[Question #3995] HIV fear from Oral on a Woman

32 months ago
On May 26thI Met a girl and we ended up back in my room, long story short she performed oral on me for about 30 seconds and I performed oral on her for maybe about the same less then a minute, no intercourse. About two weeks after my friend came down with a cold and so did my brother, that Sunday I felt a little weird too but had gone to the beach. At the beach I ended up swallowing a lot of sea water accidently. That entire week I had headaches, stomach felt weird every time I ate and a little sore throa. So my mind went back to the day I met that girl and started freaking out. 3 weeks after my oral exposure I did a hiv RNA test with a 4th generation duo combo test and came back negative. My headaches continued for a little over 2 weeks on and off. 25 days after I had met her I asked her if she would get tested she said yes to give you peace of mind I know I‘m 100% okay. So after 25 days from exposure she did a rna and 4th generation which I picked her up and took her and also came back negative. 4th week did another 4th generation myself and also negative again. On week 5 went to a clinic did a rapid blood drawn test and a NAAT test came back negative. Week 6(42 days) did another 4th generation and was negative. 52 days little over 7 weeks I went and did a hiv2 rna test, and at 53 days did a hiv rna test and 4generation duo.  If these all come back negative can I comfortably be with my girlfriend without worry I will infect her?  

Please help! 

1. after these tests am I in the clear? 
2. If I had HIV symptoms for a few weeks already would i test positive by now? 
3. Does it matter I got her tested to give me reassurance I didn't get it?  
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
32 months ago
Welcome to the forum. Thanks for your confidence in our services. Apologies for the longer than usual delay in responding.

People obviously get colds all the time, and even if you had HIV as the cause, you couldn't have given it to your friend or your brother. And in any case, new HIV infections do not cause cold-like symptoms:  no stuffy or runny nose, no cough, and generally no headache with new HIV infection. In other words, there was nothing in your symptoms that should have raised concerns about having HIV, and HIV really shouldn't have even entered your mind.

Also, oral sex is safe sex, with little or no risk of HIV transmission. There has never been a proved case of HIV transmission mouth to penis or by cunnilingus (vaginal- oral contact). Had you come here before testing, I would have advised there was no need. And certainly there was no need for the repeated tests you had. These comments are not meant as criticism -- but you did overreact rather seriously. On top of all that, from her test result, you now know your partner definitely did not have HIV at the time you and she were together. And your own test results were conclusive as well.

Those comments answer your questions, directly or indirectly. But to be sure there is no misunderstanding:

1) You are in the clear. It is impossible you have HIV.

2) Yes. The HIV tests you had almost always are positive by the time symptoms start, and for sure always positive within a few days after onset of symptoms. Anyway, as noted above, your symptoms were not typical for a new HIV infection.

3) Does this "matter"? I suppose it might, if it was upsetting to your partner (which probably depends on how you presented the idea of testing to her). It really was entirely unnecessary. But if she was OK with it, I don't see any problem. Except for all the money you spent. (I certainly hope you paid for her testing!)

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
---
32 months ago
Thank you Dr. Handsfield for your reply.
I did pay for it actually and I've already spent $1000 on myself with all these test to make sure I dont give my current girlfriend anything.

Just one last question and I will drop this and move on.

Regardless off risk factor assuming I did have risk hypothetically, would my test that I did out to 7.5 weeks with the HIV RNA for HIV1 and HIV2 also the 4th generation be conclusive?(assuming I had risk) 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
32 months ago
Those results are 100% conclusive, proving you don't have HIV.---
32 months ago
Tests were done through stdcheck.com which I wont to labcorp and quest...these are very reliable tests correct?  

sorry I promise last question its just when you start having anxiety about this you start thinking about all factors to make sure you dot you i and cross your T to not leave anything to chance.
32 months ago
TYPO: which I went to Labcorp and quest
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
32 months ago
All labs in the US use standard, highly regulated HIV tests, and all these tests are highly automated. There is little if any difference in test performance or reliability of results from one lab to the next. And for sure Quest and Labcorp both have high quality assurance standards.

Don't overthink this. No matter what other questions come to mine (I call them "what if" and "yes but" questions), rest assured they will make no difference in the reliability of your negative test results or the replies you would have from me or Dr. Hook on this forum. So no matter what comes to mind, there's no need to ask!

That concludes the two follow-up comments and replies included with each question and so ends this thread. I hope the discussion has been helpful. Best wishes and stay safe!
---