[Question #3479] Terrified

36 months ago
I had protected sex twice w Vietnamese sex workers in Singapore. Last event 21 days ago protected vaginal, brief unprotected oral, and 1st 28 days ago, protected vaginal and oral. I took a 4th gen test 12 days after 1st event and 4 days after 2nd and was negative. I realize I was in the “window” and terrified I have to test again. I’ve had unprotected sex w my wife twice since then. I was not worried about because I was protected but now I am hyperventilating and panicked that I may have infected her. I have never been more afraid in my life. Your forum is amazing and has been very therapeutic. Your help and advice is greatly appreciated.
Edward W. Hook M.D.
Edward W. Hook M.D.
36 months ago
Welcome to the Forum.  I hope that I can help relieve your worries.   It is unlikely that your partner had HIV as most sex workers do not and, even if she did, from the sound of things, this was a close to no risk encounter.   Condom protected sex is just that, protected and safe from HIV as long as the condom was worn throughout vaginal sex.  Your unprotected sex was also safe from HIV.  no one has ever gotten HIV from receipt of oral sex.  From a medical perspective there is no reason to even test.  If it would help to test, at 28 days a combination HIV antigen/antibody test would be 99% accurate and at six weeks results will be entirely conclusive and prove that you did not get HIV from the encounters you describe.  For these reasons, there is no reason to worry that you might infect your wife through unprotected sex.  

I hope this comment is helpful.  Please don't worry.  EWH
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36 months ago
Thank you, Dr. Hook. Your advice has been invaluable. I am still suffering from extreme anxiety about testing and/or waiting the extra few days to reach the 28 day point. Is there another test that would pick up the virus sooner? I’ve really have had no symptoms other than the anxiety. Again thank you for all that you do. 
Edward W. Hook M.D.
Edward W. Hook M.D.
36 months ago
Its now been 25 days since your second exposure and more than 28 since the first. Therefore I would go with he combination HIV antigen/antibody test.  If you must, the far more costly HIV virus nucleic acid amplification assay (i.e. PCR) would be slightly, although not significantly more definite at this time.   EWH
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36 months ago
Hi Dr. Hook,

I received my 28 day negative results from the combo test you recommended. Based on my risk factors and now negative results, can I move on from this incident? 
Edward W. Hook M.D.
Edward W. Hook M.D.
36 months ago
When I consider the facts that your test results are now more than 99% conclusive (see my original comment) AND that a condom was used for all genital exposures, my advice is to be confident that you were not infected and to move forward without further concern.  I see no medical need for additional testing related to the exposures you have mentioned. 

I hop my comments have helped.  As you know, after three responses, our threads are closed.  Thus this thread will be closed later today.  Take care and please don't worry further about the exposures you have described. EWH
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