[Question #2801] Testing result and incidents

42 months ago
Hello Drs,
Around 77 days ago I received an unprotected oral and handjob in a massage parlor. The masseuse also inserted a finger in my anus. I had rapid HIV tests at Planned Parenthood around 9.5 weeks and 10.5 weeks after the exposure. All of them are negative. My questions are:
1/ Are my tests conclusive given the nature of my exposure?
2/ I recently went through depression before the exposure and took some anti-depressant pills 1 month before the exposure? Will it cause delayed seroconversion?
Thank you very much for reviewing my question. Best wish to you!!

42 months ago
I forgot to add that my HIV tests were the finger prick blood tests. Thank you.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
42 months ago
Welcome to the forum. Thanks for your question.

The sexual events you describe carried no risk for HIV, which is not transmitted mouth to penis or by fingering, anal or vaginal. So you really didn't need testing.

1) You don't say exactly what rapid tests were done. If they were blood tests, the results are conclusive any time 6+ weeks after exposure. If they used the oral fluids test, that test should never been done after any particular exposure. That test reaches maximum sensitivity at 3 months, but a small percentage never become positive. But all is OK if they were blood tests.

2) The only medications that delay HIV seroconversion are HIV treatment drugs, e.g. following pre-exposure prophylaxis (PrEP) treatment. Antidepressant drugs have no effect.

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

HHH, MD

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42 months ago
Thank you for your reply. For clarification, the tests i took were finger prick blood tests.  So based on your reply, my result is conclusive right? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
42 months ago
Yes, those results are conclusive.

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42 months ago
Thank you Dr. Best wish!!!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
42 months ago
Thanks for the thanks! Best wishes and stay safe.---