[Question #10927] Guidance
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18 months ago
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I’m 42 year old male inthe US. I’ve been in heterosexual relationships my whole life. I decided to start dating men. I know the stigma behind gays and HIV. Well I do a research and I used medhelp to educate me. I met a white male in his mid 50’s who is I would say upper middle class. We went on a date and went to his home. We made out and had a lot of oral. I told him I was not ready to receive anal and he was okay. He laid me nude on my stomach and gave me a message and he had the idea of oiling up glutes so he can rub his penis in between them. We did that for about half an hour and he tried to go in and I stopped him. He did run his penis against my anus but I was on guard making sure that’s all he did. He later came on my face we both cleaned ourselves off and it dawn on me that we never talked about our status. I asked him if he was clean and he said “sure”. We never talked again after this encounter. My anus was sore because of the excess rubbing. This happened two years ago. I have a girlfriend now and before we were intimate she wanted us to take an HIV test. We both took Oraquick and we were both negative. As of Jan I’ve had a cough that does not go away. No fever just a cough that produces clear phlegm. I’m also an asthma patient. In a movie I saw a man found out he had HIV from a nagging cough. I know my encounter was low risk but let say he did go inside me and I was too in the moment to realize it which I know is stupid cause I would have felt a penis go inside me. Let’s say he was positive and he did go inside me am I still at low risk? My anus being sore on the outside I know was due to the friction and that went away within a day.
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Edward W. Hook M.D.
18 months ago
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Welcome to our Forum and thanks for your questions. I'll be glad to comment The encounter of concern that you describe did not put you at risk for HIV. I say this for several reasons including:
1. Your partner said he did not have HIV. Most people tell the truth. In the future, I might suggest that you also ask partners when their last test was as well.
2. There was no penetrations during your rectal exposure. As you point out, you would have known if he penetrated you
3. You have negative tests with the OraQuick assay which, while not our favorite assay, particularly for detection of recent infections, will provide reliable results
4. Your symptoms are not suggestive of HIV
I hope this information is helpful. Please don't worry. EWH
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18 months ago
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So this six week cough is non related? Thank you for the advice doctor. I realize mentally I can’t be involved in men to men sex. I’m scared of condom failure or even getting a condom slip inside my rectum.
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Edward W. Hook M.D.
18 months ago
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I'm confident your cough is unrelated.
Just as an FYI (and just in case), condoms break ab out 1% of the time they are used. Most often with new partners. Breakage rated are slightly higher with receptive rectal intercourse, particularly if insufficient lube is used.
EWH
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