oral exposure please advise

Hi Doctor,
I have 3 encounter of oral sex one on 7th jan one on 14jan and another on 10thFeb, in first two encounter I had kissed the stripper and then she gave me BJ with the condom on, (it was protected and condom did not broke) but on third one which was couple of days back another stripper gave ma BJ twice, without condom I had not cuts on top of my private parts and she said she is clean but i am very worried, I had urinated after the exposure and cleaned the private parts.

Now before my third encounter I had having few symptons like between Jan 30-till Feb 10 some time I was having sore throat(swollen tonsels),  rashes on back and shoulder and dry caugh which all lasted for about 5 days and I read from internet these are signs of initail HIV infection.

I had also read your several responces to many questions like mine related to oral sex, but again I am worried and still asking the same. Sorry for that.

Also today I did PCR test for detecting actual virus DNA from Lab Corp(waiting for result), but my question is will it be able to detect the virus as I had the possible exposure just 2 days back. is this test is reliable in my case?

Am I really at risk of possible exposure and and do you belive this test will +ve or -ve.

[H. Hunter Handsfield, M.D.]

Welcome to the forum.  Thanks for your question, and also for reading other threads with similar questions.

Having done that, however, you undoubtedly know the answer.  We don't take the individual situation into account.  All oral sex is extremely low or zero risk for HIV transmission.  Therefore, you are not at any measurable risk for HIV from the events described.  Your symptoms suggest you caught a cold -- conceivably from one of your sex partners, but that's impossible to know -- but not HIV.  And anyway, as you probably also have seen mentioned in other threads, in the US and other industrialized countries, the vast majority of strippers and commercial sex workers don't have HIV.

Therefore, assuming you are not at other risk for HIV, I'm sure your PCR test will be negative.  And you're sufficiently far from teh last exposure (4 weeks) that you could also have an antibody test at this time.  The combination of negative antibody plus a negative test for the virus itself (PCR) is 100% reliable at 4 weeks.

Feel free to return with a follow-up comment to let me know your test results.  But stay relaxed while you wait; for sure they will be negative.

Regards--  HHH, MD

[pleaseadvise202]

Hi Doctor, thanks for your immediate response.

actually my test results came back -ve for PCR and antibody both.

but my question is as I mentioned above that my 3rd exposure was just
60 hrs before this PCR DNA testing. can I rely on the test result as it was with the time fream of 72 hrs that CDC says for PCR to give accurate result. should I do one more time testing.

Also today I saw one reddish big rash on my shoulder and one on my forehead. and had sore throat couple of days back.. Can I consider them as initial symptoms of HIV. please advise me doctor.

Thanks for your help.

[H. Hunter Handsfield, M.D.]

I suppose it is possible that a new infection would give a positve PCR/DNA result wthin 3 days, but that seems fast and I also would not rely on a negative result at 5 days.  However, it is a waste of resources to be tested for HIV after any oral exposure, and certainly a DNA test should not be done for that purpose.  Don't do it.

HIV doesn't cause a rash of the sort your decribe.  See a doctor if it persists or you otherwise remain concerned about it.

That will end this thread.  I won't have any further comments.