I had an unprotected oral & vaginal exposure with a female at a massage parlor. 

22 days after I did a Insti finger prick test negative and same day 4th generation Abbott rapid test negative.

35 days after I had another 4th generation Abbott rapid test negative.

73 days after I did an Oraquick rapid saliva test negative.

My symptoms started several weeks after exposure- cluster headaches every day, aching lymph nodes in neck and groin.

What is your advise?

Thanks 

You should be having no worries at all. First, you had a zero risk exposure in regard to HIV -- or close enough to zero that you should ignore it. First, if you're in the US, Western Europe, or most other industrialized countries, a partner like yours is exceedingly unlikely to have HIV. Second, condoms are excellent protection from infection by vaginal sex. Third, there has never been a proved case of HIV transmitted oral to penis. (An estimate of risk by CDC was that if the oral partner is infected and untreated, the penile partner has a risk of one in 20,000. That's equivalent to receiving BJs by infected partners daily for 55 years before becoming infected might be expected.)

Accordingly, from a medical/risk standpoint, there was no need for HIV testing. (That said, of course reassurance itself is a valid reason for HIV testing -- even when the risk is zero or close to it, so I'm not criticizing your decision to be tested. Your symptoms don't even hint at HIV; and it's impossible to have HIV symptoms more than a month after exposure and not test positive. It isn't HIV itself that causes symptoms, but the immune response to the virus -- and immune response means antibody must be present in the blood.

In any case, your test results so far are nearly conclusive proof you did not acquire HIV. That said, the oral fluids test remains negative in up to 3-5% of infected people; it is never the proper test when ruling out recently acquired infection. Your negative AgAb (4th generation) test at 35 days is ~99% conclusive; it takes 42-45 days for 100% reliability. If I were in your situation, I wouldn't feel the need -- but if you need a 100% conclusive test result in order to cease all worry, have another AgAb test whenever you like. If you do it, you can count on another negative result.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

What is the statistic for potential infection from giving cunnilingus?