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Avatar universal

need your help, doctors

hello,
i have 4 different incidents to report. if you can please give me advice of how i should handle each one and whether there was a feasible amount of risk. thank you.

1. On May 7th 2013, I did not recall whether my penis had entered the person i was with, anally. If it did, it only lasted less than 10sec. I tested 2 weeks after with an RNA and it came back non reactive. I also just completed a test at 9 weeks with a rapid fingerprick test, it was also negative......can i let this go?

2. On May 20th 2013, I was the receptive partner and I bled the entire day after the incident. I remember seeing a condom on the giver, but kep thinking whether it was intact and it was actually on. I tested at 4 weeks and at 7 weeks and both came back negative......because I am a little unsure, would this be reliable test?

3. About two weeks, I had an individual touch my buttocks and complete frottage, but with clothes on. I was wearing shorts and he was wearing pants....did not feel anything wet....risk at all?

4. I kissed a guy who later told me he has unprotected sex. it was about 5 lip to lip kisses and then one french kiss all under 1 min.....risk at all?


Thank you very much for your understanding and advice. Hope to hear from you soon.
3 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
I'm glad to hear you're asking partners about HIV status.

Since your test result would have been reliable at 7 or 8 weeks, obviously it was reliable at 10 weeks.  Below is a link to a thread with detailed discussion of test reliability at various times after exposure:

http://www.medhelp.org/posts/show/1704700
Helpful - 0
Avatar universal
doctor,
I asked all partners regarding their hiv status and all of them stated they were negative.

I apologize for a minor error that I did. I mixed up the dates. Incident #1, I tested with an antibody finger prick and it came back negative at 10 weeks post possible exposure. So incident #2, that would be negative finger prick rapid at 8 weeks....how reliable are these tests if I placed myself at a risk?

i have read through some of your responses and that of the other doctor, and on several entries, you both state 8 weeks in enough? Would that include a high risk scenario if one was present?

Thank you.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

You seem to generally have a safe approach to sex with other men, either avoiding anal sex or consistently using a condom when you do.  I would advise that you also routinely ask all potential partners about their HIV and avoid sex (or at least anal sex, even with condoms) with those who are positive and not on treatment, don't know, or seem evasive -- if you aren't already doing so.  may do this, but since you don't mention your partners' HIV status, so I can't tell.)

Getting to these specific exposures, I would rate them all as zero risk for HIV, or very close to it.  Oral sex is extremely low risk, even with HIV infected partners, is very low risk, and kissing and hand-genital contact and fingering have never been known to transmit HIV.  From a medical or risk standpoint, you didn't need testing.  However, the negative test results you report are reliable in regard to the event 4 and 7 weeks later.

In the future, if you continue as safe as you have been (and especially if you always ask about HIV status ahead of time), I would advise that you stop being tested after any particular exposure and instead plan on routine testing for HIV (and gonorrea, chlamydia, and syphils) on a regular schedule, like once a year.

I hope this has been helpful.  Best dishes-- HHH, MD
Helpful - 0

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