[Question #12130] HIV question

10 months ago

I am worried about HIV.

On March 29 2024 I received oral sex while wearing a condom at a brothel. We tried intercourse but I could not get erect & never penetrated, our genitals rubbed against each other for about 3 minutes. The csw was rubbing her vagina with her hand during the oral. I then licked her butt cheeks 3 times & sucked on her nipple for a minute.

I am worried that she may have rubbed vaginal fluid on her butt before I licked it. Is it possible to contract HIV this way or when I sucked on her nipple through fluids? When changing from 1 condom to another? Can it spread through genital rubbing?

1 week ago, I got a small rash at the top of my buttcrack, it aligns with the symptoms of psoriasis of the gluteal cleft. Doctor says it could be psoriasis & prescribed Hydrocortisone.

Could this be an opportunistic infection from weakened immune system from HIV? Psoriasis is an autoimmune disease & I have never had skin issues or psoriasis in my life before, this worries me.

The last HIV test I took was on Sept 22 (206 days after) & 4^th generation.

10 months ago

Hello Doctors, I also wanted to let you know that I have taken 12 HIV 4th generation tests, & 3 HIV RNA tests since the high risk encounter on February 24, 2024. All have come back negative. I pretty much have tested every 2 to 3 weeks since the encounter. The last HIV test I took was on September 22 (206 days after encounter).

I come to you with these questions because I cannot move past the fear of having acquired HIV. I think about it every day & feel anxiety, shame, & guilt. I have a partner & it is really affecting our relationship because I am afraid to have sex with her. I guess the only way I could have HIV & not test positive is if my body is just not producing the HIV antibodies, correct? But from your responses on here, that would be quite rare.

Edward W. Hook M.D.

10 months ago

Welcome to our forum. Thank you for your questions and for your implied confidence in our service. I’ll be glad to comment.

You have unequivocally proven that you did not acquire IV from the encounter that you describe. The activity you describe, including the possible transfer of her genital secretions to your skin or your mouth are no risk activities. No one has ever acquired HIV from activities of this sort including receipt of oral sex, body rubbing or licking a partner anywhere on their body. In addition, you have tested more than as necessary and have proven that you do not have HIV. Fourth generation tests are absolutely conclusive when taken anytime more than six weeks following an exposure. Likewise, HIVRNAPCR tests are conclusive when taking anytime more than 11 days following and encounter. You have multiple negative tests which prove that without a doubt you do not have HIV.

It is time for you to stop testing and move forward. Your post suggests that you were having trouble doing that by yourself and you may want to seek the advice of a professional counselor to help you address your guilt and anxiety this encounter. EWH.

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10 months ago

Thank you, Dr. Hook. Is it possible that the antibodies that the 4th generation test looks for are not being produced yet by my body? Is this what they refer to as seroconversion?

Edward W. Hook M.D.

10 months ago

Seroconversion refers to the period of time when the body begins to produce antibodies. If you were going to produce antibodies, your body would have done so weeks ago. You can be completely confident that you do not have HIV. Please believe your test results. There is no need for further testing. EWH---

10 months ago

Thank you Doctor. Is it possible to have a false positive test if I am having psoriasis? As I mentioned, I got a rash at the top of my buttocks that me and my doctor think could be psoriasis. If I take a test, could it come back as a false positive? I have read that this can happen if you have a psoriasis outbreak.

Edward W. Hook M.D.

10 months ago

You have already proven that you do not have HIV. There is no need for additional testing.

You also do not know that you have psoriasis. If you did, however there is no reason to think that would affect the accuracy of HIV testing.

This thread is now complete. There should be no need to return to the forum. EWH.

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