Risk 5 months ago - risks?

[diddy123]

hi,

five months ago, i had a one night stand with a transgendered person of unknown std status.  our actions consisted of kissing, and mutual oral (unprotected).  i used my mouth on him for about a minute or so (possibly a little less); no *** and i'm almost certain no precum.  he gave me oral to completion (*** in the mouth).

i tested for hiv two weeks ago (calculated it out to the 21 week mark); it came back negative.  i took i think a syphilis test the results of which will be returned tuesday (two weeks to complete).

i have the following questions:
1) is there any risk of having hiv and just not having it have shown up yet?  i read in some places that they recommend testing at six months?  (at 21 weeks, i had an elisa test and an oral test at the clinic; both came back negative)
2) what else could i have been at risk for from this exposure?  what should i be tested for?  (no symptoms of anything i'm aware of in this period; no lesions/heavy sickness/burning/etc.)
3) do you know which test they might have done that i'm pending the results for tuesday?  i can't recall which it was; it was a blood test for which they told me to come back in two weeks.  i believe it was either syphilis or gonnorhea; would anyone know which of the two?

[H. Hunter Handsfield, M.D.]

You describe a low risk sexual encounter.  Oral sex is low risk, even if your partner had HIV.

1) No, there is no realistic chance of having HIV with negative blood test results at 21 weeks.  Same for syphilis.

2) In the absence of symptoms of STD (which you do not describe), you almost certainly did not acquire any infection and you do not need further testing for STD.

3) I cannot guess at the exact tests your provider did.  Call the office and ask them.  In the meantime, relax and forget the incident.  You really aren't at risk.

Good luck--  HHH, MD

[diddy123]

one thing i forgot: the guy at the clinic told me there would have been symptoms for whatever the second test was for (gonorrhea/syphilis); does this help determine any?

also, i know no symptoms after 5 months is a good thing, but how good?

[wwarrior]

After 2 threads, 50 postings and 2 warnings for excesive posting after your questions were well aswered, and a reprimand for changing usernames, more than 6 experts in aidsmeds.com told you that:

1- You were at no risk.
2- Even if you the the other person had HIV, a 5 month test (148 days as you describe) is more than conclusive.

I'll leave the advice giving to the good Dr. HHH

[diddy123]

i just saw something about coinfection with hepatitis delaying seroconversion; isn't this accurate?  could this have occurred in my case?

[H. Hunter Handsfield, M.D.]

This thread is over.  You are wasting everybody's time.  Any more comments from you will be deleted without response.

HHH, MD