I am really sorry to be back but I am still concerned about my situation. I have sought counseling and hope this helps but in the mean time would appreciate advising on couple of points. 

I took another 4th generation lab test 5 weeks after the last exposure "receiving anilingus" and 8weeks after receiving oral and rimming and it came back negativethanks god. this was my second negative test. 

The second lady tested 33 days after our exposure and she was negeative.  

I hope all ends well but would like your assurance as in my country there is limited advise. 

-How certain can I be that I didn't catch Hiv.  From both exposures? 

-anatomically is it poosibale for hiv to be passed from receiving anilingus "isn't the outer anus a moucus membrane ?

-does the low risk of an exposure increase with repeated exposure?

-would i need further testing 

Thanks in advance and apologies for repeating the question but there was the new test that I took after the closure of my earlier question. 

Welcome back to the Forum.  I'm sorry you felt the need to return.  The concerns you express are not associated with any meaningful risk for HIV and there is no need for additional testing. 

There are no data to suggest that analingus is associated with ANY risk for HIV whatsoever and I see no medical or scientific reason to recommend testing following receipt of analingus, receipt of oral sex or rimming (which is essentially analingus, isn't it) irrespective of whether your partner had HIV or not (and the partner you describe did not have HIV- see below).  There are no proven cases of HIV which have been attributed to this route of exposure.  You will not be the first.

As for your test results, the fact that your most recent partner was HIV negative 33 days after your last exposure virtually assures you that she did not have HIV and was not infectious to you. Further, your own tests at 35 days with a 4th generation, combination HIV antigen/antibody test likewise provide strong evidence that you did not get HIV.  While official recommendations are that results of 4th generation tests are not definitive until 6 weeks (42 days) after exposure, the proportion of cases which are not detected by 4 weeks (28 days is tiny- neither of us on this forum has ever seen such a patient).  When we combine the routes of exposure you report, the test results you mention for your partner, and your own test results your results are definitive.  You did not get HIV form the exposures you mention and there is no need for further testing related to these exposure.  EWH

I really can't express my gratitude for your guidance. Thank you so much.  

I went for a further 4th generation test at 42 days and the result came back negative thanks god. This was my third test the first being 2 and the second 5 weeks post exposure. I really don't know where to go further now, I am still in shock mode at my behavior. 

I read the CDC website and their wording seems to say "An antigen/antibody test performed by a laboratory on blood from a vein can usually detect HIV infection 18 to 45 days after an exposure. 

Can I be 100%  sure of my results are conclusive in ruling out HIV. Should I test more or ask the two lady's to test any further (both of them tested 33days post exposure with 4th generation test ?  Is a PCR test necessary at this juncture.  

I am a bit worried since I am planning to have a  monogamous relationship. 

Thank you again in advance. 

I just want to say I went for an STD check on week 7, and everything came back negative thanks god. 

Glad to hear of your negative test results.  Straight to your questions:

1. Whether or not to test is of course, up to you. I realize you are anxious about having received analingus and suspect you might like the reassurance that a negative test would provide.  I am confident that if you do choose to test, that an anal swab test for gonorrhea and chlamydia will be negative.   

2.  You are correct, a blood PCR test for HSV will not be helpful.  Personally, I recommend against testing but if you feel you must, an IgG (not IgM) HSV antibody test is the test to do.  I suspect you like most people will find that you already have HSV-1, probably acquired in childhood an would not worry about it. if your antibody test for HSV-2 is positive, it is more likely to reflect a previously acquired infection than a recent infection form the exposure you have described. 

3.  This is the correct syphilis test and the result is conclusive at 7 weeks.

4.  30 WBC in your urine suggests a possible urinary tract infection, not an STI.

5.  a 7 week HIV test is conclusive.  You are out of the woods.

Thanks for your tanks.  I am glad we have been ale to help. As you know, since this is my third reply, this thread will be closed later today.  EWH

Just to clarify I did not test for HIV again at week 7. The last test for HIV was on week 6. 

This thread is now closed.  EWH