[Question #2297] anal sex

44 months ago
hello doctors ewh and hhh
im male from saudi arabia
i had very high risk with guy massage anal sex Without any protection in 2 minutes and i came inside him  

27 DAYS combo
30 days combo and pcr rna
38 days combo and all std
44 days combo
55 days combo

All of them Negative

q1 Do I need other tests?
q2 can you tell me how healthy i am using percentage?

thanks and I'm sorry I do not speak English well
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
44 months ago
Welcome to the forum. Thank you for your confidence in our services. Your English seems fine.

Unprotected anal sex between man is a very high risk exposure. However, that does not matter. No matter how high the risk at the time, your test results are 100% conclusive:  they prove for sure that you were not infected. The combination of negative 4th generation ("combo", "duo") test plus negative RNA is conclusive, and the later results confirm it. 

q1) No further testing is needed.

q2) From an HIV standpoint, you are 100% healthy. There is no possibilty you were infected. You don't say what other STD tests were done, but probably they also are conclusive.

I hope this information is helpful. I would be happy to comment further if you would like to tell me what other STD tests were done at 38 days. If you do so, please also clarify where this exposure took place (city, country) and whether you were the anal insertive or receptive partner. But in the meantime, I think you need not be worried at all.

Best wishes--  HHH, MD

44 months ago
thats what happened Saudi Arabia in Riyadh exactly

Also I am the one who inserted in him not the receiver

STD tests are too many including ( HVC,HBS)

But they are not important because I will re-test them in the 3rd month to make sure completely

Another 2 questions please

Who are the people u are referring them with the 6 months test ?  

And did you see result change from negative to positive in the 6th or the 7th week ?

Thank you so much doctor you are legend

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
44 months ago
Thank you for the additional information. My understanding is that HIV is virtually absent among men in Saudi Arabia. Therefore, it is very unlikely your massage partner is infected. However, I have no knowledge about other STDs.

I never recommend any need for testing 6 months after exposure. All STD tests, and all HIV blood tests, are valid within 6 weeks after exposure -- except when HSV testing is done, valid results sometimes require testing at 3-4 months.

I have never seen a patient with HIV or any other STD, except herpes, whose test result changed after 6 weeks since exposure.

Being "a legend" isn't necessarily a good thing! But thank you for your kind comments.
43 months ago
Hello doctor 

i-re-test hiv after 3 months by combo 

and Hbs (ag) And hcv (ab)

And thye all are negative again thank god

My last question please: Does these viruses (hbs hcv) delayed or affect on hiv results ?

Thank you for your words the make me feel better then seeing the results 

Have a great day 

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
43 months ago
Glad to hear of the additional HIV test result (even though it wasn't necessary!) and the hepatitis B and C results. All are conclusive. None of these viruses has any effect on testing for the others. No worries!

Thank you again for the kind comments. Have a nice day yourself!

That concludes the two follow-up comments and replies included with each thread, and so conclues this thread. Best wishes.