odds and will be the 1/100,000 that will get hiv from a heterosexual white woman, oral sex, not produce antibodies at 6 weeks, AND have the test not pick it up. Should I re-test at 3 months and 6 months and anticipate the worst? Also, I have been worried that the lancet use to prick my finger (it was a small, colored box, about .5x .5 x 1 inches) was re-used on previous people. 8 Months ago I started a serious, monogamous relationship. Now when she wants to have sex, I lie and say that I have ED from stress. Could provide me with a # out of ##### figure for my most recent exposure.
A few specific questions also: 1) has there ever been a convincing case of a man getting HIV from receiving oral from an infected partner? 2) Why do some places still say 6 months for testing? 3) Is the rapid Oraquick antibody enough for a conclusive result at 6 weeks post exposure?
Thanks you! Rob
Dr. H I am a 24 year old white, straight male. I’d like a risk assessment based on some technical info I’m giving please. Nov 2007 – One unprotected vaginal exposure (Tested for EVERY std and HIV 3 months later, all negative), October 2009 - Unprotected Oral/Protected Anal (HIV test at 10, 12 weeks, and 6 months, donated blood) August 4th of this year I received a 5 second blowjob from a woman before I stopped it. I felt her lips (and possibly tongue) on the head of my penis. ALL encounters have been with the same woman. The woman is 45 years old, white, and swears that she practices safe sex. She apparently has been with a few men, although she claims safe sex was practiced. 6 weeks later, (about a week ago) I went to a Planned Parenthood and got an Oraquick antibody test. The test came back negative. I did not have any cuts, sores, or open wounds on my penis that I could see and no other sti’s. I have been feeling a substantial amount of anxiety. I am living in a constant state of depression and anxiety over the fact that I have overcome the odds and will be the 1/100,000 that will get hiv from a heterosexual white woman, oral sex, not produce antibodies at 6 weeks, AND have the test not pick it up. Should I re-test at 3 months and 6 months and anticipate the worst? Also, I have been worried that the lancet use to prick my finger (it was a small, colored box, about .5x .5 x 1 inches) was re-used on previous people. 8 Months ago I started a serious, monogamous relationship. Now when she wants to have sex, I lie and say that I have ED from stress. Could provide me with a # out of ##### figure for my most recent exposure.
A few specific questions also: 1) has there ever been a convincing case of a man getting HIV from receiving oral from an infected partner? 2) Why do some places still say 6 months for testing? 3) Is the rapid Oraquick antibody enough for a conclusive result at 6 weeks post exposure?
Thanks you! Rob
MEDICAL PROFESSIONAL
Both factors make your risk zero. EWH
MEDICAL PROFESSIONAL
Moern therapy is quite successful in controlling the progression of HIV and there are highly effective measures for prevention but there is no cure on the immediate horizon for HIV.
Take care. EWH
Take care. EWH
Hello Dr Hook,
I know you informed me that I had no risk from my incident, however, for my peace of mind, I decided to get another test. 10 Hours ago I had another Oraquick Rapid test done with the oral fluid swab. The result was (thank God) negative. It has been 13 weeks and 1 day since my exposure, I have had two tests, both negative, performed by trained medical professionals. I feel that I have proved that I am in fact negative even if I did have a high risk exposure. Do you agree? Lastly, I mentally prepared myself for the "worst case scenario" moments before the nurse walked in to give me my result and I am rather curious: Would you like to comment on a "cure" for HIV/AIDS? Such as the Who? When? What? and Where? Or a "one pill a day" to suppress symptoms completely, almost doing what valtex does for herpes? Thank you for helping me through my 3 months of h-e-l-l, I referred back to this thread many times to calm myself.
Sincerely,
Rob
I know you informed me that I had no risk from my incident, however, for my peace of mind, I decided to get another test. 10 Hours ago I had another Oraquick Rapid test done with the oral fluid swab. The result was (thank God) negative. It has been 13 weeks and 1 day since my exposure, I have had two tests, both negative, performed by trained medical professionals. I feel that I have proved that I am in fact negative even if I did have a high risk exposure. Do you agree? Lastly, I mentally prepared myself for the "worst case scenario" moments before the nurse walked in to give me my result and I am rather curious: Would you like to comment on a "cure" for HIV/AIDS? Such as the Who? When? What? and Where? Or a "one pill a day" to suppress symptoms completely, almost doing what valtex does for herpes? Thank you for helping me through my 3 months of h-e-l-l, I referred back to this thread many times to calm myself.
Sincerely,
Rob
MEDICAL PROFESSIONAL
No, bruising is not a typical early HIV symptom. As I said you are not at risk for HIV from the exposures you described. Your bruising is a coincidence. EWH
Dr Hook,
I apologize for this anxiety driven post but I do have a question for you. I have scheduled another HIV test for the 5th of November which would be 3 months and a day after my possible exposure. I woke up today and saw a light bruise on my right arm with a rash in the middle. I think due to the stress my eczema may have came back and if I itched it hard possibly a bruise occurred. Is bruising in certain areas typical of early HIV symptoms? Please respond,
Thanks much
I apologize for this anxiety driven post but I do have a question for you. I have scheduled another HIV test for the 5th of November which would be 3 months and a day after my possible exposure. I woke up today and saw a light bruise on my right arm with a rash in the middle. I think due to the stress my eczema may have came back and if I itched it hard possibly a bruise occurred. Is bruising in certain areas typical of early HIV symptoms? Please respond,
Thanks much
Dr. Hook
Thank you for your comforting words! This isn't the first time I've heard that I'm being overly paranoid! I do have a question from your response. When you say: "In your case", is that referring to the fact that my odds are indistinguishable from zero for my specific scenario being male, having my partner being a white female and the sex being oral?
Enjoy your Monday
Thanks
Rob
Thank you for your comforting words! This isn't the first time I've heard that I'm being overly paranoid! I do have a question from your response. When you say: "In your case", is that referring to the fact that my odds are indistinguishable from zero for my specific scenario being male, having my partner being a white female and the sex being oral?
Enjoy your Monday
Thanks
Rob
MEDICAL PROFESSIONAL
Welcome to our forum. I'll be pleased to comment. Your post is quite telling. Amongst other things you say " I have been feeling a substantial amount of anxiety. I am living in a constant state of depression and anxiety over the fact that I have overcome the odds and will be the 1/100,000 that will get hiv from a heterosexual white woman, oral sex, not produce antibodies at 6 weeks, AND have the test not pick it up." This, as other elements of your post suggest that you are really being unreasonably paranoid about these exposures and that the unwarranted fears you are experiencing are effecting your life. While I will answer your specific questions below, let me provide my major recommendation first- you need to discuss these unwarranted fears with a counselor or other mental health professional who can help you to address them. I suspect that, given your continuing fears, further testing will be of little help in relieving your anxieties.
Now for your specific questions:
1) has there ever been a convincing case of a man getting HIV from receiving oral from an infected partner?
No, never. While, the quoted figure for HIV risk, if one has unprotected 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.
2) Why do some places still say 6 months for testing?
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 4-5 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 on 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.
3) Is the rapid Oraquick antibody enough for a conclusive result at 6 weeks post exposure?
In your case, yes, without a doubt.
Please see a counselor. It is the best thing you can do for yourself. EWH
Now for your specific questions:
1) has there ever been a convincing case of a man getting HIV from receiving oral from an infected partner?
No, never. While, the quoted figure for HIV risk, if one has unprotected 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.
2) Why do some places still say 6 months for testing?
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 4-5 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 on 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.
3) Is the rapid Oraquick antibody enough for a conclusive result at 6 weeks post exposure?
In your case, yes, without a doubt.
Please see a counselor. It is the best thing you can do for yourself. EWH
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