Need Doctor's Advise

[vodkashot9]

**I pasted my question from the community forums for easier answers**

so I recieved an unprotected blowjob from a prostitute and I came in her mouth and she swallowed 6 weeks ago exactly.  I'm concerned about the ARS rash.  What does it look like?  I have these red dots spread throughout my upper torso that look like body acne, some with whiteheads some without.  a few on my neck as well.  On my face/forehead i have a good deal of acne and 2 or 3 what look like skin colored mosquito bites.  they do not itch, and are slightly red and raised in appearence.  I've had no other exposures other then this 6 weeks ago.

I'm going in for a test this saturday.  Do you guys think this rash (if it is one) sounds legit?  will my test be negative in your opinion?  When you have an ARS rash does it definatly look totally different and very noticeable?  I've called the prostitute like 4 times in the last 4 weeks and she swears up and down she's clean, she has a family, doesn't play games...all that stuff.  I have a scheduled HIV test this saturday morning.

Has anyone truly gotten HIV from unprotected oral sex?  Please answer my questions and thank you in advance.

I wanted to know...

1. will my 6 week test be conclusive in my case?
2.  Can ARS symptoms (what I think I have) come on around 6 weeks, or typically sooner
3.  Has anybody you or the other doctor have treated ever gotten HIV from oral sex?
4.  Is there a difference between being the person being sucked or doing the sucking?
5. Do any of my symptoms sound concerning?
6.  Can you add anything that would help me feel better about my risk/situation?
7.  For my test, I know my Doctors office sends all bloodwork to quest diagnostics.  If you're aware of any tests they have, can I request something in particular?  (I ask because I hear quest is the leading brand in this business worldwide)

Thanks in advance.

[Edward W Hook, MD]

This will be the last answer to your anxiety driven questions.  Most physicians would not even consider a temperature of 99 degrees for 10 minutes a fever. Fevers are sustained and typically higher than 100 degrees.  You could raise your temperature that much quite easily with exercise (jogging a few hundred feet).  The fever of early HIV is higher and sustained, lasting days.

This thread is over. Further questions will be delted without comment.  EWH

[vodkashot9]

Thank you, last question...

It seems like I'm plus 99 fever for 10 minutes, then 98.6.  Then 20 minutes later feel hot again, then back to normal.

How does the ARS fever work?  Is it over a certain temperature?  and for how long?  I know you say I will be fine, but it will ease my concerns.  After this I have no further questions and will be praying your prognosis is correct, and thank you so much for being understanding.

[Edward W Hook, MD]

Your fears are inappropriate.  The exposure you describe diid not put you at risk.  Your test will be negative.  Please calm down.  EWH

[vodkashot9]

Dr I'm terrified...I was feeling warm so I decided to take my temp and it was 99.4.  it's about 10 minutes later and I feel a LITTLE cooler.  

Could this be a late ARS fever?  I'm like shaking im so scared.  My 6 week test is tomorrow morning.  I remember 2 weeks after my risk I felt exactly like this for like 3 days, and it never topped 99.3.  Can the real fever be breaking thru?  I'm so scared

[Edward W Hook, MD]

Welcome to the Forum. As you have heard on the HIV Prevention Community site, your exposure did not put you at risk for HIV.  Your partner has told you she did not have HIV- you cannot get HIV form a person who does not have HIV.  Furthermore, the quoted figure for HIV risk, if one has oral sex with an infected partner is less than 1 in 10,000 and, in my estimation that is too high. Some experts state there is no risk at all from oral sex.  Neither of us on this site have ever seen or reading the medical literature of a convincing instance in which HIV was passed by oral sex.  

I will VERY briefly answer your questions.  As you have been told, answering "what if" questions when you have no risk is a waste of time- yours and mine.

1.  In your case, yes, since there was no meaningful risk to start with.
2.  ARS symptoms typically begin at 2-4 weeks.
3.  Read above.
4.  Nope
5.  I do not know what is causing your rash.  It is not HIV.  Perhaps it is your acne. If you are concerned, go ask your doctor to evaluate other causes.
6.  Read the comments and believe them.
7.   The test which gives definitive tests results most quickly is the DUO (combination HIV p24/HIV antibody) test.   Results are definitive at 4 weeks

I hope these comments help. You have nothing to worry about.  EWH