[Question #2791] Can I have Kids- Oral Sex Hiv Risk 5 weeks after testing

Avatar photo
94 months ago
Dear Doctor
I am 32 years old Male Living in Mumbai , India . I am married and I am planning Kids and a future with my wife . On 18th August 2017 I visited a massage parlor in Mumbai and received a BJ from the therepist( My penis , her Mouth ) - It lasted for about 2 mins and I did Cum in her mouth . She then cleans her mouth using mouthwash .Not to sure if she had cleaned it before giving the BJ 
.After 2 days I asked her to get tested . She got tested with the 4th Generetaion test on 20th August which also came out negative/ non reactive . Out of fear I saw many websites with conflicting views about risks , Getting tested / Not getting tested for HIV . I visited My physician who told me there was no need to worry out of the encounter and I should move on with Life.He did check my genitals for cuts etc and said I was completely healthy .

 However out of Guilt / Anxiety I did the 4th Generation Duo and RNA PCR test both  together at 35 days after exposure. Both Came out Negative / Non reactive . 
Should I go on now with life ? Are my test results conclusive  ? It is a little more than 6 weeks today 

 I would like to have kids ? Can I have unprotected Sex with my wife ? 
Other than the anxiety I feel completely normal and healthy. I have scheduled other STD checkups this weekend but I need to clear my head from the Stress with HIV .

I know these questions are repetitive but there are soo many conflicting  views everywhere  ., I dont know what to believe .

Dr Handsfied's and Dr Hooks  Posts on Med Help have been like the light @ the end of the tunnel for us suffering with this kind of anxiety . However yesterday I did come across the following website http://nogoingback-thereisonlyforward.blogspot.in/2011/12/he-gave-me-more-than-bracelet-he-gave.html which was scarry  . I understand that the lady was the receptive partner in this case  but  stuff like this makes you think . 

I would love to have your opinion on the above matter and Move on .

Thank you 

Awaiting Yours


Avatar photo
H. Hunter Handsfield, MD
94 months ago
Welcome to the forum. THanks for your question.

You were not at risk for HIV, which has never been proved to occur mouth to penis; and that partner's negative test proves she did not have HIV at the time of that sexual exposure and you could not have had HIV.  And your own test results are 100% conclusive. From an HIV standpoint, you can have unprotected sex with your wife without worry. And based on this sort of exposure, the only testing for other STDs that you should consider are a urine test for gonorrhea and chlamydia and a blood test for syphilis. Do not get tested for anything else.

I'm not sure where the question about having kids comes from. Even people with HIV usually can have entirely healthy kids -- HIV itself is not a reason to avoid conception and pregnancy.

You are absolutely right about the varying opinions and advice you can find online. However, if you limit your searching to website organized by scientifico organizations (universities, public health departments, etc) and those that are provfessionally run and moderated (like this one), you can be prestty sure of accurate advice. Absolutely avoid sites run by and for infected or affected persons:  personal testimony about how one became infected is absolutely the least reliable and most misleading kind of "evidence" there is.

I didn't read that blog post in detail, but it appears she performed oral sex and had intercourse with him. We know that condoms sometimes fail and that penis to mouth transmission by oral sex sometimes happens. So what's the big deal? There still are no known HIV cases mouth to penis. Anyway, what does it matter if extremely rare exposures result in HIV? Does your risk of getting struck by lightning get any higher when someone else is struck? So I see no reason why this particular case "makes you think". It's simply no big deal.

But I do thank you for your confidence in our services and your kind words about them. I hope you have found this information helpful as well. Let me know if anything isn't clear.

HHH, MD

---
Avatar photo
94 months ago
Thank you Doctor for your reply .
I will move on 
Just need your opinion on the 2 points below 
1 Hiv duo and Pcr test 100 percent conclusive at 5 weeks . This is due to the 3 months emphasis put everywhere . I have already taken your recommendation towards it. 

2 in case she used Listerine before the bj does it neutralise the ability to kill the virus 
I know the above #2 is a  stupid questions.the second question was a concern voiced by my friend .he has been through a similar situation in the past 

Any ways would like to thank you again for all the help .Just a little note -Asha in Hindi (our native language)  means Hope . 

The above will clear all my doubts 

Thanks again .



Avatar photo
H. Hunter Handsfield, MD
94 months ago
1) There are a number of health agencies that consider and advise that the Ag-Ab tests are conclusive at 6 weeks, even if many or most continue to stick with 3 month advice out of legal conservatism not supported by science. Six weeks is generally considered conclusive. 5 weeks is very close, but not quite there. (But you didn't need testing anyway, so it doesn't much matter in your case. As discussed above, you were not at risk for HIV.)

2) Listerine probably has no effect one way or the other. 

Thanks for the heads-up about ASHA's name and it's significance in Hindi!  I'll pass that long to the CEO and Board members.
---
Avatar photo
94 months ago
Dear Doctor 
As per your above 6 weeks guideline subject I am not considering any more testing for Hiv.i trust you when you say  that my test results are 100 percent  conclusive and I was at no risk through oral sex  .Me my wife are planning a kid and all I need to know is there is no more risk involved.

The other tests you have mentioned are all negative . 

Do let me know if there is anything you wish to advise.

Thanks 


Avatar photo
H. Hunter Handsfield, MD
94 months ago
Glad to hear of your negative test results. I have nothing to add. Best wishes to you and your wife.

---