Aa
Quick Q
Doctor.
I posted on the community forum and feel like I had an accurate reply. But I will make this quick.
1. Made out with TONS of tongue with a girl I presume is very high risk. She has done drugs, had lots of partners (some who have been into drugs as well)
2. Tested negative for HIV 2 1/2 weeks before our kissing session. Via oraswab advance or whatever it is called
3. I tested via oraadvance swab at 4 weeks and a few days after the incident and was negative (this is probably too soon?)
Anyways symptoms following exposure below:
1. White spots on tongue (2 1/2-3 weeks post)
2. Scratchy throat (this occured at 3-10 days after exposure)
3. Clustered white spots that dont hurt on lower gum (3 weeks post)
4. Today (5 weeks 5 daya post exposure) i noticed a white sore on the left side of the tongue, slightly hurts when hit
Will you please evaluate my situation as if she were infected?
I feel it hard to believe why oral-penile unprotected is "low risk" and why "French kissing with lots of tongue" is "no risk". I also might have had cracked lips at the time since I get those a lot. My friend ALS made out with her right before me and says he hasnt had anything weird happen. Thanks!
I posted on the community forum and feel like I had an accurate reply. But I will make this quick.
1. Made out with TONS of tongue with a girl I presume is very high risk. She has done drugs, had lots of partners (some who have been into drugs as well)
2. Tested negative for HIV 2 1/2 weeks before our kissing session. Via oraswab advance or whatever it is called
3. I tested via oraadvance swab at 4 weeks and a few days after the incident and was negative (this is probably too soon?)
Anyways symptoms following exposure below:
1. White spots on tongue (2 1/2-3 weeks post)
2. Scratchy throat (this occured at 3-10 days after exposure)
3. Clustered white spots that dont hurt on lower gum (3 weeks post)
4. Today (5 weeks 5 daya post exposure) i noticed a white sore on the left side of the tongue, slightly hurts when hit
Will you please evaluate my situation as if she were infected?
I feel it hard to believe why oral-penile unprotected is "low risk" and why "French kissing with lots of tongue" is "no risk". I also might have had cracked lips at the time since I get those a lot. My friend ALS made out with her right before me and says he hasnt had anything weird happen. Thanks!
MEDICAL PROFESSIONAL
I absolutely would not have recommended HIV testing on account of either your exposure or your symptoms. As for the supposed oral/saliva transmission report, it would seem you did not read my respone to it.
These additional comments do not change my opinion or advice. Accept them or not, I don't care -- but I'm not going to argue about it. This isn't a debate. Re-read my reply above and pay close attention. I will have no further comments or advice.
These additional comments do not change my opinion or advice. Accept them or not, I don't care -- but I'm not going to argue about it. This isn't a debate. Re-read my reply above and pay close attention. I will have no further comments or advice.
Thank you for your fast reply Doc!
. So is there really no chance of transmission through making out? I just get worried that since that incident (5 weeks 5 days ago) that all these symptoms are only popping up in the place of contact (mouth).
2. Would you recommend or see a need for testing if I hadn't chosen to? Or a medical need even after hearing these symptoms? Or should I just forget about it?
By the way, here is the post I was referring to.
http://www.medhelp.org/posts/HIV-Prevention/News-Article-has-me-terrified--Please-Help/show/1484778
I get confused on how HIV is "rarely" acquired by mouth and how deep kissing with cuts, sores, etc. Is "no risk" (0 possibility).
I feel the test 2 weeks before the incident was a good indicator but the possibility she could have been in the window period.
. So is there really no chance of transmission through making out? I just get worried that since that incident (5 weeks 5 days ago) that all these symptoms are only popping up in the place of contact (mouth).
2. Would you recommend or see a need for testing if I hadn't chosen to? Or a medical need even after hearing these symptoms? Or should I just forget about it?
By the way, here is the post I was referring to.
http://www.medhelp.org/posts/HIV-Prevention/News-Article-has-me-terrified--Please-Help/show/1484778
I get confused on how HIV is "rarely" acquired by mouth and how deep kissing with cuts, sores, etc. Is "no risk" (0 possibility).
I feel the test 2 weeks before the incident was a good indicator but the possibility she could have been in the window period.
MEDICAL PROFESSIONAL
Welcome to the forum.
I looked at the discussion on the community forum. You had gnerally accurate responses. HIV has not been known to be transmitted by kissing, and even if your partner had HIV -- which probably she did not -- you are not at risk. The large majority of women who you might "presume is very high risk" in fact are not infected.
As for "hard to believe" that kissing or oral sex doesn't frequently transmit HIV, it has to do with saliva inactivating the virus (as you were informed on the community forum), plus HIV only being transmitted by exposure to large amounts of virus that have to come into contact with certain cells. Here is a thread that discusses the biology of HIV and STD transmission (see the follow-up comment December 14): http://www.medhelp.org/posts/show/1119533
In addition, new HIV infections do not cause the oral symptoms you describe, at least not by themselves. Also, your negative rapid HIV test at 4 weeks really wasn't too soon. Although it sometimes takes 6-8 weeks for positive antibody test results, 90% of the time the test will be positive -- if someone has a new HIV infection -- by 4 weeks.
On the community forum, you said "a user posted to Doctor HHH about the man who believed he was infected by saliva from his HIV positive son". You misread something. I do not recall such a claim on this forum, and if there had been, I would have informed the questioner that such at thing was not possible. As you were told on that forum, you obviously cannot believe everything you read on line, wherever you read it. Nobody ever was infected in that manner.
If you remain concerned, you are free to have another HIV test. Assuming you have no other risks for HIV, you can expect any additional HIV tests to remain negative.
Really, mellow out. If you should turn up with a new HIV infection someday, it will not be from the kissing incident you are worried about.
Regards-- HHH, MD
I looked at the discussion on the community forum. You had gnerally accurate responses. HIV has not been known to be transmitted by kissing, and even if your partner had HIV -- which probably she did not -- you are not at risk. The large majority of women who you might "presume is very high risk" in fact are not infected.
As for "hard to believe" that kissing or oral sex doesn't frequently transmit HIV, it has to do with saliva inactivating the virus (as you were informed on the community forum), plus HIV only being transmitted by exposure to large amounts of virus that have to come into contact with certain cells. Here is a thread that discusses the biology of HIV and STD transmission (see the follow-up comment December 14): http://www.medhelp.org/posts/show/1119533
In addition, new HIV infections do not cause the oral symptoms you describe, at least not by themselves. Also, your negative rapid HIV test at 4 weeks really wasn't too soon. Although it sometimes takes 6-8 weeks for positive antibody test results, 90% of the time the test will be positive -- if someone has a new HIV infection -- by 4 weeks.
On the community forum, you said "a user posted to Doctor HHH about the man who believed he was infected by saliva from his HIV positive son". You misread something. I do not recall such a claim on this forum, and if there had been, I would have informed the questioner that such at thing was not possible. As you were told on that forum, you obviously cannot believe everything you read on line, wherever you read it. Nobody ever was infected in that manner.
If you remain concerned, you are free to have another HIV test. Assuming you have no other risks for HIV, you can expect any additional HIV tests to remain negative.
Really, mellow out. If you should turn up with a new HIV infection someday, it will not be from the kissing incident you are worried about.
Regards-- HHH, MD
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