Risk assessment since last negative Hiv test

[JohnPT]

Dear Doctors,

As you might know from my previous interaction with Dr.º Hook, and from my posts on the forum,  I am an avid forum reader and have a severe OCD regarding Hiv. So I’d like to ask you to analyze these recent activities which I have undertook since my last negative 4th generation Hiv test in May of 2010:

1) I had a sexual episode in July of 2010 with a brazilian 46 years old woman that I’ve met in 2009 in the internet, who came purposely  to Portugal in her holidays in order to stay with me. Prior to our first meeting, I asked her to perform an Hiv test some weeks earlier her arrival in 2010 which were negative. We’ve performed  condom protected intercourse in the night we've slept together.

2) In 2011 she came here again and we also spent a night together but this time I didn't ask her to perform an Hiv test since I believed her. We had condom protected intercourse, we’ve performed mutual oral sex (both giving and receiving) , adding also a mutual rimming session and I briefly penetrated her anus with a condom that  unfolded a bit at the tip slipping down from my pennis shaft , but still covering my penis head.Is there any Hiv risk associated with these activities?

3) In the last December,  I've visited a strip club with a couple of friends and they offered me a nude Lap dance made by a stripper, who rubbed her vagina all over my body. I did touch her chest, and I also grabbed her buttocks but i didn't fingered her at all since I have avoided to touch in her vagina or genital area. But when I arrived home 2 hours later I' ve started to panic since I looked into the top of my right hand and I saw a small fresh open cut that was originated by my dried chapped skin, which I didn't notice when I was at the strip club. Could there be a risk if I had touch accidentaly in her vaginal fluids?

4) Finally, do you think that I need to take an Hiv test regarding these events?

Thank you for all your attention.
Kind Regards.

[H. Hunter Handsfield, M.D.]

Welcome back to the forum.  However, you have asked virtually the identical questions many, many times on this and the HIV community forum.  Since the answers of course are the same, there is no point in going into detail, so my replies are brief.

1) No risk.  Your partner didn't have HIV, and even if she did, condom protected vaginal sex is risk free.

2) Oral sex is virtually zero risk for HIV, even without a condom. Rimming has never been known to transmit HIV.

3) Fingering and kissing never transmit HIV, regardless of chapped lips, minor cuts or scrapes that might be exposed, etc.

4) Based on these exposures, HIV testing isn't necessary. Of course you are free to be tested if you need the additional reassurance of a negative test result.

Let's plan on skipping the "yes but" or other questions for clarification as in many of your other threads.  All you need to remember is that if your bare penis (i.e. no condom) does not penetrate another person's vagina, rectum, or (rarely) mouth, then there is no risk of sexual transmission of HIV.  There are no exceptions.

Regards--  HHH, MD

[JohnPT]

Dr. Handsfield

As you might imagine I've spent almost  2 years with this unnecessary fears on my mind.

Thank you so much for helping me to deal with this anxiety.

Have a nice week.
Regards

[H. Hunter Handsfield, M.D.]

Oh come on.  The answer is obvious from the comments above and the many ones on other forums.  The test probably is just as reliable at 26 as 28 days.  But nobody knows for sure; no research has been done.  However, the COMBINATION of available facts (low risk partner, condom protected exposure, test result) adds up to 100% proof you did not catch HIV.  

Definitely you "should simply forget all about this events and move on".  And do not ask about any further uncertainties that come to mind.  There is no scenario your anxious mind can concoct that would change my opinion or advice.

[JohnPT]

Doctor Handsfield,

Could you only confirm me please in order to close this threat,  if I can truly rely on my latest negative Hiv 4th generation test which I took in May of 2010, 26 days after  a condom protected intercourse session with a woman I've previously met in the internet, who said that she wasn’t’ Hiv infected when I’ve asked her directly about her serological state before we having sex?

We only had condom protected vaginal sex in 2 different occasions with those textured and flavored condoms mentioned above, and the last encounter happened 26 days prior to my last negative 4th generation Hiv test. Since I couldn’t took the Hiv test at the 28 day mark, do you think that this 2 day interval make any difference on the test result credibility?

Do you think that I should simply forget all about this events and move on?

Thank you once again for taking your time with this threat.

Best wishes.

[JohnPT]

Dr. Handsfield,

I've asked it because I used one of those a textured and then a flavoured condoms when having intercourse with a women I've previoulsy slept 26 days before I took my last 4th generation Hiv test in May of  2010 which came negative.

Thanks again for all your advisement, and for the tip regarding the forum's usage.

Best wishes.

[H. Hunter Handsfield, M.D.]

Although I doubt it has been researched, I see no reason to suppose that textured condoms are any less protective -- unless maybe they are more prone to breakage, but I have no reason to suspect that's a problem.  And yes, as long as a condom covers the head of the penis, it can safely be assumed protection from HIV is complete.

Thanks for the thanks, both about our services here and in my Safe Sex knol.  But the whole point of all these efforts is to educate users so they don't have to ask questions like many of yours.  If it helps to hear information that you already know or can safely assume, it's your business (and your money), as long as you don't go over MedHelp's limit of 2 questions every 6 months on each of the professionally moderated forums.

[JohnPT]

Dr. Handsfield,

Thank you so very much for your quick reply.

I have a great admiration for yourself and for all your frankness and objectivity which inspires me in my daily life, besides my lack of discernment regarding Hiv. I would also like to congratulate for the synthesis of knowledge at your Google Knol on Safe Sex.

Sorry to persist in this threat, but since the 2000 character limit didn’t allowed me to put another paragraph, I’dd like to ask if  the textured, dotted, ribbed, or flavored condoms, offer the same effectiveness regarding Hiv protection on intercourse so as the normal plain condoms?

Since I am uncircumcised can I be reassured that if a condom eventually slips down from the base of my penis into half of the shaft, when having  penetrative sex  there isn’t any Hiv or STD risk, if it still covers the head of the penis?

Thank you so much.
Best wishes.