Aa
bad decision
Doctors,
Thank you for your time and your valuable service. I recently met a girl in honk kong who is from Phil but is a normal worker in hk and I believe promiscuious. We went home after a night of drinking and had unprotect vaginal sex and oral for several hours and the next morning. We had been drinking but she indicated she was not a CSW, did not ask for money and had only protected sex except for her wester boyfreind she had not seen in over a month. She had not been tested for a year. We both took a orasure oral hiv test the next day and both were negative. My questions are as follows. 1. What is my risk or odds of contracting HIV from her if she was in the window period and would not test positive for HIV but could still transmit it to me. 2. When is an orasure oral test conclusive, and when is it over 90 percent accurate. After a month, how accurate is the test? I am going to get tested for other STDs shortly as I know I should get tested and understand this is a higher risk incident. Thank you for your time.
Thank you for your time and your valuable service. I recently met a girl in honk kong who is from Phil but is a normal worker in hk and I believe promiscuious. We went home after a night of drinking and had unprotect vaginal sex and oral for several hours and the next morning. We had been drinking but she indicated she was not a CSW, did not ask for money and had only protected sex except for her wester boyfreind she had not seen in over a month. She had not been tested for a year. We both took a orasure oral hiv test the next day and both were negative. My questions are as follows. 1. What is my risk or odds of contracting HIV from her if she was in the window period and would not test positive for HIV but could still transmit it to me. 2. When is an orasure oral test conclusive, and when is it over 90 percent accurate. After a month, how accurate is the test? I am going to get tested for other STDs shortly as I know I should get tested and understand this is a higher risk incident. Thank you for your time.
Thanks for this thread. I have almost the same situation. Except its a sex worker for me and ot happened last week august 27.... the rates that the doctor have answered is the only thing that keep me through this days..
MEDICAL PROFESSIONAL
HPV is an unknown -- could be significant risk. But if you get it, you'll probably never know. Everybody gets HPV, mostly asymptomatic and nothing to worry about. In the off chance you develop warts, they typicall appear after 3 months to a year, sometimes as long as 2 years.
The chance of HSV from any single exposure is low and there's nothing to be done at this point. Assuming no symptoms within a couple of weeks (penile blisters/sores), I recommend against testing for it.
Your highest STD risk is for gonorrhea and chlamydia. A urine test is valid any time more than 2-3 days after exposure. If you caught syphilis, you'd probably know it from the penile chancre (an open sore, usually painless) at 2-4 weeks; a blood test, like HIV, is best done at 6 weeks.
The chance of HSV from any single exposure is low and there's nothing to be done at this point. Assuming no symptoms within a couple of weeks (penile blisters/sores), I recommend against testing for it.
Your highest STD risk is for gonorrhea and chlamydia. A urine test is valid any time more than 2-3 days after exposure. If you caught syphilis, you'd probably know it from the penile chancre (an open sore, usually painless) at 2-4 weeks; a blood test, like HIV, is best done at 6 weeks.
I understand and am going to limit my alcohol intake and wear protection. Final questions, what would be the odds of contracting herpes from her or veneral warts and what would be timing before I would see symptoms. Also at what point should I get tested for gon, chly, syph, herp...etc. Tx u for ur time and I will be more careful.
MEDICAL PROFESSIONAL
Welcome to the forum. Thanks for your question.
One of the replies from Dr. Gonzalez-Garcia to your question on the HIV international forum several months ago was that if a woman has HIV, the transmission risk for a single episode of unprotected vaginal sex is 0.1%, i.e. 1 chance in 1,000. (I would put it at 1 in 2,000, but that's the ballbark.) Second, given your partner's sexual history and your joint negative HIV tests, it is exceedingly unlikely she has HIV; the statistical chance she had a new infection not yet detected by the test ("window period") is probably one in the tens of thousands. To your specific questions:
1) Based on those calculations, I would put your risk of HIV at one chance in many million -- zero risk for practical purposes.
2) The oral fluids test has a longer window period to conclusive results (around 3 months) than the blood antibody tests (6 weeks). The OF test probably is 90% reliable at 6 weeks.
Now here comes the lecture. Both this an the exposure described in the international forum last October involved vaginal sex in high risk settings without condoms. You're playing with fire and I hope you'll get into the condom habit. That both events involved alcohol is not a valid excuse. I would suggest you start packing condoms -- and also moderating your alcohol intake in situations conducive to sexual contact.
I hope this has helped. Best wishes-- HHH, MD
One of the replies from Dr. Gonzalez-Garcia to your question on the HIV international forum several months ago was that if a woman has HIV, the transmission risk for a single episode of unprotected vaginal sex is 0.1%, i.e. 1 chance in 1,000. (I would put it at 1 in 2,000, but that's the ballbark.) Second, given your partner's sexual history and your joint negative HIV tests, it is exceedingly unlikely she has HIV; the statistical chance she had a new infection not yet detected by the test ("window period") is probably one in the tens of thousands. To your specific questions:
1) Based on those calculations, I would put your risk of HIV at one chance in many million -- zero risk for practical purposes.
2) The oral fluids test has a longer window period to conclusive results (around 3 months) than the blood antibody tests (6 weeks). The OF test probably is 90% reliable at 6 weeks.
Now here comes the lecture. Both this an the exposure described in the international forum last October involved vaginal sex in high risk settings without condoms. You're playing with fire and I hope you'll get into the condom habit. That both events involved alcohol is not a valid excuse. I would suggest you start packing condoms -- and also moderating your alcohol intake in situations conducive to sexual contact.
I hope this has helped. Best wishes-- HHH, MD
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