From a medical or risk assement perspective, there is no point in another test at 3 months or any other time. There is no information in your preivous message that should leave you "still so concerned".
Like the MA health department, Dr. Hook and I agree that in almost all situations, a negative HIV test 6 weeks after the last possible exposure is definitive, especially in low risk situations like yours. But obviously you are having trouble accepting the overwhelming evidence that you don't have HIV and undoubtedly will require yet another test for its psychological benefit, i.e. to help convince yourself you don't have HIV. So it's fine with me if you get tested again at 3 months.
That will be all for this thread. I'll have no further comments.
Congratulations on your negative test, which is valid. There is no reason to suspect a difference in test reliability between 7 weeks and 7 weeks +/- a day. The details of your sexual encounter are irrelevant: you could have injected yourself with HIV infected blood, but he negative blood test proves you were not infected. You certainly should "feel safe" you don't have HIV.
Skin-to-skin contact doesn't transmit HIV and cuts or sores on the skin probalby don't make much difference in this. There are no data to prove that male to female transmission risk is affected by ejaculation in the vagina, but logically the risk should be lower.
Don't dwell on the detailed mechanics of transmission. Instead just remember that even if your partner had HIV, and WITH ejaculation, the average HIV transmission risk is only 1 in 1,000 for any single exposure. So the odds are strongly in your favor.
So be mellow about HIV testing. It will be negative.
I went ahead and waited a little longer, and just did the rapid hiv finger prick test yesterday and the result was negative. This was one day shy of being at 7 weeks post exposure for the first encounter and 8 weeks post exposure for the second. Just to recap the exposure was protected sex and unprotected oral both times with no ejaculation. The second time, the condom didn't cover the entire shaft of the penis however. Do you think that I can feel safe that I don't have HIV?
Thanks so much for your help
Thank you so much for your reply. Your work that you do on this forum is an incredible service to the community! About the incident where his condom wasn't covering his entire penis....Is it true that hiv from this is less likely since precum and ejaculation wasn't exposed to my vagina? Is the skin to skin contact of the upper part of his penis a major risk? I didn't see any cuts or sores on his penis? I am still going to get tested but I have such a fear of being tested and it turning out positive.
Thank you so much for your help! You are a saint for helping as many people as you do on this forum who are scared and feel that they have no one else to turn to. I"m sure people don't tell you enough how much you help them, but just know that you are helping people in great need when they feel like they can't talk to anyone else. Thanks for everything you do!
Dear Dr. Hansfield,
I felt so much better after your message and I also called the Aids Hotline which was out of Boston Massachusetts. They told me that my 6 week negative rapid Unigold test was conclusive unless I was undergoing chemotherapy, had an organ transplant etc. But, I have recently started worrying again and here is why: You see, My husband whom I loved very much divorced me, and I went through a major depression and that is why I believe I acted out of character and had sex with the guy mentioned previously. Anyway, since that encounter, my ex husband has been begging me back, and after he and I went together and got the negative rapid hiv test (his also came back negative) and he said he hasn't had sex with anyone in the past 3 months). But, after our negative rapid tests, we had unprotected sex, and the very next day after we had sex, he said his neck was hurting. He has complained for 2 weeks about his neck hurting. I was honest with him before we went for testing and told him that 8 days after I had protected sex with the other guy and 1 day after the 2nd protected sex and unprotected oral.....my neck started hurting and I felt like my lymph nodes were swollen. Now, the next day after me and my ex husband had unprotected sex...now his neck feels swollen. Do you think this could be him experiencing ARS from having sex with me? Surely the experts on the Aids Hotline in Boston Massachusetts wouldnt' say that if someone tested in Massachusetts and was negative after 6 weeks they are negative if that isn't conclusive. I also called the Boston Massachusetts Children's Hospital and they same the same thing. Do you think I should go for a 3 month test? This is the last question I will ask, and I am sorry to bother you. Thank you for all of your kindness and help.
I am praying that you will answer because I am still so worried, and I am hoping to put all of this behind me. I felt so relieved after I got the negative rapid unigold finger prick test at 6 weeks and 6 days after the last episode of protected sex and unprotected oral sex. But my previous message before this is why I am still so concerned.
Welcome to the HIV forum. The bottom line is that it is very unlikey you caught HIV in these events, and your symptoms do not suggest it. But you should be tested for HIV to prove it and for the reassurance you will feel from knowing for sure.
You had partly unprotected sex, since apparently there was at least one episode of vaginal penetration without condom; there was no ejactulation in the vagina, but still potential risk for transmission of HIV or other STDs. However, it is unlikely your partner has HIV, even if his behavior suggests multiple partnerships -- unless he has especially high risk characteristics on the basis of drug use, past imprisonment, being from an AIDS endemic country, and so on.
Your symptoms sound like those of a minor viral infection and not HIV. Your doctor didn't apparently suspect HIV as a cause of the problem. The rash of HIV is generally more widespread than you describe.
HIV testing is always highly reliable at 4-6 weeks; by that time 90-95% of newly infecte people have positive results. Many experts also recommend testing after 8-12 weeks, to pick up rare cases that take longer to show positive. But go ahead and get tested now. Almost certainly it will be negative. Then you can follow your doctor's (or the testing center's) advice about possible later testing as well.
There was higher risk for other STDs than HIV, and testing for gonorrhea, chlamydia, and syphilis would have been a good idea. However, the azithromycin (Z-pak) would have cured or prevented any of these infections, so at this point there is no need to test for them.
I hope this helps. Best wishes-- HHH, MD