need info - Dr hunter hands field

[sameer883]

I went to massage parlour and the woman sucked my penis with out any condom  and I ejaculated over her body ....... my family doctor asked me to do the following test to rule out any diseases ...
1.Hiv 1 / hiv2 and  p24 combo test

2.serum /VDRL ( Rpr)

3 Hepatitis B surface antigen, HbSag ,serum

All test have come Negative after 4 weeks of above episode , my doctor says i should re test after 3 monte

I request to know if I am clear of all STD/ STI and can have sex with my girlfriend as i have been avoiding her for 4 weeks and can not avoid for 2 more months  as  she will start suspecting  ......

Please advice as she is already saying i am avoiding her

[H. Hunter Handsfield, M.D.]

Welcome to the forum.  It is only by chance I am responding to your question.  Users should understand that Dr. Hook and I pay no attention to specific requests; we take questions randomly.  Our advice and recommendations are always the same.

Your family doctor was being careful and conservative:  STD or HIV testing normally is not needed after a single episode of oral sex, especially heterosexual.  (The oral sex risk is somewhat higher between male partners.)

Lets discuss your tests one by one:

HIV:  Oral sex is virtually zero risk for HIV and you definitely did not need HIV testing.  But the duo test, like you had, is 100% reliable any time 4 weeks or more after exposure.  No more testing is necessary.  For more information, here is a discussion of time to reliable results with various tests:  http://www.medhelp.org/posts/show/1891685

Syphilis:  Although syphilis can be transmitted by oral sex, syphilis is rare in heterosexual women, and if you caught syphilis, you would have had an obvious sore on the penis.  The blood tests at 4 weeks is around 90% reliable; for a definitive result, another test is needed at 6 weeks or more after exposure.

Hepatitis:  Oral sex is zero risk.  You did not need testing at all and I see no need for another test.

You can safely resume sex with your regular partner at this time.  In fact, there was no need to stop.  Had I been in your situation myself, I would never have stopped having sex at home, and I would not have been tested for any infection.

So no worries at all.  If you need still more reassurance, go ahead with your doctor's advice about follow-up testing at 3 months.  The results will be negative.

Best wishes--  HHH, MD

[sadman29]

A related discussion, please help was started.

[sameer883]

Thank you doctor .... before ending the thread wanted to thank you people for such GREAT WORK DONE ...... you are helping people thru mentally tough times and there are no words that can explain how great a help you have been tooooooooo many confused people like me .


Thanks again

[H. Hunter Handsfield, M.D.]

there was no risk for ANY std ad you should not be tested for herpes.  

That definitely ends this thread.  Do your best to move on with your life without worry.

[sameer883]

You have  given all the clarity I need for peace of mind

Only one last question ...... we have not discussed Herpes ....

sorry to disturb but last query

[H. Hunter Handsfield, M.D.]

No urine testing (for gonorrhea and chlamydia) is necessary.  The HIV and syphilis tests were the only possible exposures -- and even these were nearly zero risk.

Thanks for the thanks about hte forum.  I'm glad to have helped.

[sameer883]

Sorry doctor new to the forum that is why marked out specifically to u. Thought had to mark to a Doctor

Your explanation was great and hope my doctor would have spent this time and explained me

One last query.... I have had no urine test done .... All the above mentioned  I have done have they covered all possible exposures that I could have ......

Thank you