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Avatar universal

Worried to Death !!!!

Doc, if you could answer these questions, that would be super.  I am just worried to death!!!!!

Two nights ago, (I don't know what in the Hell I was thinking), I had sex with a preoperative transexual here in Chicago, in other words, "she" (he) still visibly had male reproductive organs.

I asked him if he was clean, and he said he was and had gotten tested two months back and regularly gets tested every three months.

He has an uncircumsized penis as do I. Both of us performed fellatio on each other's uncircumsized penises, though neither of us ingested any ejaculatory semen, and though I did not see any pre-ejaculatory semen, I don't remember swallowing any.  

Afterwards I had anal intercourse with him WITH a condom on (5 minutes or so) and then took that condom off and put another one on because I felt the other one felt uncomfortable. I continued having anal sex with him for another 5-10 min. I did not ejaculate into the condom while I was performing anal sex to him. I always kept condom on so that the head of my penis was never exposed.  

I also did some bit of open mouth kissing with him.

Now, he said he was clean and I even called him a day later to quiz him again and he said I had nothing to worry about because he gets tested every three months. (In my mind I was like "but he's a Sex Worker/Escort!)

I am worried sick about my exposure to HIV through the following:

1) Open mouth kissing (my lips are sometimes chapped and though I do NOT remember my lips bleading, I am worried about my chances for exposure to kissing him),

2) Me performing fellatio on his uncircumsized penis, and possibly swallowing some pre-ejaculatory semen (though I don't remember seeing any such "pre-***").

3) And performing anal sex to him with a condom on. (I did NOT receive any anal sex).  I know anal sex is more risky than vaginal sex, but I always had condom on. But I know it is NOT full proof.

I am going to get a test done after 4 and 13 weeks, just to be safe. But I am going crazy.  I will NEVER do this again.  I am a moron.  Please anyone?

-Worried to Death in Chicago.
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Avatar universal
Negative at 9 weeks!!! I'm so happy! To everyone..just a note..that one time exposures to a KNOWN positive are in your favor.  I didn't have a known positive, so I was probably in the clear anyways, and though I'm not out of the woods by CDC standards (I need one test at 3 months post exposure), I think from a common sense point of view, I am in the clear.  But I will post my 3 month test in a few weeks again here. :)

Happy New Year Everyone!

-WorriedUS (worried no more)
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Avatar universal
Just a follow up to anyone reading this forum..I am negative at 4 weeks. Woo hoo!  Check HIV Support forum and search for "ScaredUKGirl and Everyone else...My 4 week test results" on. 11/17/2006.

Hopefully I'll update my 8 week test results in another month. ;)

-WorriedUS
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Avatar universal
You know, my comments are HIGHLY irresponsible.  I am WAY jumping the gun.

My worries are not unwarranted, but definitely excessive.  I will wait for a test in order to ascertain my status and if negative, it will be a GREAT joy and will post the result for everyone on this site so that more information and education can be spread to all the users of this site.  

I hope people don't think I'm an idiot for freakin out.  I do HOPE that I am neg. though.

-WorriedUS
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Avatar universal
Doctor,

I know you said that the risk of me getting hit by a lightning bolt is greater than me having HIV.  But I have just a few more follow up questions, since I do not want to start a new thread.

1) When should I ideally start exhibit the ARS symptom of fever?  

2) In approx. 30% of cases, I read somewhere (I think CDC), HIV + people do NOT exhibit symptoms in the 2-6 week period. Is this possible or is fever, however mild, still an almost positive indicator of HIV?  

3) The risk of being on the receiving end of oral sex STILL has some risk associated with it.  And that risk, albeit low per clinical standards, is rather amplified when during the course of a single sex act. There are multiple times when the oral sex performer engages in oral sex, i.e., stops for awhile to engage in a different sex act and once again performs oral sex.  So the risk is per contact, from what I understand and if you do it several times in the one night stand, then your risk gets added for the number of times you do it on the infected person.

I am going to go see an HIV specialist soon, although I know he will not be able to tell me anything other than to get tested, but I would like to know the risk of me being infected, granted my gay partner (tranny) was infected.  Do you have a number?  Please keep in mind I also performed protected anal sex on her (I assume the risk is zero from this).

Regards,

WorriedUS
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Avatar universal
Hi Dumbo (great name).

I understand the Doctor's logic, but he says the following:  "from the standpoint of risk", I don't need testing.  But I feel I need testing anyways because those risk numbers on a cumulative basis since per contact for oral sex and anal sex are higher even if the entire sex act is on one night with one person.

Besides, I don't know if it's anxiety that are causing my neck lymph nodes to swell now and I think, but am not sure if my groin nodes are swollen. Plus have had a headache that has started since 4 days post exposure though that could also conceivably be due to my anxiety and the fact that I have 20/15 in one eye and 20/20 in the other eye. But I don't know.

Plus that study that was done where 8% of oral sex partners in that gay study got infected, which is MUCH higher than the 0.4% that the CDC says for oral sex. (avert.org says though the risk for oral sex is as lows as 1/2000, maybe even low as 1/12,000).  But that 8% study (mentioned on the body.com) done in 2000 blows out the CDC and all other professional assumptions for oral sex risk for HIV transmission.  And Doc H on this site himself has said that regardless of the amount of virus that has made its way into the bloodstream, it will replicate and still cause full blown AIDS.  Time to seroconvert is the same.  

I am a COMPLETE mess.  It's been twelve days and have already been reading about how to deal with an HIV life, though I haven't even gotten tested yet because it hasn't even been 4 weeks yet.

Though I haven't had fever yet, a common symptom for ARS, it's like I am waiting for it and am wiggin out wondering when and if it will come.

In any case, am just trying to find answers amongst the conflicting information out there.  I wish there was more information on ARS symptoms; they seem so generalized.

But I appreciate a healthy, strong dose of logic from you.  I need it to counter my conclusions on other professional's and organizations findings and recommendations on HIV transimission risk and symptoms.

Thanks.

-WorriedUS
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Avatar universal
You are worrying too much like the rest of us do or did.  My advice is STOP reading anywhere on the net it will only freak you out.  The doc here states facts.  I applaud him for his character of not being afraid to tell the real truths about HIV and transmission.  The Gov't bodies are conservative CYA mentality.  I feel thebody.com is the same way.  The dr there has hiv, I do not know how he got it, but he follows the CDC guidelines maybe following the same CYA attitude.  

My Dr. and the doc here follow the same recommendations, 4-6 weeks is enough for testing and 8 weeks is virtually 100%.

Stop splitting hairs and accept the realities.  Logic is hard to follow when in this position but force your mind to do it.
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Avatar universal
top of the page..

Questions in the HIV Prevention and Safe Sex Forum are being answered by H. Hunter Handsfield, M.D., Senior Health Research Leader at the Battelle Center for Public Health Research and Evaluation, Seattle, Washington, and Clinical Professor of Medicine at the Center of AIDS and STD, University of Washington.
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Avatar universal
Thank you Doc...

Is there anywhere on this website I can know of your background?

Thanks.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Relax.  You had safe sex.  And in any case, most people don't lie about their HIV status when asked directly, especially when confirmed outside the immediate sexual context, so the odds are strong your partner doesn't have HIV.

1) Kissing is never a risk for HIV.  Saliva typically contains little or no infectious HIV.  (More accurately, saliva contains inhibitory substances that greatly reduce the ability of HIV to infect people.)  And oral exposure or swallowing HIV infected secretions is an inefficient transmission route.  For example, many nursing babies of HIV infected women never get infected, despite swallowing HIV infected milk day in and day out.  (Many do get infected, but the risk for any particular exposure is low.)  Nobody has ever been documented to catch HIV by kissing.

2) The oral partner in fellatio has a small risk, but it truly is small; and it probably is especially low if there is no ejaculation.

3) Condom-protected anal sex is safe.  HIV cannot pass through intact latex.

All in all, from the standpoint of risk, you really don't need testing, except to the extent that a negative result will help calm your fears.  In any case, a single test at 6-8 weeks would be sufficient.  (Search the forum for "time to positive HIV test".)

Your future sexual plans are not my business.  To be honest, I wish questioners would spare me the "I'm so regretful" and "I'll never do it again" stories!  I'm sure it helps people like you get it off their chest, but I'm only in the business of assessing risk and providing clinical information, not judging behaviors or lifestyles.

In any case, relax.  The chance you got HIV is literally less than the chance you'll die of a lightning strike someday.

HHH, MD
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