[Question #13417] [Question #13333] - insertive oral case

 
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9 hours ago
Dear Drs. Relating to the previous question asking about HIV risk from unprotected insertive oral from 2 different Thai CSW in Bangkok.
I neglected to add that the CSW were in a brothel like setting (bar/ brothel type place) and probably were more likely to be infected than the average CSW? Another detail I missed was that I was a bit under the influence of alcohol and took 15-20 minutes to finish, and masturbated to "help" rubbing her saliva on my penis - which may rub infectious fluid into receptive cells.

My symptoms have passed, but still still ache in the inguinal lymph nodes and I still have 3 spots on my left tonsil.
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H. Hunter Handsfield, MD
5 hours ago
Honestly, this question is nonsense. You obviously did not understand or perhaps just did not believe Dr. Hook's assessment and advice in your recently closed forum. The additional details of the sexual exposures make no difference in HIV risk, and you have ignored Dr. Hook's statement there there has never been a scientifically proved transmission of HIV oral to penis; which you also were told when you posted a very similar question 5 months ago. In other words, your risk of HIV was zero for all practical purposes.

Further, your symptoms were not typical of an HIV infection; and also they started too soon (ARS symptoms don't start sooner than 8-10 days after exposure and usually it's 2 weeks or more.)

From a medical/risk standpoint, you do not even need HIV testing. Of course you are free to be tested for HIV anyway. A negative result with an AgAb (4th generation) blood test now will prove your symptoms are not caused by HIV; and another test at 6 weeks would prove you were not infected. Or you could seek an HIV RNA PCR test 11 days or more after the exposure; that negative result would make it certain both that your symptoms were not due to HIV and that you were not infected. I am not actually recommending testing -- it would be only for reassurance if you need a negative test result in order to believe you aren't infected. If you test, it will be negative.

Let me know if anything still isn't clear. But do not ask anything already answered on this or your last thread, or whose answer is obvious from that discussion and this one. If you do, the thread will immediately be closed without further discussion.

HHH, MD
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