My Risk

[srisai]

Hi Doctor

I had unprotected oral sexual exposure both ways with a women (CSW  Status unknown), fingering, *** licking etc.,.No Intercourse.
I don't have any symtoms

I have taken  the pkg( HIV DNA by PCR, HIV DNA BY PCR AB HIV Proviral DNA by PCR QUAL)  on 12 day and again on 32nd day. Both results are negative

My questions

1. I have seen lot of postings or on this forum Oalsex is zero risk and everyone is saying Oralsex is zero risk. CDC and other doctors said there is some risk involved and there are some know cases
2. Can I trust these results or is this some kind of business famous labs are doing using online sites. Most of the labs said it is conclusive after 28days
3. I had 3-4 beers before we had oralsex. Does it increase the risk of HIV transmission. I have seen some researc related to oralsex and alcohol. The reaserch indicated that alcohol increases risk of hiv transmission via oa sex.
4. The Incident happened in Las Vegas and due to high altitude of my room my lips were dry during that time and next day I see some blood in my flumb. Does this Increase my risk

Do I need to take another test.

Please let me know?

[Edward W Hook, MD]

You seem to want  to hear what you have already read once again.  So be it.  The quoted figure for HIV risk, if one has oral sex with an infected partner is less than 1 in 10,000 and, in my estimation that is too high. Some experts state there is no risk at all from oral sex.  Neither of us on this site have ever seen or reading the medical literature of a convincing instance in which HIV was passed by oral sex.

If you persist in worrying about something that has no risk, then to "prove" that you do not have HIV, you should be tested with a standard antibody test at 8 weeks following your exposure.  The recommendations for testing at 3 and even 6 months are the result of two factors- data from older tests no longer used (you really do not need to worry about which generation of tests you were tested with, at this time virtually all tests are far more sensitive that they were even 2-3 years ago when the 3 month recommendation was made) and secondly, the fact that some, mostly governmental agencies which have to provide recommendations for virtually everyone without the sort of interactions such as those you get with your doctor or on personalized sites such as this one, feel the cannot "afford" to be wrong and therefore make recommendations and guidelines which leave most people unnecessarily nervous for 4-6 weeks longer than the 6-8 weeks it takes virtually everyone to develop HIV antibodies.  

PCR tests that are negative at 4 weeks appear to rule out HIV but they have not been studied widely for this purpose. there are no definitive data on what a negative PCR test at 12 days but your negative test at 32 days is very strong evidence that you did not get HIV from your no risk exposure.

In answer to your specific questions:

1. See above.
2.  See above.  If the test was node in a licensed lab, the result is to be believed.
3.  No, there is no credible evidence that alcohol acts to increase risk for HIV other than its effect on people’s behavior.
4.  No, chapped lips have no change in risk.5. Obviously, form all that I've said, you do not need further testing.,

I hope these answers are helpful to you. EWH

[Edward W Hook, MD]

My recommendation is the same whther you are married or not.  EWH

[srisai]

Hi Doctor

This is my last question I never ask you again
You said I don't need further testing..

I am married your statement still valid?

[Edward W Hook, MD]

Glad to help. EWH

[srisai]

Thanks Doctor

I appreciate all the help you are doing it to the community.