Hi doctor,

  Please evaluate my situation below:

  I went to an Asian massage parlor and received fellatio, handjob, anilingus and breast rubbing by a woman messeuse, all unprotected. After this encounter, I felt anxious and fearful of HIV. I went to a nearby Urgent Care and took PEP within 24 hours post the exposure. I complete the full 28-day therapy.Due to the hot weather,the medicine may get influenced by the heat outside above the recommend storage temperature when I'm out with pills in my backpack.   

  I got tested with 4^th Gen DUO testing separately 4 weeks, 10 weeks and 13 weeks after the exposure according to the clinic. All Negative. The doctor said I’m fine and do not need further testing.

  I don’t have fever, joint pains except a recidivation of jock itch around my gorin during PEP and repeated oral ulcers from 5 weeks post the encounter and until now.(Totally three times). I can also feel some part of my left cavity wall coarse with tongue these days. This is what I’ve never experienced before. And it makes me somewhat anxious again.

 Having read some threads here, I understand such encounters are virtually No Risk and do not warrant PEP. In order to move forward without any concern, I wanna ask:

1.According to the newest edition of Guidelines for PEP on CDC website, a Duo testing 3 months post exposure is enough to exclude HIV. But I noticed that there are some cases of delayed seroconversion documented in the guidebook, mainly about MSM. They occurs beyond 3 months. I’m kind of confused because CDC still recommends testing to 3 month.

So, is my testing result conclusive? Do I need further testing at 6 months?

2.In my understanding, if the result is conclusive, present and future symptoms (like ulcers or fever) should have nothing to do with ARS about this exposure. Or warrant another testing?

Thanks,