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Avatar universal

Hi Doctor, please help

I am 22, a gay male, I have been with about 14 guys... never had anal intercourse, only unprotected oral, penis to penis contact with precum probably, mutual masturbation with the other's semen... and one time while making out with a guy, his nose started bleeding and some blood got on my cheek.

NOW MY REAL QUESTION... I just found out a guy I had naked body contact with and oral sex is HIV positive. No ejaculation was involved on his behalf, but still oral was, and I was naked with him. I very, very briefly performed oral on him, and he performed oral on me. This guy did not even inform me he was positive until after this happened. He apparently had been on meds for 20 years, and he told me prior to our hook up he didn't do anal sex... I should have known why.
Now, I took a PCR DNA test about a week after exposure. I am awaiting the results, and I am so physically ill over worry. I will then do a follow up test in 3 weeks, on the 28th day, for conclusive results.
Please I am so scared and feel like my life is over.

Have I jeopardized my life? How reliable is the DNA PCR test after about 6 days? 28 days? Can I move on? What is my risk?
10 Responses
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Read my answer - 2nd sentence, final paragrah.  I will not repeat it.  EWH
Helpful - 0
Avatar universal
But Dr, you are saying I am indeed OK?
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Each of these repetitive, anxiety driven questions has been answered.  At this point you need to try to get a grip on yourself and calm down.  If your cannot, what you should do is seek counsleing and professional help to assist you with your anxiety.  EWH
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Avatar universal
So after PCR at 28 days can I move on for good????
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Avatar universal
You didnt have a risk as many people qualified in the subject have told you. And even if you were what can you do about it now? can you change the past? Dont worry till you know for sure, whats done is done.. and you have no risk soo calm down.
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Avatar universal
we also made out heavily... kissing?? risk?
Helpful - 0
Avatar universal
So if the DNA pcr test come back negative the
is week and in 3 weeks is this a good indication I'm ok and can move on? I just can't imagine waiting 11 more weeks for an antibody test. And I thought pcr was conclusive at 28 days???
Helpful - 0
Avatar universal
So if the DNa test comes back negative is this a good sign I can move on?
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
I will answer your questions but before I do, I will preview my response by telling you that I am going to give you the same answer that you've received from Teak, Lizzie Lou and others - you are not at risk for HIV from the exposures you describe.  

You report body to body contact and oral sex, receptive and active with a person who has now told you that he has HIV and is on treatment.  There are two parts to his answer. both of which work in your favor.  First, there is no risk from body to body contact and while the quoted figure for HIV risk, if one has oral sex with an infected partner is less than 1 in 10,000 and, in my estimation, that is too high. Some experts state there is no risk at all from oral sex.  Neither of us on this site have ever seen or reading the medical literature of a convincing instance in which HIV was passed by oral sex.  Secondly, if your partner is on medication, this reduces the probability of infection through other, higher risk sexual activities (which you say you did not have). The reason I mention this is that therapy reduces risk of transmitting infection and therefore should give you even more confidence that you are not at risk for HIV form the activity you describe.  

The value of a negative HIV PCR at 6 days is unknown and of little use although it certainly is a good way to spend a lot of money.  At 4 weeks (28 days) a regular blood (antibody) test would be expect to detect over 90% of HIV infections acquired 4 weeks earlier and will be further strong evidence that, as you've already been told, you did not get HIV.  We do not recommend HIV PCR for diagnosis since false positive results are more common with that test than with the more widely used and accepted antibody test.

Bottom line.  Your risk from the exposure you describe is effectively zero.  Hope this helps.  I also feel I need to state, given your many posts on the HIV community site despite already been told the same thing, that I do not intend to answer any "what it" follow-up questions.  I hope this is helpful to you.  EWH


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Avatar universal
Please Doctor help, I am so, so frightened and so are my parents...
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