Well 16 days or so have gone doc since the incident.

Now is the time I can get tested. I am well aware of window periods. Sadly gone down the HIV rabbit hole in spite of doctors assurances that zero risk for all practical purposes. The comment for additional reassurance test in a few weeks. I am aware the rna test is apparently very accurate after ten days. I am 6 days past that.

Is this necessary given the almost zero risk? Concern being potential fluid in eyes from face grinding?

Doc also said oral swabs for gonn and chlam. Is this necessary given 1200 mg of cefixime in addition to 300 mg of doxcy? Same question for syphilis.

Also, doc said 1 in many 1000s perhaps million for facial hsv2. In the absence of any symptoms should this now be dismissed?

Struggling mentally, so was planning on the rna test and the throat swabs tomorrow in spite of reassurance. I understand 4thgen at 28 days or better still 6 weeks is best. But, are these necessary?

Appreciate any advice again.

1. "Is [testing] necessary given the almost zero risk?" No, it's optional. If you will gain additional reassurance, feel free to go ahead with an HIV RNA PCR; or just wait a few weeks and have an AgAb (4th generation) blood test.

2. I wouldn't waste the money on either gonorrhea/chlamydia or syphilis testing, given these antibiotics. There is no possibility of a positive result on any of them.

3. Your doctor's guesstimate of risk of facial HSV2 is OK -- I would favor "millions" not thousands. I dismissed any chance of facial HSV2 last time and I haven't changed my mind.

4. "Struggling mentally...." The throat swabs are nonsense; don't do it. Correct about the AgAb (4th gen) HIV test, but definitely NOT "necessary" from a medical/risk persective. Only you can decide if it's necessary for additional reassurance.

HHH, MD

Thanks, this has helped me know end.

So what you are telling me is that with what you know - stellar cv and internationally renowned specialist - you would most certainly not test yourself?

Finally, in our last conversation, you informed me to watch out for any eye changes. 

I did get a blood shot red mark on my eye maybe two days later. Living in a desert, could have been sand, or me scouring the internet on my phone. Regardless, it was gone within 12-24 hours. I am assuming that this is not a cause for concern as symptoms of anything would possibly not be too quick to appear or vanish so quickly. Would this be correct?

Think I am willing to put this behind me now doc. But appreciate comment on the red blood shot eye.

I don't remember all that I said in your earlier thread and haven't gone back to check. But if you were going to get HSV from the events described, an eye infection would be among the possibilites -- and the most important for quick diagnosis and treatment. (Herpes can rapidly damage the surface of the eye.) But if you didn't experience severe eye pain and inflammation within a few days of the event, it's no longer a concern. A little "blood shot red mark" and its quick resolution means it was irrelevant to herpes.

Appreciate your advice and reassurance. I think mentally, i would like to test to put irrational anxiety to bed.

There is a company - better2know - I can access. 

I am aware that 4 th gen 4 weeks is almost conclusive and combined with RNA PCR is 100 percent according to yourself and EWH. My question is RNA still valid at 4 plus weeks (planning on a week today for convenience) or has the peak time lapsed? Should I get this one earlier? Or can I get this and a supervised rapid finger prick test at the same time? I would prefer this due to the immediate nature of the result as opposed to waiting a few days.  It will be round a month since the feared vaginal fluid in eye?

Also, confirming that I understand your collective posts and that top of EWH that you have never seen or heard of a transmission in this manner - facial grinding with possible eye exposure - HIV always requires an insertive sexual act - penis inside rectum or vagina. No exceptions?

Might seem contradictory as I am asking for further reassurance with testing times, but it does help me rationalize.

Appreciate your time doc and sorry to obsess.

"HIV always requires an insertive sexual act - penis inside rectum or vagina. No exceptions?" You need to be careful interpreting our previous replies; often our terminology is colored by the specific concerns of the questioner and cannot always be extrapolated to every other person's concerns. A truer statement might read "HIV virtually always requires an insertive sexual act...." And we have never said there are no exceptions. For 20 years we have advised that absence of known cases of HIV transmitted by hand-genital contact, oral to penile contact, etc, etc does NOT mean such transmission CANNOT occur, only that it is exceedingly rare. (Which generally means rare enough to be ignored in almost all cases.)

That completes this thread. Thanks for the thanks, but please note the forum policy against repeated questions on the same topic. Thanks for your understanding! I do hope these discussions have been helpful. Best wishes and stay safe.