HIV Scare.....

[Michael1389]

I have two questions.....

I had and encounter with CSW recently, I used the condom, which did I not break. After I finished, I went for a second go, shortly after. I off course changed the condom. But I didn't wash my hands between changing the condoms. So my question is, since I touched the outside of the condom when I was taking it off, I was in contact with her vaginal fluids, and I surely touched my penis (inner foreskin when i rolled it down) whilst putting the second condom on, does that pose any risk of HIV infection?

I am wondering, in regards to the p24 antigen test, I read in few of the replies, that it can be detected almost immediately after infection? Reason I am asking is, I had a 4th gen DUO test done at 11 days post the incident, and the result was negative. Would that be in any way reliable indication of a negative status?

Tanks

[Michael1389]

You are very right, but I cannot help myself..... Last couple of days, against my better judgement, I took couple of xanax tablets to calm down.....

Once again, I do apologize for bugging you with my hypochondria

Thanks for the reassurances

Michael

[Edward W Hook, MD]

I think you are being a bit parnoid and your guilt is making you wonder if somehow you not only acquired HIV but are responsible for having given it to your GF.  I am confident that this did not happen.  there is no change to my assessment or advice.  Please do not worry.  EWH

[Michael1389]

Hi Dr Hook

I am afraid that i have to bother you further, with one more question....

The episode that i described happened 3 months ago. But about 4 weeks ago I had unprotected sex with my girlfriend, I know you said that the risk of HIV from touching my penis was virtually non existent, but I cannot stop thinking about it.

I noticed my girlfriend got several pale red spots around her collar area, above the shoulders, not very red, and all I saw was HIV rash.... my question is, could rash be the only symptom of acute hiv? I should mention that last few days were scorching hot in Australia, but the rash I mentioned doesn't really look like heat rash...

I do apologize for pushing this further, and appreciate your response

Michael

[Edward W Hook, MD]

No risk- HIV is not transmitted by touching of any sort.  Take care.  EWH

[Michael1389]

Hi Dr Hook

Thank you very much for the prompt reply. And if you don't mind, just for further reassurance..... Even if I touched the inner foreskin with fingers that have had vaginal fluids on them, would to still consider this a no risk situation?

Thanks once again

[Edward W Hook, MD]

Welcome to the Forum. The exposures you describe did not put you at risk for HIV and no testing is needed.  Condom protected sex is safe sex.  HIV is not transmitted from person to person, directly or indirectly, on person's hands, even when they have a partner's genital secretions on their hands. The virus is fragile and begins to die immediately once outside the body becoming non-infectious.  Thus that you may have gotten a partner's genital secretions on your hands in the context of changing condoms does not represent a risk for HIV, even in the unlikely circumstance that she had HIV.  I would not worry.

The p24 antigen does become detectable before HIV antibodies.  thus your negative test at 11 days is further evidence (over and above the no risk nature of the encounter you  describe) that you did not get HIV.

I hope this comment is helpful.  If this was your only recent exposure, there is no medical need for further testing.  EWH