[Question #11229] HIV 4th gen at 31 days
16 months ago
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Hello Doctor,
For context. I received oral sex(blowjob) from an individual who’s status I don’t know(lets assume for argument sake she was positive) we used a condom during the encounter. She used her saliva to lubricate the penis before going ahead and during the process it dripped down to my scrotum. I didn’t notice any blood mixed in but lets assume a little bit. What worries me is that on my scrotum i did have 5 back to back small hpv genital warts. Very small, size of a Pencil lead. They weren’t open wounds, just small round bumps, they were fading away already. Disappeared maybe 2 weeks after completely. So I was afraid since the saliva could of possibly made contact with the HPV warts it could of been a door for transmission.
I waited 31 days after exposure to take an HIV 4th generation duo antigen/antibody test.
It came back negative.
Now my question is, how risky was my exposure and is 31 days enough to exclude HIV completely? Thank you.
I want to get pass this already.
16 months ago
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For clarity she knew i Had the warts, which is why we used condom and she didn’t make contact directly with my scrotum at all only made contact to the tip of my penis and half way down my penis while giving me oral sex. But the saliva did drip down to scrotum.
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Edward W. Hook M.D.
16 months ago
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Welcome to the Forum. Thanks for your questions. I'll be glad to comment. The encounter you describe did NOT put you at risk for HIV. Your partner is not high risk for HIV. Few women have HIV. More importantly, there are NO proven cases in which HIV has been acquired from receipt of oral sex. You are not going to be the first.
Your 31 day result reinforces what I have said above. Any time more than 4 weeks/28 days after an exposure, over 99% of 4th generation tests for HIV would be positive. That, combined with the no risk nature of your exposure serve to prove that you were not infected. If I were you, I would not feel any need for follow-up testing. If your concerns cause you to need to test, results at 6 weeks which I am completely confident will be negative, will also be conclusive, providing further proof that you were not infected. EWH
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16 months ago
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Thank you for the response, really calmed my nerves. Im not sure how many replies I have left but just wanted to throw one last concern in. Im not planning on taking another test. I feel fairly confident. But Yesterday i caught a mild flu or cold not sure how to distinguish, very mild (33 days after exposure) A mild cough, throat doesn’t really feel sore maybe just itchy but I do have consistent headache but manageable. Do have mild sneezing. No fever or chills. Also last week Tuesday(25 days after exposure) i did notice a small rash or small dots they were skin color, localized on my forearm all within a range the size of a quarter, no where else. Dermatologist said it was most likely irritant dermatitis. Haven’t been treating it with anything, still have it but slowly going away, just wanted to throw that in, for context. Back to my symptoms, Im actually still able to work, heavy labor work. Could this be the hiv flu symptoms barely prompting after 4 weeks? I did notice my co worker have runny nose and small cough. And I did go to a gathering of people in the weekend. Thank you in advance for your reply. . Should I be concern about these symptoms? Or is the test basically conclusive.
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Edward W. Hook M.D.
16 months ago
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I am confident that your mild, flu-like symptoms are not due to HIV. The flu-like symptoms of recently acquired HIV, the so-called acute retroviral syndrome, is characterized by severe symptoms with high fever, severe muscle and joint aches, and a severe sore throat. Some people, but not everyone has rashes. The ARS typically occurs within 30 days of acquisition of infection. Thus, your symptoms are too mild, they have occurred too late, and it ruled out by your negative tests. Please don’t worry. EWH. ---
16 months ago
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Thank you for this, a few days later I feel like they are symptoms of bronchitis which im prone too. I have a mild Sore throat, coughing moderately, mild chest pain from coughing, and phlegm and mild wheezing. Doc said most likely bronchitis, OTC medication helps me reduce symptoms. Regardless these symptoms aren’t usual symptoms of HIV acute correct? Btw just a follow up question on the receiving oral sex, even if she did have it, i only assume because she was a (csw) fyi she seemed very careful from observation, transmission from receipt has never been documented as a way of transmission. so it’s a low to none? Thank you for the reply. After this, im putting it to bed. No follow up questions. And from your analysis, im confident at 31 days its conclusive.
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Edward W. Hook M.D.
16 months ago
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Cough and sputum production are not signs of recently acquired HIV. The symptoms you describe our for more likely to be due to community acquired, non-HIV viral bronchitis of the sort that we all get from time to time.
You are also correct that no one has ever been documented to have acquired HIV from receipt of oral sex. You are not going to be the first. It’s time to put your concerns behind you and move on.
As you know, we provide up to three responses to each question. This is my third response. Therefore, this thread will be closed shortly without further replies. EWH
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