[Question #12886] Follow up: Question #12758

4 months ago

Please note that I could not locate the password to my prior account and that the "lost password" function was not working.

This is a simple risk assessment question an the last question I will purchase on this site. My HIV nosophobia has become critical and I will not be engaging in any sexual activity until I find answers through therapy and medication.

Here is the history I have concern with.

Feb. 18 - unprotected vaginal sex / unprotected oral performed by both partners (male and female)

Early March - unprotected insertive oral by me

Approx. March 20 - aggressive unprotected oral performed by male and female
April 4 - female tests negative on 4th generation HIV test (45 days following unprotected vaginal sex)

April 8 - male (myself) tests negative on 4th generation HIV test (49 days following unprotected vaginal sex) - also both of us tested negative on 4th generation tests prior to these last results, but these are most recent

April 10 - mutual masturbation, female placed my penis in her mouth for approximately 2 to 3 seconds to "wet" it for masturbation.

Questions: although the early March and March 20 oral episodes were not past the 45 day mark of the latest 4th generation tests, does the female testing negative on 4th generation a couple weeks following those events indicate they were safe? Finally, does the insertive oral on April 10 lasting only a few seconds constitute a testable risk?

Thank you very much for your help. I insist that I am seeking therapy and will NOT be engaging in any sexual activity until I sort these things out.

4 months ago

I would also briefly add that prior to the brief oral event on April 10 that we did deep kissing for at least 5 minutes and I did not detect any blood or sores in my partner's mouth at that time. Thanks.

H. Hunter Handsfield, MD

4 months ago

Your previous questions were no's 12758 and 12779. I see no questions now that were not answered in those threads, or whose answers are not obvious from those replies. Re-read those discussions and do your best to believe my replies.

That your partner tested negative "a couple weeks" following your exposures proves you could not have been infected, even if the exposures were risky for HIV -- which they were not. You'll need to work on your irrational fears, perhaps with professional counseling. There is nothing more we can do for you. Good luck.

HHH, MD

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4 months ago

Thank you for your candor and patience. Would you be so kind as to address any risk from the very brief insertive oral event on April 10 that I describe above? I already assume that you do not recommend testing. That is my final question. Again, thank you for the service you provide.

H. Hunter Handsfield, MD

4 months ago

There has never been a proved case of HIV transmission oral to penis, and the risk of other STIs also is very low. Given the brevity of the exposure, you can safely assume zero risk and do not need testing for anything.---

4 months ago

My apology, but I actually did think of something for my third and final question. It has been discussed on this board that if a partner tests negative on a 4th generation HIV test that they could not have been capable of transmission. Is the partner testing negative 1 week following an encounter as good as 2 weeks? 1 day just as good as those? I understand there's no scientific data supporting these estimates, but I didn't know if there was other information you rely upon. Again, thank you for your help in spreading awareness and providing rational discussion. It is greatly appreciated.

H. Hunter Handsfield, MD

4 months ago

I can't say the risk of transmission is zero in these situations, but it is exceedingly low. The AgAb (4th gen) test detects both antibody and antigen, i.e. the virus itself, if present. It is difficult to imagine the virus being transmitted when there's not enough to show up in the blood. You're overthinking everything. If you ever start having behaviors with any chance of catching HIV, let us know. But that's very unlikely as long as you're only have sex with women.

In any case, please note the forum rule against repeated questions on the same topic. This being your third, it will have to be your last; future similar questions are subject to being deleted without reply and without refund of the posting fee. Thank you for your understanding.

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