[Question #1664] hiv risk

46 months ago
Hi Doctor,

on 28th december , i went and met a transextual girl.. She gave me oral sex and we had protected anal sex. I put a condom and had sex .. I cum inside my condom in about 2 minutes. All my cum was inside the condom when i took it out , i could touch outside the condom and my cum was inside . I am sure it didnt break...
I got so anxious ... yesterday after 20 days i went did an hiv test .
The test was with Melbourne pathology
Name of test SE-HIV1/2 ANTIBODIES && ALSO SAYS 
HIV 1/2 ANTIGEN / ANTIBODY -- Negative.

Is this okay ? should i test again.. I am just confused i had protected sex and if condom break i would have known ... seriously i dont know .. do condoms have small holes etc? Should i again be worried?
Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago

Welcome to our Forum.  If you had asked me about whether you needed to test for HIV following the exposure you described, my reply would have been no, HIV testing was not needed.  This was a no risk event.  HIV has never been proven to be acquired from receipt off oral sex and condom protected sex is safe sex as long as the condom is used throughout the sex and does not fail.  As you describe it, your condom did not fail because when condoms fail, they break wide open, leaving no doubt that they failed.  Condoms do not lead "a little" in ways that are noticeable.   In addition, you do not know that your partner had HIV-statistically most transsexuals do not have HIV.

The HIV test you describe was a 4th generation, combination HIV antibody/antigen test performed at a quality laboratory.  These tests provide definitive evidence when used any time more than 8 days after exposure so your testing was a little early but, combined with your exposure history, it is additional strong evidence that you did not get HIV.  I see no need for additional testing or concern, 

While you didn't ask about other STIs, I would add that in the absence of symptoms at this time, I would not be worried about other STIs either.

I hope my comment is helpful.  Take care.  EWH

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46 months ago
Hi Doctor,

Thanks a lot .. Your reply , when i read this morning made me feel very good.. i am sure i didnt had a risk cause condom didnt break i could touch my cum inside the condom.
When i went after the 20 days along with hiv i did screening for syphlis, gonorea  ,chlamydia,  all came back negative.

Now yesterday which was the 27th day + one hour , i went  to the doctor and got tested for HIV again. same thing :-

Name of test SE-HIV1/2 ANTIBODIES && ALSO SAYS 
HIV 1/2 ANTIGEN / ANTIBODY -- Negative.

It was the 27th day + one hour.... not 28 exactly but yeah...

Doctor can i please move on? will that be conclusive or i go after 6 weeks again.

Means i have done two test 20 days and 27 days.




Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago
I would urge you to consider you most recent result conclusive in ruling out HIV.  One day would not make a difference in your situations. EWH
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46 months ago
Hi doctor ..  you are sure i dont need to do nother hiv test?  two are enough? 
Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago
The issue is not about the number of tests.  Your exposure was virtually no risk and your test was taken at a time when the results are certain.  Believe your results.  No need for more testing, your results will not change. EWH---
46 months ago
so i dont need 6 weeks test doctor?  Foget about everything and move on? the duo test is final?
Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago

Correct, no need for further testing.  Time for you to move forward without concern. 

Our Forum permits up to three responses to a client's questions.  This is your 4th reply.  This thread will be closed later today.  EWH

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46 months ago
Hi doctor thanks please can u answer my last question.. why condom is not 100 percent? if they dont break means no risk no need hiv test.. I had two tests ag/ab i am reading the internet a lot about these tests ... are they conclusive for me? i wanna move on
46 months ago
And why the blood test says antigen/ antibody and not p24 antigen/ antibody
Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago

Final answer- this is likely just a packaging isse.

I repeat, I recommend you believe your test results showing that you did not acquire HIV from the exposure you have described.

As per Forum Guidelines, this is my 3rd response to your questions.  This thread will be closed later today.   EWH

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46 months ago
I will move on from ur responces and wont test again .. atleast let me say a big thank u ... i hope you keep helping everyone like this