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Some other factors

Dr,
I wrote to you a few days ago, I apologize for the follow-up.  You may recall I am a 34 year old male that received unprotected oral sex and gave unprotected cunnilingus to a female.  It have been confirmed that she has hepatitis and I am very concerned over her HIV status as well.  At the time of exposure, roughly 3 1/2 weeks ago, I had just finished a cyce of aldara cream for HPV.  The skin on my penis was slightly sensitive/irratated,could this increase my exposure?  I also remember the bottom of my tongue being very sore after cunilingus I am not sure if it became cut during the expusure.  I also mentiond that I took a HIV PCR test at 11 days and it can back negative, although you said it was a waste of money, was it reliable?  IYou also said that my 20 day hepatitis tests we premature.  I do plan on a second round of testing at 6 weeks to be safe.  I truly want to thank you for everything you do for everyone on this site.
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I don
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Avatar universal
Thanks googmonster,
To clarify it is B.
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Avatar universal
Did she have Hep A, B, or C?  If C, this is not sexually transmitted as was once previously thought.  I've had it for many many years and never gave it to my wife despite everything we did and still do unprotected.  And we've done it ALL.  

B is more easily transmitted but rarely becomes a chronic problem like C.

doc will know more I'm sure.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
In a comment below, you indicate her infection is hepatitis B.  Since the exposure was low risk, it probably isn't an issue, and the additional information you provide here doesn't change my previous response.  The nature of your contact was too low to risk infection, regardless of potential skin irritation etc.

I am not sure how to judge the reliability of a negative HIV PCR test 11 days after exposure.  It would pick up most HIV infections, but probably not all of them; but I'm not enough of an expert to tell you the percentages.  On the other hand, let's say it was only 80% reliable.  Your risk of getting HIV from the exposure you describe was probably 1 in a million.  With an 80% reliable negative test, the chance you have HIV drops from 1 in a million to 1 in 5 million.  In that sense, the negative result in your case is 99.999999% reliable (or something like that).

Finally, your situation is a good reason why all non-monogamous sexually active people should be immunized against HBV.  Ask your provider to start your series of vaccine injections.  Had you done it before, your HBV exposure wouldn't have been an issue.

Best wishes--  HHH, MD
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