Would like peace of mind

[fearfull2011]

In June of 2010 I went home with a prostitute from a KTV bar in China, had protected sex, and when I went to pull out the condom had broke. Pretty confident it broke as I was having my orgasm but it could have been a little earlier.

Then in July of 2010 I received unprotective oral for about 5 minutes from a prostitute that came home with me from a KTV bar in China followed by a few minutes of protected vaginal sex, I did not have an orgasm and condom remained on an intact.

30 days later I received a HIV test and it came back negative. It was just shy of 8 weeks from the first exposure and 30 days after the July exposure.

I also had all STD's checked and everything came back negative.

About 4 weeks ago I was back in China, this time no sex, but I did receive a hand job with oil and prostate massage. It was as clean as you wold expect one of these massage places to be, not sure what the oil was, pretty sure she used a gloved finger, didn't see any cuts or bleeding.

About 10 days ago I received another hand job from a girl I met at a bar and she used a little saliva, twice, as lubricant on my penis.

I am now having some tingling and pain in my genitals and would normally put it to prostatitis (have been fighting prostatitis for 18 months now). However with recent exposers with hand jobs my mind not thinks I may have HIV or some other STD.

My questions are this:

1 - at nearly 8 weeks (51 days I think it may have been closer to 70 days) weeks based on my June exposer is my HIV test conclusive?

2 - based on 30 days from the July exposure is my HIV test conclusive?

3 - Any way possible for STD's from the last two exposures?

4 - Should I be worried of the saliva that was used for lubricant on the hand job?

5 - Can I tell my mind to stop wprrying now?

6 - Do I need to not have sex with my wife and get tested again?

[H. Hunter Handsfield, M.D.]

Welcome to the HIV forum.

Of the sexual events described, the only one that carried any appreciable risk for either HIV or other STDs was the first, i.e. vaginal sex with broken condom.  Oral sex is virtually zero risk for HIV (truly zero, according to some experts) and very low risk for other infections.  Hand-genital contact is risk-free, even if lubricated with genital secretions or saliva.  To your questions:

1) Your negative HIV tests are completely reliable.  Here is a thread that discusses why official sources still specify 3 months for reliable HIV antibody test results despite evidence that 6-8 weeks is sufficient:    http://www.medhelp.org/posts/show/1347755

2) Antibody-only tests are 90-95% reliable by 4 weeks (30 days).  But the July oral sex event was too low risk to need HIV testing at all; after such an exposure, a negative result at 30 days can be considered definitive.

3) No risk; see above.

4) No worries from saliva.

5) Yes, stop worrying.

6) Assuming these are your only potential risks, unprotected sex with your wife is entirely safe at this time.

I hope this helps.  Best wishes--  HHH, MD

[fearfull2011]

Thanks you Doc. The details are accurate. I had an encounter earlier to the June encounter that was unprotected vaginal for about 3 minutes. Didn't mention because the HIV test would have been nearly 11 weeks or 12 weeks at that time so assume your answer would remain the same.

Getting your mid over the "what if? is challenging and clearly I have a sexual addiction problem that I need to address before I permantely hurt myself, or worse, my wife and children.

I will save my time and money and not waste another trip for blood tests.

Thank you,