Aa
Risk level of HIV
Am I at risk?
On December 5, I had a sexual encounter with a "pro", it was only oral sex and I was wearing a condom, nothing else but oral and I helped myself to finish. A week later I developed a "herpes" looking sore in my penis, got tested at week 3 and came back negative (igg igm culture), On January 28 I was positive (had sores and symptoms).
A week later after exposure I had a terrible flu, doctor said that it was pneumonia and gave me antibiotics, I did not get well until a about 10 days ago (for a total of about 40 days).
The only other sexual encounter I had was on January 11 a couple of days before the Herpes Outbreak, and this time only a massage, but the woman keep using oil from a bowl, can the HIV survive in the oil?, she went to warm it up and back, my worry in this situation is, if a previous client was HIV+ then the pre-*** will be in her hands even perhaps some semen, and she uses the same oil.
I know have some pain in my neck (difficulty swallowing) light headiness, some discomfort on my legs (muscles).
Based on the above what are my risks?
Thank you
On December 5, I had a sexual encounter with a "pro", it was only oral sex and I was wearing a condom, nothing else but oral and I helped myself to finish. A week later I developed a "herpes" looking sore in my penis, got tested at week 3 and came back negative (igg igm culture), On January 28 I was positive (had sores and symptoms).
A week later after exposure I had a terrible flu, doctor said that it was pneumonia and gave me antibiotics, I did not get well until a about 10 days ago (for a total of about 40 days).
The only other sexual encounter I had was on January 11 a couple of days before the Herpes Outbreak, and this time only a massage, but the woman keep using oil from a bowl, can the HIV survive in the oil?, she went to warm it up and back, my worry in this situation is, if a previous client was HIV+ then the pre-*** will be in her hands even perhaps some semen, and she uses the same oil.
I know have some pain in my neck (difficulty swallowing) light headiness, some discomfort on my legs (muscles).
Based on the above what are my risks?
Thank you
Thank you very much, I will close the window at 3 months I hope it is neative again. As far as HSV2 positive, that is what is driving me crazy the how it could happend thus the scare about HIV.
MEDICAL PROFESSIONAL
Seven weeks is plenty for reliable HIV testing, although some experts would recommend a final test at 3 months, as you imply. If you in fact had an initial HSV-2 infection, I too am puzzed about source.
Thank you Doctor,
This eases mi mind a lot, I was very confused about everything since nothing really made a lot of sense. The HIV test I took was at week 7 (after oral contact) does it make a difference(time), is 7 weeks enough time for the body to create antibodies so the test can be accurate? Would you sugest to take it again at week 12?.
The question that bothers me is how I got GHSV2 (The doctor visually dignosed it plus the test). Sympots for the big OB were severe.
This eases mi mind a lot, I was very confused about everything since nothing really made a lot of sense. The HIV test I took was at week 7 (after oral contact) does it make a difference(time), is 7 weeks enough time for the body to create antibodies so the test can be accurate? Would you sugest to take it again at week 12?.
The question that bothers me is how I got GHSV2 (The doctor visually dignosed it plus the test). Sympots for the big OB were severe.
MEDICAL PROFESSIONAL
Once testing proves someone doesn't have HIV, it doesn't matter how high the risk was. Your result proves you didn't catch HIV and you can let that idea go.
That HSV-2 test result is technically positive but low and might be false positive. You should have another blood test; if the EIA ratio rises significantly, especially to a value above 3.5, that will confirm it. Or if/when you have a recurrent outbreak (which almost surely will happen if you have genital HSV-2), see your doc within a day to have another culture for the virus -- and if positive, make sure the lab determines virus type.
Another atypical aspect of your story is that your initial herpes outbreak apparently was mild but the next one was severe. That's backwards. Usually the first symptomatic outbreak is by far the worst, with multiple lesions, and recurrences mild with few lesions.
So for now, I am not convinced you had initial genital herpes at all. But happy to address again if/when you follow up on suggestions for additional testing.
That HSV-2 test result is technically positive but low and might be false positive. You should have another blood test; if the EIA ratio rises significantly, especially to a value above 3.5, that will confirm it. Or if/when you have a recurrent outbreak (which almost surely will happen if you have genital HSV-2), see your doc within a day to have another culture for the virus -- and if positive, make sure the lab determines virus type.
Another atypical aspect of your story is that your initial herpes outbreak apparently was mild but the next one was severe. That's backwards. Usually the first symptomatic outbreak is by far the worst, with multiple lesions, and recurrences mild with few lesions.
So for now, I am not convinced you had initial genital herpes at all. But happy to address again if/when you follow up on suggestions for additional testing.
Thank you for your response.
The test that confirmed the HSV-2 was IGG 1.65 Positive plus I had an awful outbreak last week (1st time, unless the little pimple 4 weeks ago was an outbreak-no symptoms for this one).
And the only other sexual partner I had was in June of 2007 and only fingering took place no intercourse.
I got tested for HIV on January 28 and it was negative, but my worry is how I contracted HSV very well I could also had HIV come along
The test that confirmed the HSV-2 was IGG 1.65 Positive plus I had an awful outbreak last week (1st time, unless the little pimple 4 weeks ago was an outbreak-no symptoms for this one).
And the only other sexual partner I had was in June of 2007 and only fingering took place no intercourse.
I got tested for HIV on January 28 and it was negative, but my worry is how I contracted HSV very well I could also had HIV come along
MEDICAL PROFESSIONAL
Well, you provde a conflicting scenario. Neither exposure is likely to have transmitted either HSV or HIV.
Let's deal with the herpes first. It seems you had an initial HSV infection, assuming it is correct that both a negative culture and test then later the cultre and/or IgG blood test became positive. But it would be good to know more detail about those test results. For example, if it is only the IgM blood test that became positive, it is meaningless and you may not have herpes. And although initial herpes can cause systemic symptoms like fever and headache, it doesn't usually last so long and is not likely for a provider to confuse it with pneumonia.
Further, it is very surprising that you apparently were infected by HSV-2, as you suggest in the follow-up comment. Please confirm that; again, more detais about exactly which tests were positive would help. Your comment implies that you understand that HSV-2 is rarely if ever acquired by oral sex. The second massage has nothing to do with any of this. The contamination scenario you describe is far-fetched (for either HSV or HIV), even in a parlor with horrible hygienic practices, and you can't get herpes of the penis if there was no direct contact with your genitals.
You imply that the oral sex event in December is your only recent sexual activity. Of course, if you have had sex with anyone else -- i.e., if you have a regular partner you haven't mentioned -- then that person almost certainly is the source of your herpes.
Finally, as to HIV, the main point of your question: Yes, HIV and HSV-2 (but not HSV-1) sometimes are transmitted together, and your symptoms were compatible with ARS as well as primary HSV. However, the nature of the exposures you describe is strongly against HIV. If you have had no other sex partners, there is no realistic possiblity of HIV. However, for peace of mind you should be tested for HIV; presumably that hasn't been done or you would have mentioned your negative test result. Discuss it with your provider.
I hope this helps. As I suggested, I might be able to provide additional advice with more information about the HSV diagnostic test results and confirmation that you haven't had any other sexual exposures.
Regards-- HHH, MD
Let's deal with the herpes first. It seems you had an initial HSV infection, assuming it is correct that both a negative culture and test then later the cultre and/or IgG blood test became positive. But it would be good to know more detail about those test results. For example, if it is only the IgM blood test that became positive, it is meaningless and you may not have herpes. And although initial herpes can cause systemic symptoms like fever and headache, it doesn't usually last so long and is not likely for a provider to confuse it with pneumonia.
Further, it is very surprising that you apparently were infected by HSV-2, as you suggest in the follow-up comment. Please confirm that; again, more detais about exactly which tests were positive would help. Your comment implies that you understand that HSV-2 is rarely if ever acquired by oral sex. The second massage has nothing to do with any of this. The contamination scenario you describe is far-fetched (for either HSV or HIV), even in a parlor with horrible hygienic practices, and you can't get herpes of the penis if there was no direct contact with your genitals.
You imply that the oral sex event in December is your only recent sexual activity. Of course, if you have had sex with anyone else -- i.e., if you have a regular partner you haven't mentioned -- then that person almost certainly is the source of your herpes.
Finally, as to HIV, the main point of your question: Yes, HIV and HSV-2 (but not HSV-1) sometimes are transmitted together, and your symptoms were compatible with ARS as well as primary HSV. However, the nature of the exposures you describe is strongly against HIV. If you have had no other sex partners, there is no realistic possiblity of HIV. However, for peace of mind you should be tested for HIV; presumably that hasn't been done or you would have mentioned your negative test result. Discuss it with your provider.
I hope this helps. As I suggested, I might be able to provide additional advice with more information about the HSV diagnostic test results and confirmation that you haven't had any other sexual exposures.
Regards-- HHH, MD
I forgot to mention that I got herpes (GHSV-2) from the oral encounter, because I did not have any other encounter prior this (6 months at least), also, can the HIV piggyback with the HSV virus?
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