[Question #10074] Curiosity
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26 months ago
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Hey doctor. I’ve been following your advice to clients since medhelp. It’s been a positive influence in my life. I always use condoms when having sex. The only times I don’t use condoms is when I’m in a long term relationship. In 2021 I got an HIV text after my last long term relationship and it was negative. I’ve always been in heterosexual relationships. As of 2022 I met a man who is in his 50’s. I was 38 at the time. I never been in a gay relationship nor done anything with a man. I asked him his status and he said he was clean. I wasn’t ready to receive anal but we did have sexual contact. We gave oral to each other which I know its low risk. Like I mention I’m not ready to receive anal just yet but what we did was lube up my anus and he just rubbed his penis against it. At one point he tried to go in and I stopped him but rubbing was intense but he never went inside me. My anus was sore the following day. I’ve never had anal and I know it’s high risk. He then masturbated and finish on my face and it got in my eyes and it stung really bad. I was not happy with him and I asked him to reaffirm his status to me and he got nervous and said he is clean. He’s openly gay and works in corporate America. After this incident we never talked again. I was curious so this happened in 2022. Last week week I took a Orasure HIV test and it was negative. Should I rely on this test?
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26 months ago
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Sorry it was Oraquick hiv test
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H. Hunter Handsfield, MD
26 months ago
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Welcome. Thanks for being such a long time fan. I'm very glad to hear that our comments have helped guide your sexuality in a safe direction. That's the main reason we do this.
And from your description, you're going about your (one time?) sexual adventure with another men in a safe and sober fashion. The particulars of the exposure described were very unlikely to result in HIV. First, it sounds unlikely he is infected; as you may have seen in many of our previous replies, most people do not lie about HIV status when asked directly. Second, the exposure events themselves were low risk even if he in fact has HIV. You've undoubtedly also seen our many comments about the low risk of all sexual practices other than overt penetration -- meaning anal penetration when involving two male partners. Semen, pre-ejaculate fluid, saliva, or any other body fluid in contact with anus, eyes, etc carries little or no risk of HIV.
The oral fluids HIV test (Orasure company's OraQuick®) is around 95% reliable, i.e. remains negative in up to 5% of people with HIV. The test is inherently somewhat limited because the amount of anti-HIV antibody in crevicular fluid (secretions from tooth socket and gums) is a lot lower than in blood, increasing the possibility of false negative results. Based on the combination of the low risk of the event plus the negative test, you can be completely certain you do not have HIV. However, if you feel you need 100% reliability from the test itself, I would suggest a lab-based AgAb ("4th generation") blood test. If you do it, for sure you can expect a negative result.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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25 months ago
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Thank you doctor. Like I said I’ve been following you for a long time. So I think of it rationally. The rubbing was intense but he did not go inside me. I know I definitely would have felt it. He did at one point try to stick it in and I felt the pressure and I told him to stop and he apologize. But regardless it was a low risk encounter and it was only one encounter and even if he lied and does have HIV he might be on medication and his viral count would be low and also the risk of one encounter is low. So I feel confident in the test and your advice
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H. Hunter Handsfield, MD
25 months ago
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I'm glad to hear or your confidence about the situation and in my advice.---