[Question #2508] Hiv pssiblity

44 months ago
21 days ago i had only vaginal oral sex( cunnilingus) with an escort from rusia ( She was new escort and 21 years old )...After 11 days I had STI test...İt was negative..But I am afraid of hiv risk..So After 15 days from the exposure I had Hiv RNA PCR test..Result was negative..And finally after three weeks ( 21 day ) I have Anti Hiv 1/2+P24 antigen test, result is negative.

According to my story and test date and result , is there any risk or not..need hiv test or not. Because many doctors say oral sex ( cunnilingus ) is negligible risk....
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
44 months ago
Sexual risks for HIV were explained to you in your three previous threads. Cunnilingus carries little or no risk:  there has never been a proved cases of HIV transmitted by cunnilingus, from either partner to the other. You did not need all those HIV tests after this event -- they were a waste of money. But the negative results are very reassuring; they are 90% proof you were not infected. Have one more antigen-antibody test at 6 weeks, which will be 100% conclusive.

You have gotten into the habit of having safe or somewhat unsafe sexual exposures then coming to this forum for reassurance. This is your fourth question in a month, and it is the last time we will answer such questions from you. The forum does not permit repeated questions on the same topic. Future new questions about similar exposures, testing, and your fears about HIV or other STDs will be deleted without reply and without refund of the posting fee. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. I trust you will understand.

HHH, MD

---
44 months ago
I am so sory dr to disturb you..Pls only Could u tell me the risk percentage of hiv after my all test and 6 weeks test...Because I'm not very good psychologically...you told me  " I did not need all those HIV tests after this event -- they were a waste of money "  according to you After this exposure there is no need for hiv testing..??

And Finally What about Hiv RNA PCR test after 15 days...The laboratory Where I made this test told me This result is %99,88 conclusive...İs it right Dr.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
44 months ago
You are asking questions already answered above. The answers are unchnaged. "After this exposure there is no tneed for hiv testing..??" Correct. The laboratory is mistake about the RNA test; as I said above, it is closer to 90% reliable, maybe 95%. Finally, I already said that another anti-HIV P24 Ag test at 6 weeks will be conclusive. Based on the exposure alone, the risk you have HIV is zero. It is still zero after the tests you have had, and will remain zero no matter what other tests you have. As I said above, HIV has never been known to be transmitted by cunnilingus.

Let me know if anything still isn't clear -- but I will not answer anything already obvious from my replies so far. Also remember you may not post another question like this one. If you try, you will lose the posting fee.


---
44 months ago
Dr...my normal body tempreture 35.5 but fir three days my tempreture increase to 36.6 ..while i have  rna test after 15 days and anti hiv+p24 antigen test after 21 daysc an  this increase reason of hiv symptom...but nowadays my result is negative...i
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
44 months ago
You misunderstand body temperature. 37C (98.6F) is not the maximum normal temperature, but the average over the course of the day. Everybody's body temperature is as low as 35C sometimes and almost 38C at others. Without having a temp of 38 or higher, you definitely do not have fever. So this information does not change my opinion or advice. Also, everyone with HIV symptoms including fever has a positive duo test. In other words, your negative test at 21 days is 90% conclusive that you don;t have HIV, but is 100% conclusive that any symptoms you have are not caused by HIV.

That concludes the two follow-ups and replies included with each thread, and so concludes this discussion. If and when you keep worrying about HIV, I suggest you carefully re-read all replies above and in your previous threads, where you have been given reasoned, science based explanations that you can believe and rely on. Good luck.

---