[Question #13136] HIV RISK PLEASE - ORAL AT CLUB
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2 months ago
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I am a male and I went to a gay bar in Chicago last Thursday. I wanted to check out the scene. Anyway, I witnessed a lot of sexual activity going on there. I was curious about things and here is what happened. Another male began to give me a handjob over my shorts and then started to give a handjob under my shorts touching my bare penis and scrotum with his hand. He then pulled my penis out of my pants and continued the handjob. Then he started to kiss my neck and ears. He licked his finger a few times and rubbed his saliva on the head of my penis. Next, he began to give me oral sex for a minute or two. I did not finish and decided to stop the activity. Needless to say, I saw him doing the same thing to another man later that night. I am extremely concerned that he may have HIV. I know your advice on receiving oral sex and HIV (I read through many questions) and it made me feel better. However, I can’t help but think this man was doing that to other men that same night and could be at high risk for HIV. The only other activity I did that night was feel on some bare skin of some guys with my hands in a booth area. I am not sure but the bench area could have had seminal fluids on it. What if my skin came into contact with fluids? I know rationally, that isn’t a risk but I have to ask. Can you please be so kind to provide your HIV risk assessment from the situation I experienced at this club ? Do I need to worry and get tested ? If so, what kind of test should I get?
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Edward W. Hook M.D.
2 months ago
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Welcome to our Forum and thanks for your questions, as well as your implied confidence in our service. Non of the activities you describe put you at risk for HIV. There is no medical or scientific reason for testing. Specifically, there is:
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- no risk from receipt of masturbation, even if your partner had his or another person’s genital secretions on his hands
- no risk from receipt of oral sex, even if your partner had just performed oral sex an another HIV infected person
- no risk from possible contact with an inanimate object contaminated by another person’s genital secretions
Please don’t worry. If you choose to test for the added comfort a negative test provides, a combination HIV antigen/antibody test will conclusively prove you were not infected anytime more than 6 weeks after your trip to the bar you describe. EWH
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Edward W. Hook M.D.
2 months ago
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I deleted your follow up and will refund your fee for the new question. If you return with further questions (as opposed to following up here, there will be new questions)
I understand that your receipt of oral sex was unprotected. This in no way changes my assessment. The activities you describe did not put you at risk for HIV
EWH
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2 months ago
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Thank you, sir for your expertise and prompt assistance. I am clear on your answer and I appreciate it. Thanks.
I think I would like to get tested in the future with the HIV antigen/antibody test. Not specifically for this episode but, just as part of a physical exam and general wellness. I take Entyvio for Crohn’s disease every 6 weeks. Can Entyvio interfere with the accuracy of the antibody/antigen test at all ? I know it is an immunosuppressant medication. I just would like your professional advice. Should I take the RNA PCR instead ? Thanks for your time and consideration.
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Edward W. Hook M.D.
2 months ago
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Your Entyvio will not negatively the accuracy of 4th generation, combination HIV antigen/antibody test. You will not need PCR testing.
This thread is now complete. Take care. EWH
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