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HIV Prevention  (Expert Forum)
 | 
HIV RISK
Answered by
Edward W Hook, MD - HIV Prevention, stds
This forum is limited to prevention of HIV and to safe sex in general. If you believe you might have been exposed to HIV and want help to judge your risk, would like advice about HIV testing, or have questions about the effectiveness of condoms or the risks associated with specific sexual practices, this is the site for you.

IMPORTANT

No questions will be accepted on the treatment of HIV/AIDS or its complications, viral load, and similar topics. If you have questions about a specific STD other than HIV/AIDS, please visit the STD Forum. Questions that do not pertain to the above topics will be removed from the forum.

If you have not done so, please review other threads in our archives for questions similar to yours and Dr. Handsfield's replies. Questions that duplicate other frequent ones, for which abundant replies exist, and that have little educational value for other forum users, will be DELETED WITHOUT RESPONSE. YOUR PAYMENT WILL NOT BE REFUNDED. The most common examples of such questions are those about low risk exposures to HIV, such as oral sex, condom- protected intercourse hand-to-genital exposure, and nonsexual contact with possibly infected blood or body fluids as well as symptoms of early HIV infection.

HIV RISK

by extremeanxiety, Oct 07, 2008 05:11PM
Here is my story.
I am a married man that  travelled to north africa 3 months ago for business,
I had heavy tonguing with a Pro + fooling around but no intercourse,
Then I had unprotected vaginal intercourse with  a young female pro, (I was drunk could not find comdon) for about 2-3 minutes did not *** inside her.
I have tested for all STD at 6 weeks ELISA HIV/1 came back negative HSV-2 came back positive level was 1.29.
I have had no symptoms for HSV-2 however my wife had an oubreak and was just diagnosis with having HSV-2.
I have confessed to her and we had protected sex since the incident happened so I don't understand how she got it?
At the six week mark right after testing I had what I think all ARS symptoms that lasted about 4 days,
Pharyngitis, gingivitis fever night sweat 1 night,
Right after that I went back for further testing at 7 weeks DR ran an HIV/1 RNA PCR that came negative less than 40 Ml copies.
Athe the 8 - 9 weeks mark I have noticed non itching redness in my upper torso that is still here but that is now going away,
I have juts went for further testing this week for ELISA HIV 1/2 & RNA PCR 1/2 I should get the results in about a week according to the dr.
I am freaking out right now can you please help me get through this.
What do you think my risk is of having HIV after the testing I have done?

PLEASE I BEG FOR YOUR ANSWERS my life has a become a nightmare
God bless thank you much
P.S.  as I understand it the prevalence of HIV/2 in north africa is very low unlike west africa where it is far more common.

by Edward W Hook, MD, Oct 07, 2008 11:49PM
You raise two issues. Whether or not you have HIV and how you and your wife got HSV-2.  Let's deal with the HIV question first because it is so easy to answer. There is no way that you have any reason to worry about HIV.  Between the low risk of your exposure (chances are she did not have HIV), that it was a single exposure and that you have both negative ELISA and PCR tests, you can be absolutely sure that you do not have HIV.  The tests you just got will be negative as well and when they come back you can be completely sure that you do not have HIV and do not need further testing.  Your symptoms have nothing to do with HIV and have some other cause, anxiety being one possibiltiy.

As for the HSV. there is no way to know whether you gave it to your wife or she gave it to you.  At this point, it is irrelevant. Although your blood test result is rather low, given the fact that you have a low positive result and you know that you wife recently had her first outbreak it is likely that you both have the infection.  If you have to have herpes, that is the best possible situation.,  Since you are both infected, neither of you can infect the other, thus you do not need to use condoms or worry about taking medication to prevent  transmission to each other.

Hope this helps.   EWH
Member Comments (3)

by extremeanxiety, Oct 15, 2008 11:08PM
To: dear dr
My 3 months results came back:
Thank god it is:
Negative Elisa HIV 1/2
Negative RNA PCR HIV 1/2
I have one last question:
Do you think I can resume having sex with my wife without using a comdon and move on with my life - no further testing?
OR
Shall I wait and take a 6 months final test and wait for the results before I stop using a comdon?
Thank you very much
God Bless

by Edward W Hook, MD, Oct 16, 2008 12:57PM
You do not have HIV.  You can resume sex with your wife EWH
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