[Question #10670] HIV/STDs/PEP

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21 months ago
Good afternoon gentlemen.
I've made terrible mistakes that I have learned from and will never do again

Over 7 months ago, I had unprotected sex with another man and I was the receiver. The guy I had this encounter with stated that he was STI/HIV-
There was mutual kissing. I gave him oral, he briefly performed anilingus and there was brief anal sex. he didn't ejaculate inside of me as I stated that I didn't want that. Less than 2 days after,I got very scared and my doctor gave me PEP ( at first he was against the idea of giving me pep based on the length of the encounter)

I took the PEP religiously for the 28 days. After those 28 days I tested for HIV after 2 weeks, 1 month, 2months, 3 months
.. all negative
I also tested for Chlamydia, gonorrhea (urine, throat and rectal swab) and also for syphilis via blood draw. All negative.
I was seeing someone at the time of me taking PEP but I'm pretty sure I did not do anything with him during this time.
(?)However, IF I did have unprotected sex with the person I was seeing during that time could I have exposed him to HIV even though I ended up being HIV negative(?)

He has been tested a couple of times for HIV just recently. More than 5-6 months after, and he is negative. HIV test was the rapid hiv fingerprick test.
Is that considered conclusive and is no further testing required?
My mind just doesn't want to believe the results....
(?) Do I still have anything to worry about or may I continue having unprotected sex with my partner without feeling like I'm going to give him something (?)

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Edward W. Hook M.D.
21 months ago
Welcome to our Forum.  Thanks for your questions.  

Congratulations on asking your partner if he had STIs or HIV- most people answer honestly making this a relatively low risk encounter.  Like the doctor whom you consulted, I would have been ambivalent about prescribing PEP- I'm not sure you needed it for the encounter that you describe.  Having taken it however, as shown by your testing, you can be completely confident that you did not acquire HIV, gonorrhea, chlamydia and syphilis.  As a result, your partner was not exposed to HIV or any STI.  You can be completely confident that neither you, nor your partner have an STI as a result of the encounter you have described.  It is time for you to accept these results and move forward.

You have nothing to worry about.  I suspect that your doubts about the results are more indicative of your guilt over the exposure than anything else.  There is no need for further testing.  You just need to figure out how to accept your test results and move forward.  EWH
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20 months ago
Thank you for your response Dr. Hook & happy Thanksgiving as well. 

In regards to your response, I just want to make sure that I was clear that this was MSM (Man sex with man) 

& Also that the person I was worried about exposing to HIV was my partner(who I may or may have not had unprotected sexual relations with during me taking pep, but most likely didnt) 
But who is also negative for HIV after 5-6 months after taking a couple rapid HIV tests. 

So after 7 months and his couple HIV rapid tests, can I be 100% certain that he doesn't have HIV and that we don't have to retest? 

My doubts are definitely coming from my guilt but I am doing all I can to move forward and never repeat these kind of mistakes again.  I appreciate your time Dr. 
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Edward W. Hook M.D.
20 months ago
I understand that your partner was another man.  

From your test results, it is simply not scientifically possible that you exposed your partners to HIV when your tests were negative- that does not happen.  

Once again, I will re-state that your test results conclusively show that you do not have HIV and that it is scientifically impossible for you to have exposed partners to an infection that you do not have.  EWH
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20 months ago
Once again, thank you so much for your response and feedback Dr. Hook. 

Now if you don't mind me asking, I have one more question. 
A little over 2 months ago, I had unprotected oral sex with a man. 
The exposure was only about 3-5 seconds. There was kissing involved, he performed oral sex on me very briefly and I performed oral sex on him very briefly as well. No ejaculation happened & neither of each others penis even touched our throats. That's how brief it was. He also rubbed his penis against my buttcheeks but anal sex was not performed. Nothing more was done. He didn't insist on anything else but he did mention a couple of times that he was STI/HIV- and on prep. 
Before 48 hours, I was prescribed doxycycline pep, (2) 200 mg tablets. Took them as directed. 
Following that I tested for STI's & HIV on day 13 and day 27. Urine, throat & rectal swab, and blood drawn from vein for syphilis & HIV . All results were negative. 
Following that I've been getting HIV rapid fingerprick tests done here and there up to just a couple of days ago, still negative. 
Even the people that work there have insisted that you can't get HIV from oral and that my other results are conclusive. 
With that being said, do you think it's necessary to retest at all for all STDs/HIV or can I 100% put this to rest finally? 




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20 months ago
Also, I forgot to mention that I tested negative for syphilis on day 45 via a fingerprick test at my doctor's.

And also I have not had any symptoms during this whole timeframe.
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20 months ago
Please Dr. Hook or Dr. hansfield, I would really appreciate your help and advise more than ever.
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Edward W. Hook M.D.
20 months ago
The site is not manned 24/7.  You will receive a reply in the next few hours.  Please be patient.  EWH---
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Edward W. Hook M.D.
20 months ago
Your follow-up is highly repetitive, closely resembling your earlier question.  Your more recent (2 months ago) exposure was very, very low risk.  had you been exposed, your doxy PEP would have prevented syphilis and chlamydia and reduced your risk for gonorrhea by about 50%.  The follow-up tests PROVE that you were not infected.

Your friends are correct.  There are no proven cases of HIV acquired from receipt of oral sex.  When performing oral sex on an untreated, infected partner the ESTIMATED risk for acquistion of HIV is less than 1 infection in 10,000 sex acts (the risk is estimated because there are too few cases to study).

You certainly do not need more testing.  I advise you to move forward without concern.  EWH
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