Aa
Exposure Assessment and Testing
Hi Doctors,
2 months ago i made a mistake in a New Orleans strip club, after too much alcohol i had unprotected vaginal and oral sex with one of the girls who works there, she was African American and the intercourse lasted no longer than a few minutes, i did not climax inside her, she assured me after that she was clean. I am a white European male who is uncircumcised. Sorry if some of this info is irrelevant.
I was tested for HIV and STD's 4 days after exposure and the results were negative. I have been tested again at 4 weeks for Syphilis and HIV and 8 weeks for HIV. I believe the tests were the antibody and viral tests for HIV. The 4 week tests returned negative and the 8 week antibody test returned negative, i'm still awaiting the viral load results for 8 weeks.
Could you please assess what my exposure risk was and what further testing you would recommend at this stage?
thank you
2 months ago i made a mistake in a New Orleans strip club, after too much alcohol i had unprotected vaginal and oral sex with one of the girls who works there, she was African American and the intercourse lasted no longer than a few minutes, i did not climax inside her, she assured me after that she was clean. I am a white European male who is uncircumcised. Sorry if some of this info is irrelevant.
I was tested for HIV and STD's 4 days after exposure and the results were negative. I have been tested again at 4 weeks for Syphilis and HIV and 8 weeks for HIV. I believe the tests were the antibody and viral tests for HIV. The 4 week tests returned negative and the 8 week antibody test returned negative, i'm still awaiting the viral load results for 8 weeks.
Could you please assess what my exposure risk was and what further testing you would recommend at this stage?
thank you
MEDICAL PROFESSIONAL
I have nothing more to say.
Thanks for the advice Doctor, not sure if you wanted me to answer your question but i got the info anyway. I was tested at my local STD clinic and the testing was based on the answers i provided. I the first test (after 4 days) was as stated, the second test (after 4 weeks) was only antibody and syphillis, the 3rd test (after 8 weeks) was antibody and viral test.
MEDICAL PROFESSIONAL
Welcome to the forum.
The sexual exposure is irrelevant at this point. Regardless of how risky an exposure is, a negative HIV antibody test 8 weeks after the last possible exposure is proof against a new HIV infection; even your 4 week test was 90-95% reliable. Even though many official sources say to wait 3 months, it really isn't necessary (see http://www.medhelp.org/posts/HIV-Prevention/-A-Question-on-Testing/show/1347755). No physician who understands HIV would have requrested a viral load test in this circumstance. It will be negative and was a waste of money in view of the antibody test results. (Did you select your own tests from an online service?)
Anyway, you had a low risk exposure, since most sexually active women don't have HIV, few people lie about it when asked directly, and the average HIV transmission risk from unprotected vaginal sex -- for an uncircumcised male with an infected female partner -- is around 1 in 1,000. But as already noted, even if you had had the highest imaginable risk, the test results rule. You don't have HIV.
No further testing is necessary, unless the official advice about 3 month testing makes you decide to have a final antibody test at that time because another negative result will help you move on. But it's truly unnecessary from a risk assessment standpoint.
Regards-- HHH, MD
The sexual exposure is irrelevant at this point. Regardless of how risky an exposure is, a negative HIV antibody test 8 weeks after the last possible exposure is proof against a new HIV infection; even your 4 week test was 90-95% reliable. Even though many official sources say to wait 3 months, it really isn't necessary (see http://www.medhelp.org/posts/HIV-Prevention/-A-Question-on-Testing/show/1347755). No physician who understands HIV would have requrested a viral load test in this circumstance. It will be negative and was a waste of money in view of the antibody test results. (Did you select your own tests from an online service?)
Anyway, you had a low risk exposure, since most sexually active women don't have HIV, few people lie about it when asked directly, and the average HIV transmission risk from unprotected vaginal sex -- for an uncircumcised male with an infected female partner -- is around 1 in 1,000. But as already noted, even if you had had the highest imaginable risk, the test results rule. You don't have HIV.
No further testing is necessary, unless the official advice about 3 month testing makes you decide to have a final antibody test at that time because another negative result will help you move on. But it's truly unnecessary from a risk assessment standpoint.
Regards-- HHH, MD
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