[Question #13446] Concern

 
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5 hours ago
Hello Dr.

This is in regard to my previous posted involving mutual m2m mutual masturbation and using a towel of his afterwards. I had HIV tests: 
RNA on day 19- negative
Finger prick 4th gen day 30- negative
2 4th gen blood tests after 45 day period- both negative 

I want to stop testing! This doubt for testing has never happened like this before. Constant “what if” the tests were false negative or if the towel was covered in Blood and got into chaffage on my penis and I didn’t realize it- or an open wound I didn’t see.

I am seeing a therapist and working on this as much as possible.

Now my concern has become HBV. 
 I'm unsure of vaccination.

Could this towel scenario lead to positive HBV diagnosis? If it was bloody?

It has been 49 days since the experience/ exposure day. If I got tested for HBV and it came out negative, would I be  good or do I have to wait 3 months for it to actually be conclusive? What are the testing windows?

Also is there any concern for syphillis?
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Edward W. Hook M.D.
2 hours ago
Welcome back to the Forum. Thanks for your continuing confidence in our service.  As a reminder, I've copied the reply I made to your questions about 3 weeks ago:

"Facts:
1.  You do not know that your partner had HIV, most people do not.
2.  HIV and other STIs are not spread by mutual masturbation, even when partners get each others secretions on each other in the process.
3.  HIV and other STIs are not spread by sharing a towel which has been used by an infected person.
4.  HIV RNA PCR tests are conclusive any time more than 11 days following an exposure.

There is no need for further testing.  Worrying about a falsely negative HIV RNA PCR test is a waste of time.  It's time to move forward without concern."

As I said then, no STIs, including not only HIV but hepatitis B are transmitted through contacts with genital secretions during mutual masturbation.  The same is true regarding sharing a towel.  Your follow-up HIV tests provide conclusive evidence that you were not infected with HIV and your tests for hepatitis B prove that you did not get hepatitis B either.  There is no need for further testing in relationship to the  no risk encounter you describe;

I hope this information is helpful.  It's time to move forward.  EWH
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