[Question #12032] Continuation of #11977

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10 months ago
Doctors... just trying to finish this situation up.
I'm not worried about April situation anymore all test clear that. 
Main concern is August 22nd incident. 
Asian massage parlor,  protected vaginal sex, believe condom held up because I cummed in it.  Maybe 10-15 minutes.  I don't play with men, or any anal even with LTP.
I had one night of sex with LTP after incident. 
Symptoms- Diarrhea maybe two weeks,  abdominal pain/discomfort weird stuff going on(now with my long term partner also) not as hungry,  gets full faster, really bad two two days of feeling exhausted/fatigued, 
Test that have been done. 
Collected Sept 12th. 3 weeks(21 days)
CT, GC - Urogenital - non reactive
RPR PLUS HIV 4th gen- non reactive
HCV ANTIBODY- non reactive
Collected Sept 21st 4 weeks (30 days)
Hep A Ab, IgM- negative
HBsAg Screen- negative
Hep B Core Ab, IgM- negative
Hepatitis B Surf Ab Quant- 122mIU/mL( immunity over 10 Miu/ml
HCV Ab- negative

I'd like to hear what you doctor's think.  I'm open and going to listen. 
I went from worrying about hep b to hep c now I'm it's HIV. Just because I haven't been feeling good.  
Give me all info that you think is necessary.  I'm not sure how it could be possibly anything but with her not feeling good in worried. 
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H. Hunter Handsfield, MD
10 months ago
We ended your last thread with my offer to judge your HBV immunity result, but you added another comment that closed the discussion. Now these results show you are immune due to vaccination:  HBsAb positive @ 122miU/mL (immunity over 10)". There was no HBV risk even if the exposure had been at high risk for it -- which it was not.

Now you ask about HIV. That you "haven't been feeling good" is meaningless and so are the other symptoms you report. Despite lots of online misinformation, there is zero value in using symptoms to judge the possibility of having HIV. In any case, the exposure described was also zero risk for HIV and I would have advised against any need to test for it. In any case, your negative HIV AgAb (4th generation) test result proves HIV isn't the cause of your symptoms -- which sound mostly like the physical manifestations of anxiety. However, if you feel you need a truly conclusive HIV test result for additional reassurance, you could do that when you reach 45 days after the exposure. If you do it, that result also will be negative.

Your other results also are conclusive except that syphilis testing, like HIV, isn't truly conclusive until 6 weeks. However, the chance of syphilis in this situation also is zero for all practical purposes and retesting is optional.

Let me know if anything isn't clear.

HHH, MD
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10 months ago
Ok so.....
1. You're not really worried about any possible exposure to anything???
2. No reason to retest anything besides syphilis and hiv at 45 days if I want to ease my mind because everything was extremely low to zero risk???
3. My symptoms don't really match with any std/sti/hep AC???

4. Lol on this coming Tuesday I was gonna go to get the early acute test for hiv and hep c.   

I really do appreciate the help,  
I started to talk to a therapist again. 
Just with my partner having symptoms,  that is what makes me worried.  If I get something so be it,  I don't want to give her anything.  
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H. Hunter Handsfield, MD
10 months ago
1. Nope.
2. Correct.
3. Correct. Except for discharge, pain, sores or other lesions in or near an exposed anatomic site (genitals, anal area, mouth), symptoms almost never are useful indicators either for or against any STD.

4. The additional tests will be a waste of money, time and energy. I get HIV -- it's the biggie -- so I never advise against testing for reassurance even when risk is zero. But despite online buzz, HCV isn't even an STD, with the single exception of potentially traumatic (bloody) anal sexual practices in men with other men. Zero for vaginal sex. The most respected scientific estimate, from Denmark, is that if one partner has HCV, the risk of transmission for a single episode of unprotected vgainal sex is 1 in 196,000. That's equivalent to daily sex with an infected partner for 537 years before transmission would be likely.

May I suggest that if you plan to continue occasional sex with other than a regular, faithful partner, you educate yourself on the actual risks. You could have contacts like this weekly for years without catching anything (except HPV, but that doesn't really count). Instead of freaking out each time, a far smarter plan would be to have routine testing -- only for gonorrhea, chlamydia, HIV and syphilis -- every few events or perhaps yearly.

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10 months ago
Thank you doctor,  it's probably all in my head since I have not been feeling good. Mostly stomach upper and mid problems, with my ltp having similar problems.  I think I'm gonna do the test because it's very hard to ease the mind when you're not feeling well.  I'm scared.  I regret the decisions.  I will keep you informed.  I appreciate the service.  I'm like just what if the condom broke or vaginal secretions some how touched the top of my head or so.  
I'll keep you informed.  I hope I'm fine.  
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10 months ago
The mind is such a strong thing to control.  
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H. Hunter Handsfield, MD
10 months ago
These symptoms seem most consistent with anxiety, nothing more.

That concludes this thread. There is no need to "keep [me] informed"; we will have no further advice for you. Keep working with your own health care provider(s) if your symptoms continue or you otherwise remain concerned. Repeated questions on the same topic are not accepted and often are deleted without reply and without refund of the posting fee, especially when anxiety driven. So nothing more please about these safe sexual exposures and your worries about hepatitis, HIV, or anything else. But I'll make a deal with you:  if you get tested 45+ days after the exposure, as suggested above, and test positive for HIV, you are welcome to return to convey that outcome and we will refund your posting fee.

I do hope the discussion has been helpful. Best wishes to you.
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