[Question #13447] Assessment

Avatar photo
22 hours ago
Dear Dr Hook and Dr HHH, first and foremost I would like to thank u for this service. Both of u were an incredible source of strength for me in one of my toughest weeks (excuse my English not my native tongue).For context 24 days ago: I was receiving fellatio from a TS CSW inside a massage parlor in Bangkok for about 20 seconds. My anxiety and panic immediately shifted me to Reddit (deleted btw), where Doxypep was recommended which I got from a pharmacy nearby after around 3-4h (which I now know was unnecessary due to Gonnorhea being my biggest threat).After this event I developed symptoms which I now would most likely attribute to CPPS (groin pain, frequent urinating) and had a viral infection (stuffy nose, fatigue and neck lymph nodes) 3-5 days after the exposure. After 6 days I went to the urologist who swapped my urethra and took a urine sample for bacterial infections. Which came back positive for a kind of gut bacteria (sorry forgot the name but not EColi) and gave me Amoxiclav 200mg a day. Approximately 18 days after the exposure my Groin symptoms and overall fatigue worsened resulting in a flu like episode of muscle aches, stuffy nose and strong fatigue. At this point I was certain it would be due to ARS and went into full panic mode.
Avatar photo
22 hours ago
After a sleepless night now day 24 I mustered the strength to buy a 3rd Gen Antibody test to prove that my symptoms (I hope i understood correctly that it would always be positive even for a only antibody test if symptoms are sufficiently long present, in this case 5-6 days after flu episode) are indeed HIV which resulted in a tearful non reactive. 
My question now would be:
Would it be okay to stop worrying/testing in ur assessment or do u still see a concern?
Kind regards and thanks again
 
Sorry for the double post
Avatar photo
Edward W. Hook M.D.
22 hours ago
Welcome to the Forum.  Thanks for your support of our Forum and the confidence it implies.  I'll be glad to comment.

The encounter you describe did not put you at risk for HIV so the symptoms you describe could not be due to HIV.  There re no proven cases of HIV which are due to infection acquired from receipt of oral sex.  Further, your negative test taken 5-6 days after the beginning of your symptoms serves to prove that your symptoms were not due to HIV.  I see no reason for continuing concern about HIV and suggest that you stop testing.  The doxy-PEP that you took also virtually eliminates any risk for syphilis of chlamydia and reduces your risk for gonorrhea.  

I encourage you to move forward without concern.  EWH
---
Avatar photo
22 hours ago
Thank u so much Dr Hook. This is much appreciated.
Have a good day sir and hopefully we don’t have to hear each other in these circumstances again :D
Avatar photo
Edward W. Hook M.D.
22 hours ago
You are welcome.  I’m glad I could help.  EWH---
Avatar photo
19 hours ago
Sorry one more question because I want to go absolutely sure with no infection. Would a PCR test be conclusive after 24 days?

Thanks for the help
Avatar photo
Edward W. Hook M.D.
18 hours ago
If you feel the need to prove to yourself again that you are not infected, HIN RNA PCR testing at any time more than 11 days after your encounter will be conclusive and prove that you are not infected.

This thread will now be closed.  Take care. EWH
---