[Question #2166] Hiv question
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95 months ago
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Hello, I am concerned because in the past months i've had 3 different sexual partners, two of them could be considered one night stands although i knew them, but i was a one time thing in which the penetration lasted only a few minutes, and the third female has been ongoing since december up until now, we have given each other unprotected oral sex and always have protected sex. Everysingle encounter with all of these women was protected, of course there is always the doubt of whether or not secretions got into a wound or sore but other than that i have always had protected sex after a negative test....can you please assess my risk. Thanks!
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95 months ago
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Two weeks after one of the encounters i developed a mild fever sore throat and runny nose, it seemed like post nasal dripnor a sinus infection no rashes or swollen nodes
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H. Hunter Handsfield, MD
95 months ago
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Welcome to the forum. Thanks for your question, which came in only half an hour before I logged on. Most users shouldn't expect such prompt replies!
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The quick answer to your main question is that the risk of STD from these exposures probably is very low. Even among the most sexually active persons, such as sex workers or those who change partners frequently, at any point in time most are not infected with active, transmissible STDs. Second, all STDs are transmitted inefficiently: that is, most exposures to infected persons do not result in transmission of the infection. Third, condoms work: they are nearly 100% effective for STDs transmitted through secretions (gonorrhea, chlamydia, HIV, etc) and quite good against those transmitted skin to skin (e.g. herpes, HPV).
No STD cases sore throat, runny nose, or sinus symptoms. You caught a cold that undoubtedly had nothing to do with a sexual exposure 2 weeks previously.
I would not advise STD testing on account of these events. OTOH, all people who are sexually active outside committed, mutually monogamous relationships should be routinely tested for STDs (gonorrhea, chlamydia, HIV, syphilis) from time to time, like once a year. If you have not been tested recently, perhaps this would be a good time, while it's on your mind. But not because of these particular events.
I hope that helps. Let me know if anything isn't clear.
HHH, MD
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95 months ago
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One more thing, my hepatitis panel came in and i was negative everywhere except the surface antibody for hep b, i am 26 born in 1990, is it possible that this is a memory of the vaccionation since i do not have core antibodies? Or do they show up after surface antibodies?
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H. Hunter Handsfield, MD
95 months ago
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That is exactly the blood test result caused by and expected from vaccination. Since you were immunized, there was no need for hepatitis B testing; it was a waste of money and you need never do it again, your whole life.
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95 months ago
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Thank you Dr.Hansfield for your quick replies, I will seriously consider getting tested although I am terrified despite the fact i have tried to never put myself in major risk situations
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H. Hunter Handsfield, MD
95 months ago
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Feel free to be tested if you wish. But assuming these are your only potential risks, my reply above makes it clear that being "terrified" isn't warranted. You definitely can expect negative test results. What are you planning to be tested for? I strongly recommend only the ones mentioned above: urine for gonorrhea/chlamydia and blood tests for HIV and syphilis. Nothing else; all other potential tests are potentially misleading after such low risk exposures.
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Normally threads are closed after two follow-up comments and replies, but I'll leave this open so you can post test results in a few days. I won't have any other comments or advice until then.