Dr HHH or Dr Hook

[jd1203]

I would appreciate a response from either doctors. My exposure is different in that the person I was with was hiv positive and that both he and I did not know so his viral load could be high. He became infected by his ex boyfriend through receiving unprotected anal a few times. This was not known until after my exposures with this guy. By the way i'm a male too and this was my first experience with another male. My exposures consisted of receiving unprotected oral, protected anal, and he rubbing his penis againts my anus. The same things were done one week after. The 3rd (last) exposure was only receiving unprotected oral twice within a few hours. He then found out his status after becoming sick in mid september and he told me but assured me what we did was safe. He also got claymidia and I believe rectal wart or herpes. I was shocked so I got tested for stds 17 days after last exposure and was neg. I also tested for hiv at 4,7,9,11 weeks elisa all negative. I got a PCR DNA test at the 7 week mark- negative. My concern is that if i had a nick or cut  by shaving (clippers) on my penis how safe is the oral since he was pos. Also, I have a habit of wiping my anus really hard with a lot of tissue paper (clean freak) so sometimes I see red streaks (blood) on the paper. How safe was the frottage? Doc, do I need to test in one more week to get my 12 week mark or is the 11 week conclusive? considering the 7 week pcr dna test. The only symptom I have is a white tongue. Can you provide any stats?
Thank you kindly..

[jd1203]

I wanted to thank you for your help during this time of anxiety. I officially tested negative at week 12 and week 13 by the rapid testing method. I know that you had mentioned no further testing but I being a 'worried well' just had to do that for my sake. I am ready to move on and forget about all this and start back to normality has the last few months have been unpleasent. I appreciate the time that you and Dr. HHH put into this forum and help others like me in these situations. Your time and help is greatly appreciated. For me, I'm gonna stay off the internet as this was the cause of my anxiety. I may test at the six month mark but I am ready to move on. Thanks again.

[jd1203]

Thanks for your prompt response. I did not make it clear, I'm sorry, but it was protected insertive anal and not protected receptive anal intercourse. Although it does not make a diifference I just wanted to clarify that point.  By the way doc. have you seen a 11 week neg turn positive?

[Edward W Hook, MD]

I think you are looking for reassurance and I will be happy to provide it.  By now, given your multiple negative serological tests and a negative PCR at week 7, I think you can rest assured that you did not acquire HIV from the exposures you describe.  You sexual exposures are low risk (protected receptive anal intercourse, unprotected oral and rubbing against.  That you could have had a small nick on your penis from shaving does not change the risk assessment.  The concentration of virus in oral secretions is relatively low, that is part of what makes oral exposure amongst the safest sex we know of (that is not to say that I would not recommend a condom for such exposures, I do but as unprotected exposures go, oral exposure is amongst the lowest).

Hope this helps.  No further testing needed at this time, just a commitment to future safe sex.  EWH