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Vaginal sex with an HIV Positive female

Doctors,

I am a 43 year old heterosexual male.  I posted this in Health forums.  I had unprotected, vaginal sex with a female friend who'd recently gone through a divorce in late November - early December, 2013.

She and I had sex on December 13, 2013 and December 14, 2013 - one time on each day.  On December 13, I noticed a cut on my penis after we'd had sex.  The cut bothered me, but it didn't bother me as I knew at that time I was not HIV positive and had no reason to believe she was HIV positive considering she was newly divorced - barely a month.  I've known this lady for a few years and have no reason to believe she is promiscuous and we'd had sex numerous times over the years prior to her marriage.

On February 3, 2014, my friend called me and told me that she was diagnosed with HIV during the week of January 27.  I took an Oraquick saliva test on February 8; approximately 7.5 weeks or 54 days after December 14.  My concern is real and obvious.  I realize that I tested within the 6-8 week window, but...  My friend also tells me that her doctor told her that her chances of her transmitting the virus are "slim to none given the current health of her immune system".

I am somewhat nervous about all of this, but I try to balance it out with facts; and the fact is that there are now people who have been diagnosed early, having "normal" life expectancy.  My biggest concern outside of the obvious is that I am a pilot and routinely have to undergo aero-medical exams by a government doctor and an HIV diagnosis could create some complications, but I think the FAA has medical protocols in place to monitor HIV positive pilots with respect to the virus and the pilots ability to keep flying.  What say you? I am asking primarily about my test and the aero-medical piece as well.
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Avatar universal
Thanks Doc.  I'll get in somewhere this weekend for the test.  
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
I do not believe there are and 4th generation tests that available OTC but they are widely available through most commercial laboratores.  Further, many health departments have access to such tests.  Perhaps you can access one through one of these routnes.  EWH
Helpful - 0
Avatar universal
Thank you for your response Dr. Hook.

Where can get a 4th generation, or DUO (combination HIV p24 antigen/HIV antibody) done? Quest Diagnositics or someplace like that?

I have a primary care physician, but I don't want to see her about this.  Without going into detail, my doctor and I have a very special relationship (non-sexual).  Am I able to purchase one of these tests at a drug store? My guess is that I cannot, but if I can, please let me know what to look for.  Thank you again.
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to our Forum.  I'll be pleased to comment.  Let me first congratulate both you and your partner on your mature and level headed approach to your situation.  Your friend did the right thing to let you know she was infected- this is a difficult thing to do.  I encourage you to support her in what is likely a difficult time for her.

You also did the right thing to not panic.  On average the risk for HIV following a single unprotected vaginal exposure to an infected partner is about 1 infection per 1,000 sex acts, perhaps being slightly higher if you had a fresh cut or abrasion on your penis.  No matter how you slice it however, your risk for infection is far less than 1%.  Since then your test results further reduce the probability that you were infected.  At this time, if you test with a 4th generation, or DUO (combination HIV p24 antigen/HIV antibody) test you can completely rule out the possibility of infection.  I would suggest that you do this.

I hope this comment is helpful.  Let's address the possibility of infection before you worry about your status as a pilot.  EWH
Helpful - 0
Avatar universal
I forgot to mention that the Oraquick test result was negative at 7.5 weeks.
Helpful - 0

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