[Question #2618] Risk from oral activities

43 months ago
Dear Doctors,

I engaged in the following activities with two different female CSW:

1) received a blowjob and anilingus unprotected from an asian (vitnamese) CSW. this was for about 3-4 minutes.
2)received anilingus unprotected from an asian masseur, for about 2-3 minutes. She put her lips around my penis for 1 second but I removed it, as I was worried.

I wasn't planning to engage in those activities beforehand, was planning for a simple handjob, but a thing led to a thing.

Took an Hiv 3rd generation test 5 weeks after the first act and 2 weeks after the second.

Would appreciate your advise on my situation. I am a bit nervous and worried about the risk of HIV. Thanks

43 months ago
I got a slight fever 37.5C and diarrhea for one day 2 weeks ago, and this week I have a slight sore throat for 3 days.
 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
43 months ago
Welcome back to the forum.

This exposure is similar to the one you asked about several months ago. As discussed last time, receiving oral sex or analingus carry little or no risks for HIV. There has never been a proved infection from either kind of exposure. You really didn't need testing after this sort of exposure. Also, your symptoms do not suggest a new HIV infection. (And you had no fever. Everybody's temperature normally reaches 37.5C or even a little higher from time to time. 37.0 is not the maximum normal body temperature; it's the average in the population and over the course of the day in healthy people.)

The antibody-only (third generation) HIV tests pick up about 95% of infections at 5 weeks and perhaps 20-30% at 2 weeks, so that test is highly reassuring in regard to the first event but doesn't mean much for the second. As I said, you don't need testing at all. But if you still want the reassurance of reliable test results, get retested 6-12 weeks after the second event. But stay relaxed as you wait. You definitely are not at risk of HIV from these events.

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD
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43 months ago
Thank you very much for your reply  Dr. Handsfield.
Really appreciate it.


43 months ago
Dear doctor,
Would appreciate your comments on the following updates.  

I called the clinic again and they advised me the test was a 4th generation ab/ag test.  


I also called the lady that I had the first encounter with  and she said she tested 2 weeks ago as part of her annnual and shes fine. She looked clean to me but I still have to see the report of her test.  I am abit paranoid as I recently got tinnitus and out of frustration had these encounters  which I regret a lot. 






H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
43 months ago
The 4th generation (Ag/Ab) tests detect 80-90% of infections at 2 weeks, so that result is more reassuring than I said above. And it seems unlikely your partner has HIV. But as I said, you were at little or no risk even if she were infected. I don't think you should insist on seeing a written report of her (or anyone else's) test result. People rarely lie about HIV status or test results, and she would rightly view a request to see a written report as creepy.

You can go forward with 100% confidence you don't have HIV. But if you think you need the still further reassurance of a 100% conclusive test result, have a final 4th generation test at 6 weeks.

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43 months ago
Hi Doctor. 

Thanks for your re assurance. 

I have asked the masseuse in the second event to test for hiv and she thankfully accepted. She preformed Abott architect  4th generation test 33 days after we met and results came back non reactive. 
I understand that this isn't 6 weeks after the event but since she will be traveling soon we had to arrange the test at this time.

Also the lady in the first event tested 5 weeks after that exposure as part of her annual checkups. 


In your view after this update should I move forward without fear or is there still a risk? 

Also I don't plan to have any unprotected oral or rimming in the future , given my level of anxiety and the testing stress  it creates.  What I am trying to reach is if they test at the right intervals will that be enough?  
43 months ago
Its now 34 days since the last event happened (receiving anilingus). and she tested 33 days after the event. should I worry about the remaining 9 days till 6 weeks mark?


H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
43 months ago
Given your partner's negative test, it is not possible that you could have caught HIV at the time of your exposure. No further testing is required, either for you or your partner. And as I said, nobody has ever caught HIV from the kinds of exposure you had:  even if she had HIV, you were not at risk. Since this is the second time you have asked about this kind of exposure, let's make it the last, No more questions unless you are truly exposed, eg unprotected vaginal or anal sex. OK?

Best wishes and stay safe in your future CSW adventures -- as you have done so far.

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