Hello back in the form to ask a few more questions. Its been 6 days since my unprotected oral exposure and in that time I’ve had recurring diarrhea, red spots and blotches that look like a potential precursor to a rash, and what appear to be two minor little white bumps on both sides of my tongue. Is this a sign of acute infection? I see there’s an HIV RNA test than can detect infection early, When is that considered conclusive? 

Welcome back, but I really can't help very much. I see nothing here that wasn't covered in your previous thread, or at least the answers should be obvious from that discussion. There you said you understand HIV "doesn’t transmit through saliva", then asked "does that make kissing and oral sex functionally impossible for transmission? What circumstances would have to occur for it to transmit from oral to penis (or oral to vagina)?" And my answer was "There are no known "circumstances" that would create significant risk for HIV transmission oral to genital." I haven't change my mind since yesterday. Ion addition, new HIV symptoms cannot start before 7-8 days after exposure and usually it's 10-15 days; symptoms before 6 days cannot be due to HIV. And none of your symptoms (diarrhea, "red spots and blotches" and "white bumps" on the tongue fits with a new HIV infection.---
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So i’ll test HIV RNA and Chlamidiya+Ghonorrea at 11 days (is 12 days better for hiv RNA?) for conclusive results. Given that you thought my risk was low, whats the earliest, but still accurate time I should test for Syphilis, Herpes and HPV? 

I guess my last two questions will be as followed; If you had to guess the odds for acquisition each of the potential STIs from my exposure, what would you say they are? I’m also not sure I can just stop having sex with my partner, I know you said you would continue unprotected with your partner so would protection all but ensure her safety? 

would Low lymphocyte and high Neutrophil levels increase my risk of infection? 

Your risk for any of these infections was no higher than one chance in 10,000 for gonorrhea; since 90% of urethral gonorrhea causes symptoms within 5 days, absence of drip from your penis by now makes that chance one in 100,000 as a rough guess. Chlamydia even lower. Syphilis also no higher than 1 in 10 thousand. Zero risk for HIV. 

 

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