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HIV Risk and Test Accuracy
Please help Dr. HHH,
I went to Miami on June 22nd. I started experiencing itch on upper abdomen. I started scratching and after I went to hotel I noticed a red spot on upper abdomen. I thought it is because of my OTC antacid and Constipation medicine abuse.I went to stripclub that night and met a mexican american CSW. She used the condom she had. She put it on my penis by pulling the skin from top of penis and she did oral and vaginal sex.I was sitting and she was on top of me. I did not think she had any vaginal fluids but I am not sure. I came after 5 minutes and she asked me did you come(may be because I was started to become soft...)... I said yes and she got off and condom looked intact and she removed it and she gave me napkin to clean off. I cleaned of a little and left the club.. reached the hotel in .5 hr and washed. I am not uncircumcised and lost erection and skin did not cover head. My pubic hair had my semen and probably touched my penis head while I was driving. I came back few days later and moved to a different apartment and I was exposed to lots of cleaning chemicals. I started developing severe heart burn. Dr. gave me omeprazole and clotrimazole. I got HIV DNA and all STD tests after 9.5days. Only HSV 1 was neg. after one week I developed severe itching under my public hair and I use eczema cream and after few days it stopped. But I noticed that skin has more pigmentation at some places and My rash on abdomen spread a little bit and doctor prescribed Triamcinolne. It seems like rash looks black like healing burn... I am getting minor sores in mouth.
Can vaginal fluids on my public hair mix with my semen and touch my open penis head and result in infection?
Can cleaning after 30 min increase the HIV exposure?HIV DNA after 9.5 days is of any good?Rash on abdomen was present before so can it spread because I am infected with HIV? I never took any antibiotics. I still have small rash and sometimes I feel itchy anywhere?Should I get tested again?
I went to Miami on June 22nd. I started experiencing itch on upper abdomen. I started scratching and after I went to hotel I noticed a red spot on upper abdomen. I thought it is because of my OTC antacid and Constipation medicine abuse.I went to stripclub that night and met a mexican american CSW. She used the condom she had. She put it on my penis by pulling the skin from top of penis and she did oral and vaginal sex.I was sitting and she was on top of me. I did not think she had any vaginal fluids but I am not sure. I came after 5 minutes and she asked me did you come(may be because I was started to become soft...)... I said yes and she got off and condom looked intact and she removed it and she gave me napkin to clean off. I cleaned of a little and left the club.. reached the hotel in .5 hr and washed. I am not uncircumcised and lost erection and skin did not cover head. My pubic hair had my semen and probably touched my penis head while I was driving. I came back few days later and moved to a different apartment and I was exposed to lots of cleaning chemicals. I started developing severe heart burn. Dr. gave me omeprazole and clotrimazole. I got HIV DNA and all STD tests after 9.5days. Only HSV 1 was neg. after one week I developed severe itching under my public hair and I use eczema cream and after few days it stopped. But I noticed that skin has more pigmentation at some places and My rash on abdomen spread a little bit and doctor prescribed Triamcinolne. It seems like rash looks black like healing burn... I am getting minor sores in mouth.
Can vaginal fluids on my public hair mix with my semen and touch my open penis head and result in infection?
Can cleaning after 30 min increase the HIV exposure?HIV DNA after 9.5 days is of any good?Rash on abdomen was present before so can it spread because I am infected with HIV? I never took any antibiotics. I still have small rash and sometimes I feel itchy anywhere?Should I get tested again?
No more questions. I just want to thank you for your patience in answering questions...
MEDICAL PROFESSIONAL
The DUO tests are not widely available in the U.S. If they are available, your local health department will know.
That's it for this thread. EWH
That's it for this thread. EWH
Thank you for the respnse. One last and final question.is HIV DUO TEST available in US(cleveland, OH). I am not able to find any online. I even called stdexpress website....
Sorry for so many questions....
Sorry for so many questions....
MEDICAL PROFESSIONAL
That you are not circumsized does not change my assessment or recommendations. You really are not at risk for HIV or other STD from the exposure you have described. EWH
I also want to add that no kissing and only hugged her twice. It was the first time it haapened and iam not sexually active. I am 33 and i think the girl is early or mid twenties which make me sick of myself....
Thank you for your response Dr. I meant to say that I am not circumsized. Will this change anything. Can it be still considered low risk. I did have mild sore throat but always accompained by severe Gerd. I contacted csw and she said that I promise you I am 100% clean. I will get duo test you mentioned asap....
MEDICAL PROFESSIONAL
Welcome to our Forum. It is clear from your post that since this encounter you have been checking on yourself carefully for any signs of possible HIV. None of the things you describe however raise any concern for HIV and, even more importantly, there was no meaningful risk for HIV from the activities you describe. Let me describe some of the reasons I am confident that the exposure you have described has not given you HIV:
1. Most commercial sex workers do not have HIV. That your partner had, and used a condom is a good sign as well since CSWs use condoms to protect themselves from their partners, not the other way around.
2. Condom protected sex is safe sex. That the condom appeared intact following sex means that it was, thus you were protected.
3. HIV is not spread through the contact of genital secretions with intact skin, including the skin of your pubic region or if secretions were transferred from your public region to your penis.
4. While HIV DNA tests are not recommended for HIV diagnosis, the fact that your test was negative at 9 days following exposure is strong, but not perfect evidence that you did not get HIV. If you wish the peace of mind that a definitively negative test will provide a 4th generation, "DUO" test which tests for HIV p24 antigen and HOV antibody will provide definitive evidence that you were not infected if taken at any time beyond 4 weeks after your exposure (i.e. now). Alternatively, a standard HIV antibody test taken at 8 weeks after exposure will also be definitive.
5. The symptoms you describe- itching, a rash or sores in your mouth are not signs of early HIV.
Putting all of this evidence together, you can be quite confident that you did not get HIV from the exposure you have described. I would not worry and personally, see no medical need for further testing. EWH
1. Most commercial sex workers do not have HIV. That your partner had, and used a condom is a good sign as well since CSWs use condoms to protect themselves from their partners, not the other way around.
2. Condom protected sex is safe sex. That the condom appeared intact following sex means that it was, thus you were protected.
3. HIV is not spread through the contact of genital secretions with intact skin, including the skin of your pubic region or if secretions were transferred from your public region to your penis.
4. While HIV DNA tests are not recommended for HIV diagnosis, the fact that your test was negative at 9 days following exposure is strong, but not perfect evidence that you did not get HIV. If you wish the peace of mind that a definitively negative test will provide a 4th generation, "DUO" test which tests for HIV p24 antigen and HOV antibody will provide definitive evidence that you were not infected if taken at any time beyond 4 weeks after your exposure (i.e. now). Alternatively, a standard HIV antibody test taken at 8 weeks after exposure will also be definitive.
5. The symptoms you describe- itching, a rash or sores in your mouth are not signs of early HIV.
Putting all of this evidence together, you can be quite confident that you did not get HIV from the exposure you have described. I would not worry and personally, see no medical need for further testing. EWH
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