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HIV Prevention (Expert Forum)
hiv
by mshirmy, Jul 02, 2009 11:47AM
Hi doctor i have recently started to worry about me getting hiv, my exposures are as follows with a sex worker in nov 08 and then once more in dec 08 her name is michelle, all activity was protected ie oral vaginal and she told me she was recently tested. The last exposure was also protected oral and vaginal, this happened from january to may 09 with jazmine well use that as her name sex worker ONLY i mean every month from jan-may about once a month the last date was may 25 and she has not been tested since jan of 07, althought i had too tests in april of 08 and july of 08 both negative, i mean i have seen this women in 08 a few times but i myself tested negative both times in 08 but she has not been tested since jan 07, this again with this sex worker was all protected. There was one more women but it was too times and its was unprotected oral as her performing on me, never had sex with this one thank god. Im such a fool and need too stop doing this, What are the chances of me getting hiv, Both michelle told me she was negative and the last oral she told me she was tested too months ago and is negative but i have not seen her since april 09
Doctor's Answer
by H. Hunter Handsfield, M.D., Jul 02, 2009 01:59PM
, Jul 02, 2009 01:59PM
Welcome to the HIV forum.
Despite your frequent exposure to commercial sex workers, it sounds like you have used condoms consistently -- in which case your risk for HIV is zero for all practical purposes. Oral sex is extremely low risk for HIV; it's not an important issue here, even if one or more of your partners had HIV. I don't follow exactly which of your past partners has been tested and known to be negative, but obviously that is additional evidence against any significant HIV risk.
But the real issue here is why your are asking at all. Since you are nervous about it, you need testing for reassurance. With your last exposure in May, enough time has passed for reliable testing; 6-8 weeks is plenty of time after the last possible exposure. So just go have an HIV antibody test. You can expect negative results.
Finally, you're obviously having trouble with your sexual choices and behavior ("I'm such a fool and need too stop doing this"). You should seek counseling about it
Feel free to return with a comment to tell me your test result. But there is no point in any further comments until then. In the meantime, try not to worry about this so much. It is extremely unlikely you have HIV.
Regards-- HHH, MD
Despite your frequent exposure to commercial sex workers, it sounds like you have used condoms consistently -- in which case your risk for HIV is zero for all practical purposes. Oral sex is extremely low risk for HIV; it's not an important issue here, even if one or more of your partners had HIV. I don't follow exactly which of your past partners has been tested and known to be negative, but obviously that is additional evidence against any significant HIV risk.
But the real issue here is why your are asking at all. Since you are nervous about it, you need testing for reassurance. With your last exposure in May, enough time has passed for reliable testing; 6-8 weeks is plenty of time after the last possible exposure. So just go have an HIV antibody test. You can expect negative results.
Finally, you're obviously having trouble with your sexual choices and behavior ("I'm such a fool and need too stop doing this"). You should seek counseling about it
Feel free to return with a comment to tell me your test result. But there is no point in any further comments until then. In the meantime, try not to worry about this so much. It is extremely unlikely you have HIV.
Regards-- HHH, MD
