[Question #3261] 41 Day 4th Gen Test, Semen Eye, and Info for Others
38 months ago
Hi Dr. Hs,
wanted to follow up with my latest test and get confirmation
that it is enough.
Tested 41 days after the encounter with a drop or 2 of semen in my eye.
Test was 4th Generation AG/AB. It was negative.
Is this close enough to the 42 day mark, to be conclusive for testing?
Also, I have been stressing about the information I find on mucous membrane exposure online.
I find either a risk of 9/10,000 or 1/1,000 quoted a lot. This from what I can find is based on a small studies of healthcare workers report exposures to blood. And is also just an estimate from what I can research, because most research I see show 1 or zero seroconversions
Looking at the CDC website, https://www.cdc.gov/hiv/risk/estimates/riskbehaviors.html.
One can see that Oral Sex is considered "Low", and usually quoted as less than 1/10,000.
You can also see that "Throwing Body Fluids (Including Semen or Saliva)" is quoted as "negligible"
Which semen in the eye must be either Oral Sex and/or Throwing Body Fluids. Which should make the exposure "negligible" to "Low" at the most.
Also, I found this from the British Health website on HIV and PEP, https://www.bashh.org/documents/PEPSE%202015%20guideline%20final_NICE.pdf
"Semen splash to eye <1 in 10,000" and "PEPSE is also not recommended following semen splash in the eye as there have been no documented HIV transmissions via this route"
So, even if the person was Known to be HIV+ and have a high viral load, then PEPSE(PEP) is still not recommended.
Back to my exposure specifically, if we assume at worst a 1/1000 for risk, 1/1000 for the person being HIV+(she test neg(rapid) day of), and then a test at 41 days being at least 99%. Then my estimated risk is 1/100,000,000. That's got to be zero :-)
But I am hoping that you say the 41 day test is fully conclusive and I can completely move on without worry at all.
I do also hope that the information here on eye exposure helps others relax as well!
Thank you again!
Edward W. Hook M.D.
38 months ago