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massage parlor worry wart

Hello doc here is my sad little tale of woe ablout 3 days ago I went to a MP the girl offed to have sex for a price but I refused I did however recived a covered BJ thats not really my concern what I and worried about is before we did what we did she was rubbing herself alot to get me ready to go than with the same hand she started to mastubate me and than I rubbed the head of my penis against her vagina she was really wet and it did get onto my penis at the tip where my urethra is I saw that her fluid was on it does this pose a risk? so here my questions

1. is it at possible fo her vaginal fluid to get onto the inside of the condom before she put it on me and infect that way?
2.does getting vaginal fluid onto my urethra pose a significant or small risk of infection?(because I did rub my penis on her wet vaginal lips)
3.3 days later I got a sore throat can that be ars?
4. would this warrant the use of pep?
5. I am so worried when could I get the earliest test possible to know my status?
Thank you.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
All antibody-only tests, including OraQuick, pick up about 90-95% of infections at 4 weeks.  A negative result will be highly reliable but not perfect.  For 100% reassurance you'll need another antibody test 6-8 weeks after the exposure.

If you ask around at other clinics or doctors, you probably could find one that does the duo (combined antibody and p24 antigen) test.
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
I agree that starting combivir was dumb.  But taking a single dose of combivir makes no difference.  You did not catch HIV.  Accept the reassurance you have been given and move on.  I won't have any further comments.
Helpful - 0
Avatar universal
Doc I feel like a fool I tested at 7 weeks it was negative But at the 6 week mark I freaked out and got Combivir I only took 1 pill but now I worried that it might mess up my testing could that delay my antibody test I just took at 7 weeks?
Helpful - 0
Avatar universal
hey doc you said to take a duo test at 4 weeks  Im here in California and every where I ask they say we don't have that test how reliable is an oraquick test at 4 weeks?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Absolutely impossible to have ARS symptoms that soon. You caught a cold, nothing more.  And of course no fever can "sound like" any particular cause.  A fever is a fever is a fever.  See a health care provider if the fever is high or your sore throat is severe.  But it is not possible that the symptoms are due to HIV.
Helpful - 0
Avatar universal
my fever was at 100.8 does that sound like ars fever?
Helpful - 0
Avatar universal
Is it at all possible to get ars 4 days after I have a really sore throat and Im running a fever what exactly are the symptoms of ars how high is the fever usually?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
I meant to give you this link, which explains STD/HIV transmission in detail.  Start reading with the follow-up comments that start December 14:  http://www.medhelp.org/posts/show/1119533
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the HIV forum.  The identical questions have been answered many times so my replies will be brief.  First, it is statistically unlikely your partner had HIV, which remains rare in the US and other industrialzied countries, even among most commercial sex workers.  Second, HIV is not transmitted sexually unless a bare penis is inserted inside someone's vagina, rectum, or mouth.  Hand-genital contact, fingering, kissing, or other skin-skin contact never transmit the virus.  HIV is not transmitted by unlucky exposure to "just one virus".  It takes lots of virus introduced to large numbers of suscptible cells -- which cannot occur with these sorts of exposures.  To your specific questions:

1) No, that is very unlikely -- and if it happened, infection would not be transmitted.

2) There would be too little virus through such an exposure to have any significant risk of transmission.

3) ARS symptoms cannot start sooner than 7-10 days after exposure.  Sounds like you caught a cold, maybe from your massage partner, maybe from anybody else in your environment.

4) No. This doesn't even warrant HIV testing (except for anxiety relief), let alone PEP.

5) Mellow out.  Just have a standard HIV antibody test in 6-8 weeks.  Or have a duo test (for both HIV antigen and antibody) at 4 weeks.

I hope this helps.  Best wishes--  HHH, MD
Helpful - 0

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