[Question #13722] Multiple little risks
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1 months ago
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Hello, last year you helped me out a ton, I got married in October, but in the past year I had a few minor risks
I had a male massage, I made him wear gloves but the gloves ripped as he was massaging my perineum and anus. I had him change them. But there was bare skin contact from a male for a bit. No handjob after.
I also had a massage from an African American woman which ended in breast masturbation unprotected and a bj with a flavored condom. No oral was given directly on unprotected penis. But breast contacted unprotected penis.
I also gave a friend a HJ for roughly 3 mins before I stopped. I wasn’t gloved. He didn’t orgasm. I didn’t see lesions. I washed hands thoroughly and obsessively after
We’re trying for a baby soon. I’m going to get a physical soon. Just wondering if im going to be HIV, Hep C and syphilis free from these encounters and if I can have unprotected sexual relations with my wife.
Today, I woke up with body aches, upset stomach, fever chills and cough. Can this be my worst nightmare of HIV? Please help?
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H. Hunter Handsfield, MD
1 months ago
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Welcome back. Thank you for your continued confidence in our services.
Your previous question 9 months ago also asked about hand-genital contact and my reply now is similar. HIV and STIs are not transmitted genital contact with hands, fingers, or breasts-- even without gloves, condoms or other barriers. None of the events you describe here put you at risk and there is no chance you could infect your wife with anything after such exposures. Washing hands after your masturbated a partner was common sense from a general hygiene standpoint, but there would have been no HIV/STI risk if you had not washed.
People in general worry far too much about symptoms as a possible indication of new HIV infection. Every symptom caused by HIV is caused far more frequently by other kinds of infection; and at least half of all people with new HIV have no symptoms at all. For those reasons, presence of symptoms rarely indicates HIV and their absence doesn't mean someone isn't infected. But in this case, your symptoms don't fit well with HIV anyway; it does not cause cough or nasal congestion. Most likely you have a standard minor viral infection.
From a medical/risk standpoint, you do not need testing for HIV or any other STI. However, reassurance alone is a valid reason for testing. If despite this reassurance you remain nervous, you are free to be tested for HIV. And if you also need additional reassurance about other STIs, you could have a urine gonorrhea/chlamydia test and, after a few weeks, a syphilis blood test. I really don't consider it necessary and would not be tested for anything is somehow I were in your situation, but it's your decision.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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1 months ago
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This was very helpful thank you. I plan to get tested during my yearly physical in about 6 weeks. Dr, do you think recent viral syndrome (which is what I’ll call what I currently have) will increase the possibility of a false positive test? In any case, will waiting 6 weeks until I get tested help offset any chance of a false positive?
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H. Hunter Handsfield, MD
1 months ago
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There is no evidence that day to day infections, viral or otherwise, increase the very low risk of false positive HIV test results.---
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1 months ago
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Thanks Dr. I’ve been a fan of yours for years so I appreciate the kind feedback. I guess my last follow up will be just to verify something, since you’ve talked me out of my anxiety attack I probably won’t test again, I’m kinda sick of testing multiple times a year even while practicing no risk activities. But, once more, if I were to test, would you think the activities above would put me at any risk for not only hiv, but syphilis and hep c as well? Would you expect all 3 to be neg? Thanks and happy new year.
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H. Hunter Handsfield, MD
1 months ago
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The exposures describe do not significantly risk HBV, HCV or syphilis. If you test for them, the results will be negative.
As for "I'm sick of testing multiple times a year even while practicing no risk activities", all I can say is just don't do it.
As you anticipated, that concludes this thread. Best wishes and stay safe.
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