What is my risk??

[MM_MM]

Hi! On 14/05/2012, I've received unprotected oral sex from female sex workers. About 2 weeks after that I have rash which is sometimes itchy, muscle pain, joint pain, sweating night & sore throat. I've done the antibody rapid test after 29 days & 39 days which is -ve. Till today (47 days after the activity) I still have the muscle pain especially at thight & sometimes feel weak to walk. I also feel pain around the neck & jaw but I'm not sure whether there is swollen lymph node. I also can see there is sign of tonsil at my throath & a small white patches. There is also rash at my skin which is keep develop. To wait for 12 weeks for the conclusive 13 weeks result is really killing me. I'm doing the rapid test at the NGO which offer anynomous test & I did ask which generation of rapid test that they're used. But, they also not sure about it. What they know is that it will detect HIV antibody. They also said that I should come after 3 month instead doing the test at 25 days & 35 days. Is it possible that my body still not produce the antibody after 39 days? I'm afraid that I'm in situation where I'm still at seroconversion period which at the same time CD4 count will be drop while the viral load is very high which could cause disease like PCP. May I know what is the chance to get +ve result after 39 days result is -ve? Sorry for the lenghty of my post as I'm very worried. I'm living in Asia country where the stigma on this disease is very high as compared to US & EU region.

[RainLover71]

The HCV is not an STD.

[MM_MM]

Hi RainLover, thank U for the reply.. It's just for ease my mind as there is few things happening on my body after the activity which make me worry. Just want to ask U whether my symptoms could be related to Hepatitis? I see that U also have interest on Hepatitis. I still didn't carry out any test on Hepatitis. How long the body will produce the Hepatitis antibody. Sorry, I'm off topic a bit..

[RainLover71]

That therapist doesn't know what their talking about.Kissing & oral sex are zero risk--you are testing for nothing.

[MM_MM]

Just to update that I'm doing another antibody rapid test yesterday which is 8 weeks & 1 day after the activity (57 days) & the result is -ve. I did check the rapid test kit & the manufacturer is Intec. So, probably anyone here have a knowledge on the generation type & the accuracy. Still keep my finger crossing to maintain the same result after 13th week.

Yesterday when I take the test, the counsillor have made me nervous as he tell me that kissing was also have chances to spread the virus... As for oral, the activity carry a low risk..

[RainLover71]

You don't require any further testing--you never had a risk.

[MM_MM]

Hi Rainlover & Teak. Thank U for response. Currently I'm scared to see a doctor to have a check on what was the problem that cause those symptom as I'm scared that they will discover it's due to HIV. If that happen, my identity will be expose & they will report it to the govenment health department. Due to the my health which is not good, I alwasy thinking to take another round of rapid test to see what is the result. But now I try to hold myself to only do it at 8 weeks & after that at 13 weeks. With the statement from both of U, I hope it can relax me a bit & make believe it's not an HIV. I'll post my result whenever I do another round of test. Wish me the best & thank U again for the response. Thanks to God that there is person like you all who kind enough to give advice & guidance to people like me. Wish U all the best!!

[Teak]

No incident HIV infections among MSM who practice exclusively oral sex.
Int Conf AIDS 2004 Jul 11-16; 15:(abstract no. WePpC2072)??Balls JE, Evans JL, Dilley J, Osmond D, Shiboski S, Shiboski C, Klausner J, McFarland W, Greenspan D, Page-Shafer K?University of California, San Francisco, San Francisco, United States

Oral transmission of HIV, reality or fiction? An update
J Campo1, MA Perea1, J del Romero2, J Cano1, V Hernando2, A Bascones1
Oral Diseases (2006) 12, 219–228

AIDS: Volume 16(17) 22 November 2002 pp 2350-2352
Risk of HIV infection attributable to oral sex among men who have sex with men and in the population of men who have sex with men

Page-Shafer, Kimberlya,b; Shiboski, Caroline Hb; Osmond, Dennis Hc; Dilley, Jamesd; McFarland, Willie; Shiboski, Steve Cc; Klausner, Jeffrey De; Balls, Joycea; Greenspan, Deborahb; Greenspan
Page-Shafer K, Veugelers PJ, Moss AR, Strathdee S, Kaldor JM, van Griensven GJ. Sexual risk behavior and risk factors for HIV-1 seroconversion in homosexual men participating in the Tricontinental Seroconverter Study, 1982-1994 [published erratum appears in Am J Epidemiol 1997 15 Dec; 146(12):1076]. Am J Epidemiol 1997, 146:531-542.

Studies which show the fallacy of relying on anecdotal evidence as opposed to carefully controlled study insofar as HIV transmission risk is concerned:

Jenicek M. "Clinical Case Reporting" in Evidence-Based Medicine. Oxford: Butterworth–Heinemann; 1999:117
Saltzman SP, Stoddard AM, McCusker J, Moon MW, Mayer KH. Reliability of self-reported sexual behavior risk factors for HIV infection in homosexual men. Public Health Rep. 1987 102(6):692–697.Nov–Dec;

Catania JA, Gibson DR, Chitwood DD, Coates TJ. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior. Psychol Bull. 1990 Nov;108(3):339–362.

There is no debate (among experts) about the HIV risks associated with oral sex. The risk is so low that almost nobody who cares for HIV infected patients has ever had a patient believed to have been infected that way. Among experts, it's a semantic issue about using terms like "no risk" and "very low risk". There is no difference between my or Dr. Hook's use of "low risk" and other experts' "no risk".
DR. HANSFIELD

"And oral sex is basically safe sex -- completely safe with respect to HIV and although not zero risk for other STDs, the chance of infection is far lower than for unprotected vaginal or anal sex. Please educate yourself about the real risks. If you stick with oral sex and condom-protected vaginal or anal sex, you have no HIV worries and very little worry about other STDs. " DR HANSFIELD

"I am sure you can find lots of people who believe that HIV is transmitted by oral sex, but you will not find scientific data to support this unrealistic concern..." DR HOOK

"HIV is not spread by touching, masturbation, oral sex or condom protected sex."- DR. HOOK

in the public HIV Prevention forum of MedHelp, TEAK and the other moderators maintain that oral sex in all forms is a zero risk activity. Would you agree with this assessment?
I TOTALLY AGREE / DR GARCIA
"HIV is not spread by masturbation, through oral sex, through kissing or other casual contact." Dr. Hook
"The observation on thousands and thousands of observations is that HIV is not spread by oral sex (of any sort)." DR HOOK
"I would not say your risk ,if he had HIV is "slim to none"- that's too high.  I would say they are effectively zero.  How much of his ejaculate or other genital  secretions you may have swallowed makes no difference.  EWH "
"As far as HIV is concerned, there is no known risk of getting HIV from performing oral sex on an infected partner, even if that person's genital secretions get into your eyes or if you swallow." Dr.Hook
HIV is not spread by oral sex, giving or receiving, even if sores, gum disease or blood is present
DR HOOK
The fact is that there are no cases in which HIV has been proven to be transmitted by oral sex, including fellatio..  EWH

[RainLover71]

What is my risk?--ZERO.Stop testing.You're safe.