Hi docs. Wishing you a happy holiday season. My question is not about a particular encounter, but more to access my risk as it relates to my lifestyle. I am bi-curious and if it wasn't till as of late that I started to explore my bisexuality. I always wear condoms with women unless I am in a long-term relationship. Now with men I have no intention in penetrative intercourse, I do not want to give nor receive anal sex. I am very oral, mutual masturbation, and frottage. Thats what I like, and I have no intention to have anal. I once had a man rubs his penis between my glutes and it was rough which cause the outside of my anus to be sore for a day, and this prompted me to get a Oraquick HIV test. It was negative and I know those tests are not the most reliable but giving my exposure I know I really wasn't at risk. I have a phobia of needles, and blood. If I continue my lifestyle and just give oral and swallow semen from time to time what is my risk of HIV? I've followed both of you since medhelp and I gotten most of my knowledge from the answers you given other people. HIV is a topic that interest me since I had a neighbor of mine who died of AIDS in the 90's. So being safe has always been a top priority of mine. My last question is just for my knowledge. What is the risk of getting HIV if you have one unprotected encounter receiving anal if the guy is HIV +. One reason I do not engage in anal is one it will hurt, and two I know condoms tend to tear since the anus does not provide natural lubricant. I would like to think I've have not put myself at risk but lately I've had pain in my extremities and when I google it for some reason HIV appears as a reason. 

Welcome to our Forum. Thanks for your questions and your confidence in our service.  I'll be glad to comment.  A good place to start is by asking your partners if they have HIV and if they have been tested recently for STIs.  When asking about testing, it is a good idea to find out how recently tests were performed.  Most people are willing to provide this information.  Condoms are also a great idea.  In addition, iff you avoid penetrative sex you not be at risk for most STIs and will not be at risk for HIV.    Regarding your specific questions:---

Even though the test is not perfect can I be confident with a negative oraquick test?

Yes.  EWH---

Thank you doctor. Reason I asked about the unprotected anal was because the running between my glutes was intense and he did try to go in but I stopped him. I know I would have felt a penis go inside my anus. I asked him his status and he said he was negative but he was very nervous. He’s in his mid 50’s and works in corporate America. I always thought to myself what if he went in and I did not feel it, but its a dumb thought I would have felt a penis go inside of me

Lately my hands have been hurting and I’ve also had sulphur burps but I know my extremities hurting and sulphur burps are not HIV. I’m 43 years old I’m sure it because I’m getting older 

Final response.  If your partner had penetrated you rectally, you would know it.  I would not worry that he did.  You are correct that the symptoms you describe do not suggest HIV or other STI.  Please don't worry.---