Aa
Exposed Gential Warts Unprotected Oral & Protected Anal
One week ago (without getting into my moral and emotional anxiety), called in an Escort from Canada in Niagara Falls area. Though she said she gets tester regularly (define regularly), and though she told me she was clean when asked and only working couple of years. She did tell me some pretty scary situations she was involved in.
Had unprotected oral until completion and then topped her for anal using a condom with lubrication (not sure what kind, was hers) until completion. Once finished took the condom off we then talked (more about her lifestyle and such) for about an hour. After she left I went and took a shower. I checked the condom for breaks and blood and there was none (some fecal matter though) that could be seen.
Lets assume she is HIV+... Read & realize oral sex is uncommon (if not never for receiver) & that anal sex w/ condom was protected. Concern comes is that I have two genital warts near the bottom base of penis that most likely were exposed during the acts. Knowing that genital warts usually show up where the initial contact to receive them was. I have high confidence they were in contact again being (maybe even inside) that it happened before most likely happened again (condom stays on the same most of the time, little slippage here and there sometimes).
Vomited 2 days after the event, diarrhea days after and now two swollen/inflamed pink sores on back right side of tongue, that hurt slightly (enough to notice when moving tongue), but barely visible. ARS in just under 7 days?
You could even assume did not use the condom right, since I read a lot where they say used correctly (head of penis was always covered), just not genital warts (did not appear to be open, they been there for years).
What is causing anxiety of infection (moral different story) is that people win the lottery and those odds suck...
Had unprotected oral until completion and then topped her for anal using a condom with lubrication (not sure what kind, was hers) until completion. Once finished took the condom off we then talked (more about her lifestyle and such) for about an hour. After she left I went and took a shower. I checked the condom for breaks and blood and there was none (some fecal matter though) that could be seen.
Lets assume she is HIV+... Read & realize oral sex is uncommon (if not never for receiver) & that anal sex w/ condom was protected. Concern comes is that I have two genital warts near the bottom base of penis that most likely were exposed during the acts. Knowing that genital warts usually show up where the initial contact to receive them was. I have high confidence they were in contact again being (maybe even inside) that it happened before most likely happened again (condom stays on the same most of the time, little slippage here and there sometimes).
Vomited 2 days after the event, diarrhea days after and now two swollen/inflamed pink sores on back right side of tongue, that hurt slightly (enough to notice when moving tongue), but barely visible. ARS in just under 7 days?
You could even assume did not use the condom right, since I read a lot where they say used correctly (head of penis was always covered), just not genital warts (did not appear to be open, they been there for years).
What is causing anxiety of infection (moral different story) is that people win the lottery and those odds suck...
I should say final final thoughts. This will be the end.
MEDICAL PROFESSIONAL
Your test results alone are 95+% reliable. Adding that to the nearly zero risk of HIV from the exposure, and it amounts to zero possibilty you have HIV. I am confident that nobody in the world has ever turned out to have HIV in the face of this sort of exposure plus the test results you have had. Do your best to move on.
And those are indded my "final thoughts".
And those are indded my "final thoughts".
HIV 1 DNA Qualitative PCR came back negative testing 20 days after the incident. As well as all the other 8-panel tests came back negative, might have been to soon at 20 days for those?
SFAF
http://www.sfaf.org/hiv-info/testing/hiv-test-window-periods.html#.Ui4ZE8bku2I
Says 2-3 weeks for PCR, which all their windows seem in-line with the archives you have given. But I assume they take probabilities into account for those window periods as you do for low risks, but not definite. As others insist on 28 days for 100% (might be older studies).
The lab that actually did the work said 99% would show by 3 weeks (maybe they meant 99% accurate).
I know you said no risk, so negative should only make me feel better.
But I just want to know your thoughts on what percent would show by 20 days. Like what percent and is the later percent like the 3% (whatever the percent) that do not show for 6 months (with normal test) because of immune issues?
Thanks for you final thoughts.
SFAF
http://www.sfaf.org/hiv-info/testing/hiv-test-window-periods.html#.Ui4ZE8bku2I
Says 2-3 weeks for PCR, which all their windows seem in-line with the archives you have given. But I assume they take probabilities into account for those window periods as you do for low risks, but not definite. As others insist on 28 days for 100% (might be older studies).
The lab that actually did the work said 99% would show by 3 weeks (maybe they meant 99% accurate).
I know you said no risk, so negative should only make me feel better.
But I just want to know your thoughts on what percent would show by 20 days. Like what percent and is the later percent like the 3% (whatever the percent) that do not show for 6 months (with normal test) because of immune issues?
Thanks for you final thoughts.
MEDICAL PROFESSIONAL
You have correctly predicted my thoughts.
"...what are the odds of having mouth tonsil issues after this exposure/event and it not being related?" Thousands to one. Look at it this way. Every month in North America there must be tens of thousands (maybe millions) of sexual exposures like yours, and every month there are similar numbers of people who get new upper respiratory infections with tonsillitis. Obviously both things will happen to tens of thousands of people, but maybe only one of all those people will have caught HIV.
There's really no need to post your negative test results, but I won't have any comment about them.
"...what are the odds of having mouth tonsil issues after this exposure/event and it not being related?" Thousands to one. Look at it this way. Every month in North America there must be tens of thousands (maybe millions) of sexual exposures like yours, and every month there are similar numbers of people who get new upper respiratory infections with tonsillitis. Obviously both things will happen to tens of thousands of people, but maybe only one of all those people will have caught HIV.
There's really no need to post your negative test results, but I won't have any comment about them.
I did not let it rest... I have looked in my mouth more times then I would like to admit. Sore mouth has finally started to go (after 1.5 weeks) was a couple poplets (sores with liquid) near my tonsil once those released the pain went away. However my tonsil (on the one side) has remand swollen (not noticeable without looking) and the back portion is a glossy red, but no white spots. But there is a distinct difference from the two sides of my mouth. However add last few days had muscle aches in my legs.
Now I assume you will say. Acute HIV and tonsil inflammation is not related on its own and that the muscle aches could be due any number of things (e.g. walking to much).
The thing stuck in my head are what are the odds of having mouth tonsil issues after this exposure/event and it not being related?
I shall be getting a full 8 panel test with early HIV detection DNA test this Tuesday (20 days past the event). DNA test should be conclusive around 3 weeks?
I will post results when they come back, as a record for people searching this and for any data it might help.
Final thoughts might make me have a good labor day. :) After that the tests should prove either way.
Now I assume you will say. Acute HIV and tonsil inflammation is not related on its own and that the muscle aches could be due any number of things (e.g. walking to much).
The thing stuck in my head are what are the odds of having mouth tonsil issues after this exposure/event and it not being related?
I shall be getting a full 8 panel test with early HIV detection DNA test this Tuesday (20 days past the event). DNA test should be conclusive around 3 weeks?
I will post results when they come back, as a record for people searching this and for any data it might help.
Final thoughts might make me have a good labor day. :) After that the tests should prove either way.
MEDICAL PROFESSIONAL
Probably a garden variety respiratory virus, but it could be a strep throat. See a doctor or clinic; you may need an antibiotic. For the reasons discussed above, you can dismiss HIV as a possibility.
I think anxiety is setting in, but rather then google (is a verb, LOL). I just wanted to quickly ask and then leave it rest. I have a mild sore throat with several white spots on back of throat at day 10 and a slight pain on side under chest. Is mild enough to notice, would this be something of concern?
If you would not mind one last follow up, it would be appreciated.
If you would not mind one last follow up, it would be appreciated.
MEDICAL PROFESSIONAL
Your symptoms are not typical for ARS, and they started too soon. ARS symptoms typically begin at 10-14 days and never before 7-8 days.
Statistically, your escort partner's black race may elevate the risk she had HIV. On the other hand, her age lowers it. And note one of the main points of my comments: even if she had HIV, you were not at any measurable risks from the exposures described.
Don't over-think it. The fact is that there is simply no realistic chance you caught HIV.
Statistically, your escort partner's black race may elevate the risk she had HIV. On the other hand, her age lowers it. And note one of the main points of my comments: even if she had HIV, you were not at any measurable risks from the exposures described.
Don't over-think it. The fact is that there is simply no realistic chance you caught HIV.
Sorry and I assume my ARS type symptoms cannot happen so soon or are not even related to ARS? Tongue being sore two raise taste buds (i think) on back right worry me...
You made the point to say white (which I am), but she was black. Said her father was from elsewhere (forgot), but her mother was from Canada. Does that add to the odds. She is going to college (so she says) and seemed relatively having head on straight. Just made the point she can handle a lot of scary situations that her fellow coworkers wouldn't which was a worry.
MEDICAL PROFESSIONAL
Welcome to the forum. Thanks for your question.
You really should not be at all worried about HIV. It is unlikely you were even exposed; and if you were, even less likely you were infected.
HIV is really, really rare in white, heterosexual populations in the US and Canada, especially outside a few high risk settings and locations -- which do not include NY state (outside NYC) or urban Canada. And it is generally believed that escorts (expensive female sex workers by appointment) have low HIV rates. Most know how to protect themselves and use condoms; and most of their customers are low risk for HIV and other STDs (men like you!). And like your partner, most probably get tested regularly -- after all, they don't want HIV or STDs any more than you do. Finally, probably few people lie when asked directly about HIV status and their past tests.
Equally important, you had entirely safe sex. You are correct about the virtually zero risk (maybe truly no risk) of unprotected oral sex. And condom protected vaginal or anal sex is practically risk free if the condom doesn't break.
Some STDs increase HIV risk in event of exposure -- but genitals warts do not (or if they do, the enhanced risk is small). Even if the risk were doubled, as it is with genital HSV-2 infection, that actually doesn't mean much. If the prior risk is, say, 1 in a million, doubling the risk raises the odds to 1 in 500,000 -- pretty meaningless for any particular exposure.
Of course you are correct that despite long odds, rare things happen. People get killed by lightning or in commercial airplane crashes. And win lotteries. But the chance is effectively zero for any particular person, any particular commercial flight, or any particular round of golf on a rainy day. I would not advise you or anyone else to take special actions to prevent such rare bad outcomes, and would generally tell people not to waste funds they can't afford on powerball.
If I were in your situation, I would feel no need to even be HIV tested, and I would continue unprotected sex with my wife with absolutely no concern about transmitting HIV or any STD to her. Of course, I'm not you -- and you might decide to be tested for HIV, since a negative result may be more reassuring than anything I can say.
I hope this has helped. Best wishes-- HHH, MD
You really should not be at all worried about HIV. It is unlikely you were even exposed; and if you were, even less likely you were infected.
HIV is really, really rare in white, heterosexual populations in the US and Canada, especially outside a few high risk settings and locations -- which do not include NY state (outside NYC) or urban Canada. And it is generally believed that escorts (expensive female sex workers by appointment) have low HIV rates. Most know how to protect themselves and use condoms; and most of their customers are low risk for HIV and other STDs (men like you!). And like your partner, most probably get tested regularly -- after all, they don't want HIV or STDs any more than you do. Finally, probably few people lie when asked directly about HIV status and their past tests.
Equally important, you had entirely safe sex. You are correct about the virtually zero risk (maybe truly no risk) of unprotected oral sex. And condom protected vaginal or anal sex is practically risk free if the condom doesn't break.
Some STDs increase HIV risk in event of exposure -- but genitals warts do not (or if they do, the enhanced risk is small). Even if the risk were doubled, as it is with genital HSV-2 infection, that actually doesn't mean much. If the prior risk is, say, 1 in a million, doubling the risk raises the odds to 1 in 500,000 -- pretty meaningless for any particular exposure.
Of course you are correct that despite long odds, rare things happen. People get killed by lightning or in commercial airplane crashes. And win lotteries. But the chance is effectively zero for any particular person, any particular commercial flight, or any particular round of golf on a rainy day. I would not advise you or anyone else to take special actions to prevent such rare bad outcomes, and would generally tell people not to waste funds they can't afford on powerball.
If I were in your situation, I would feel no need to even be HIV tested, and I would continue unprotected sex with my wife with absolutely no concern about transmitting HIV or any STD to her. Of course, I'm not you -- and you might decide to be tested for HIV, since a negative result may be more reassuring than anything I can say.
I hope this has helped. Best wishes-- HHH, MD
You are reading content posted in the HIV - Prevention Forum
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
Can I get HIV from surfaces, like toilet seats?
Can you get HIV from casual contact, like hugging?
Frequency of HIV testing depends on your risk.
Post-exposure prophylaxis (PEP) may help prevent HIV infection.
