[Question #1894] Testinh

52 months ago
Good day doctor. I had an exposure which was protected anal which only lasted about one minute do to nerved. Prior there was a period of dry humping penis between ass cheecks. I was tested for chlymidia and gonarea at 7 days. And also had 8 HIV tests all negative the latter being a 4th gen at 22 weeks and home ORAquick at 24. Also had one syphilis test at 14 weeks that was negative. Are these tests enough and conclusive. Also is there any reason to test for STD after receiving handjob?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
52 months ago
Welcome back to the forum. But I'm puzzled why you didn't ask about this exposure and testing in your other question yesterday. Alternatively, you could have asked this as a follow-up to that discussion with Dr. Hook, without paying an additional posting fee.

This exposure carried no appreciable risk of HIV or any other STD. I would have recommended against HIV testing at all, and certainly 8 tests was very excessive. In any case, all 4th generation tests done 4 weeks or more after the exposure were conclusive, as was the Oraquick test at 24 weeks. So was your syphilis blood test. If your chlamydia/gonorrhea test was on urine, it was conclusive for a urethral infection. To test for rectal infection, a rectal swab test is necessary. But there is no realistic chance of it after a single condom protected exposure and the other exposures you have described.

Dr. Hook already answered your question about hand-genital exposure:  never a risk for any STD and never a need for testing.

Regards--  HHH, MD

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52 months ago
Thank you doctor. Reason for two questions was I accidentally bought two. I didn't want to be to Long winded in the first question, and focused on my most recent encounter the handjob. Today I figured since I had already spent the extra 25 I would ask about the previous experience for piece of mind. Thank you for your patience and understanding.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
52 months ago
OK, understood. FYI, ASHA is not supporting this forum for the money and honest mistakes happen. Since I have replied, it seems appropriate for the additional fee to stand. Butf for others who might see this and make similar errors, if you had used the contact link to contact the web administrator and explain, probably they would have credited the extra charge. But on behalf of ASHA, we thank you for your extra donation to the good work they do in sexual health promotion and STD prevention!

Anyway, I'm glad you're apparently happy with our services. Let me know if anything isn't clear in either my responses above or Dr. Hook's. Best wishes and stay safe.

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51 months ago
Sorry to bother again. So today I noticed I have swollen lymph nodes, armpit, neck, collar bone, this is all confirmed with my GP. He has ordered variety of blood tests. HIV being one, which naturally has brought back all my fears. As I stated before. Other than exposure back in September which I tested out to 22 weeks with 4th generation all other exposures have been handjob. Should I still be concerned about HIV? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
51 months ago
For the reasons above, I remain confident HIV is not the cause of these problems, and probably no other STD either from that exposure. But to be safest, syphilis should be acmong the new blood tests.

Normally threads are closed at this point, after 2 follow-up comments and replies. But I'll leave it open for one more comment, after you receive your repeat HIV and preferably syphilis test results. But I won't have anything more to say until then.

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51 months ago
Doctor thank you for the answer today. I received the results of my HIV 1+2 AB/AG test back today which was very quick. That being said it was again negative. My doctor did not order a syphilis test but I will mention it to him. I also received my CBC test back and my doctor stated all blood counts were normal and within range (also very similar to my last physical). I noticed one exception, the EOS is at 8% which I guess is on the high side of normal, and the Absolute EOS CT was .42 which was labeled HIGH by the laboratory. Doctor did not mention it as a concern but I guess I will see how it all plays out. I totally understand this I the end of this thread and want to thank all Doctors here for the help!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
51 months ago
Thanks for the follow-up. Glad to hear your repeat HIV test was negative, but of course not surprised. High eosinophil counts often go along with allergies or parastic infections -- but not with any STD, so I'm confident that's unrelated to the sexual exposure described.

Best wishes and stay safe.

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