[Question #11840] Need some information please...
12 months ago
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Hello, I posted here before but my previous questions are not coming up. I don't know if there's a glitch or what not but anyways I purchased a new question for some answers please.. met a Colombian woman that just came to the United States about 3 months ago. She told me she had medical tests and everything was okay. She doesn't speak that much English but I met with her today and we like each other. So anyway, we made out kissing and then I sucked her breasts and then she gave me a oral sex.. what is the risk for HIV for this that I described above?
I also wanted to know when can I have definitive 100% results for HIV syphilis chlamydia gonorrhea herpes one and two and hepatitis... I am about to make my physical with blood work and my doctor automatically does all of those tests I mentioned above. It's included in the whole panel with my physical, blood and urine work.. So if you can give me how many weeks or days each one requires to be 110% conclusive I would greatly appreciate that... I'm a little worried right now because I don't really do this kind of thing too much. But I will be looking forward to your response....
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H. Hunter Handsfield, MD
12 months ago
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Welcome back. I can't say why you keep having trouble finding your four previous questions and replies -- you said the same thing last time -- I had no trouble seeing them (5800, 8096, 8473, 10440). And as I scan them, it's apparent you ask pretty much the same questions every time -- assessment of STD/HIV risks after sex with female partners and time to conclusive test results. The answers haven't changed.
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You describe another low risk exposure, since you received oral sex (low risk for all STDs, zero for HIV) and apparently no vaginal sex. And oral contact with breasts is no risk at all. Further, you describe a partner very unlikely to have any active STD, based on her recent negative test results. The only STDs for which you should be tested -- as in the advice in at least some of your other questions -- are gonorrhea and syphilis; you could have an HIV test too (after 6 weeks), but there's never been a proved case of HIV transmitted oral to penis, so testing really isn't necessary unless you want the extra reassurance of a negative test result. As described previously, gonorrhea/chlamydia urine testing is valid within 4-5 days of exposure. (Chlamydia is nearly zero risk from oral sex, but chlamydia testing is automatic along with gonorrhea.) Syphilis is almost as unlikely as HIV, but here too you could have a conclusive blood test at 6 weeks. I would strongly advise against any other testing: you were not at risk, and many tests in "comprehensive" test panels are unreliable or infection is zero chance.
All this is optional: in absence of symptoms (like pus dripping from your penis, painful urination, genital sores) you could assume you didn't catch anything, without needing testing at all. As a general rule, testing is not advised or necessary after every new sexual contact; a smarter plan is to plan on routine testing (gonorrhea/chlamydia, syphilis, HIV) once a year or so, or perhaps after very 5-10 partnerships -- but not after every one unless quite a bit higher risk that the sorts of events you have described. But it's up to you.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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12 months ago
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Okay thank you for the response I appreciate it I know you told me about gonorrhea and chlamydia and HIV and syphilis the window periods.. But just for peace of mind could you let me know so I can be educated on The window periods/ How long.. it would be to have conclusive results for herpes one and two and hepatitis ones? I would just like to know that for myself thank you I appreciate your time.. and is trich another STD? What's that window.
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H. Hunter Handsfield, MD
12 months ago
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I intentionally didn't go into testing windows for those conditions for which you were not at risk. Herpes: the tests are inherently unreliable and should not be done in the absence of symptoms. But for the HSV2 blood test, 12 weeks; HSV1 uncertain, probably 6-12 weeks, but one third of infected people never have positive tests. Viral hepatitis 6 weeks -- but such tests are never recommended after any single exposure; the risk from heterosexual exposure is essentially zero anyway. There is a urine PCR test for trichomonas. It hasn't been studied in males but I suspect it would be conclusive within 1-2 weeks. But trich is harmless in males and a minor issue in women -- testing has rarely been used except in some women with vaginal discharge.---
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12 months ago
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Okay for my final question. I know the antibody antigen test is the best and I will get that, but I had some tests that I had gotten for free. They're the ora quick oral swab HIV test.. So how long until I could take one of these to have conclusive definitive results? What's the window for the oral HIV test?...
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H. Hunter Handsfield, MD
12 months ago
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The oral fluids test is pretty good but not perfect; probably ~8 weeks for nearly conclusive results. However, it remains negative in a small number of HIV infected persons (maybe 2-5%) never have positive results.
As you suspected, that concludes this thread. Please note the forum policy against repeated questions on the same topic, and this is your fifth with similar questions. Thanks for your understanding.
Best wishes and stay safe.
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