Exposure and Risks

I need to say this upfront so you understand what I will say later. I am a bi-sexual male at the age of 20. I do not have anal sex, or vaginal sex. I have had 3 oral sexual encounters in the last two months. One with a high end escort, the other with a teacher who has not had sex in a year. And one over the weekend who stated he has not had sex since January and he had an HIV test on 5-Jan- Directly following. So I am truly not worried about the last two as they are both what seem to be honest people and implied they have been tested on a regular basis and are negative.

Here are my questions:

1) The Escort is my major concern, when I asked him on the phone he states that he was negative. When he arrived at my house I asked him again and he told me the exact day, and he did this rather quickly. We did not use a condom. What is the risk from contracting HIV from this incident?
Do you recommend testing for HIV do to this event?

2) I was feeling a little under the weather exactly 3 weeks afterward and I started to become nauseated. I did not have a fever--went to the emergency room and my blood pressure was 158/88 and my heart was at 112 bpm-- and my lymph nodes are not enlarged. The nausea is worse when I am riding in a car, but goes away completely when I lay in my bed. Do you believe that this is ARS.

3) Based off of my past sexual history and High risk exposures do you recommend testing in the immediate future?
4) Do you believe that foreplay i.e. French kissing poses a major risk?

[H. Hunter Handsfield, M.D.]

Directly to your question:

1) Your risk probably was zero.  Most people don't lie when asked directly about HIV status.  And oral sex is inherently safe in both directions-- and for the insertive partner, if the oral partner has HIV, is believed by some experts to never occur.  The highest estimated risk is one transmission for every 20,000 such exposures to infected partners.  That's equivalent to receiving a BJ a day by HIV infected partners for 55 years.

2) Those symptoms do not suggest ARS.

3) For peace of mind, you probably need HIV testing once every couple of years. But not because of the exposure you describe. If your lifestyle doesn't change, you can be confident you'll never get HIV.

Best wishes--   HHH, MD

[kid10012]

this was insertive not receptive