[Question #3961] Oral sex and hiv testing.

31 months ago
Good morning,

8 weeks (59 days) a go I had unprotected oral with a Male wo says he is married and clean.  The oral sex was both ways. I spit any fluids I thought might be precum. I finished with my hand then cleaned up. I took a Duo with p24 antigen test at 9 - 10 days Negative. Took an oraquick swab at 33 days negative. I had no symptoms until 4weeks I got pain in my left arm pit and a few days later after being in 100 degree plus weather all day wearing restive military gear  and cigger bites all over, I developed what the doctors called cellulitis in my arm pit bumps red painful hot to the touch bumps. I was prescribed bactrim and within 3-4 days went away. Had minor headaches but probably from chain smoking. At 7 weeks and 5 days I took another oraquick swab negative. I can't take a blood test right now cause of my location and I work with the people at the only clinic.  
Also I had oral sex with the same Male back in early March so my duo test would exclude that act? Right? And possibly lessen the risks even further? Any advise and guidance would be greatly appreciated. I really think I am over reacting and causing myself undo stress so you agree.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
31 months ago
Welcome to the forum. Thanks for your confidence in our services.

There is no realistic chance you have HIV. Several facts should reassure you. First, oral sex is safe sex in regard to HIV. There has never been a proved case of HIV transmission by cunnilingus. (From what you say, I can't tell if you're male or female, but I don't think it matters in terms of risk assessment.) A few cases have occurred in oral partners exposed by fellatio, i.e. penis to mouth -- but in general that probably requires ejaculation in the mouth. And even here, the risk has been calculated at roughly one infection for every 10,000 exposures. That's equivalent to giving BJs to infected men once daily for 27 years before transmission might be likely.

Second, your symptoms are not at all suggestive of a new HIV infection. Not even close.

Third, your partner almost certainly doesn't have HIV. He sounds low risk for HIV.

Finally, the HIV tests are 100% conclusive when done sufficiently long after the last possible exposure. Your tests don't meet that standard-- the oral fluids test requires 3 months for conclusive results. However, a negative result at almost 8 weeks is very reassuring:  by that time, over 95% of newly infected people would have positive results.

So you really need not be concerned -- the chance you have HIV are under one in many million. But if you want conclusive test result, have another AgAb (Duo) test any time, or another test of any kind 3+ months after the last event. In the meantime, rest easy. You don't have it.

I hope these comments are helpful. Best wishes and stay safe (as you apparently have been 'til now). Let me know if anything isn't clear.

HHH, MD

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31 months ago
I am a male. The only thing kinda new is since the 4th i hsve had of and on elbow pain in both elbows more in my left was pain in my shoulder tingling in my pinky and ring finger. It doesn't bother me when I sleep and it got better after I stretch it with tennis elbow stretches. So I doubt that is related. Thank you for your time and candor if you keep the thread open I will update in a few weeks.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
31 months ago
I agree these symptoms are of no concern in regard to HIV or other STIs. If it continues or gets severe, and especially if other joints or limbs seem to become affected, you might need to see your doctor for an arthritis evaluation.

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