Dr. Handsfield,

I have bloodwork from 11/23/18. My last perceived exposure was 10/6/2018.

Are these tests reliable and conclusive? Do my tests indicate that I am infection free permanently at this point?

·         Last unprotected sex (all 3 kinds) was with a woman in a relationship (status uncertain)– over 3 years ago (One woman I met after that however did slip the head of my penis real quick in her vagina – over 15 weeks ago)

·         Last exposure was a hand-job at a massage parlor on 10/6/2018. I’ve been to countless massage parlors. I’ve done a table shower at a couple. One woman may have kissed or licked my testicles quickly at another parlor on 6/7/2018 (I didn’t feel anything though – I believe I stopped her in time). A couple of women fingered my anus at a massage parlor.

Do I need to concern myself with different strands of bacteria, virus’, etc with this testing? Do I need to be concerned with HPV or other STIs that are not common and tested? If I get the HPV vaccine, that only prevents future infections of HPV, correct?

Can I put my mind at ease finally?

HIV

HIV -1/2 AG + ABS, 5^th GEN W/ REFLEX

HIV-1 Antibody                                                            Non-Reactive

HIV-2 Antibody                                                            Non-Reactive

HIV-1 P24 Antigen                                                       Non-Reactive

HIV Antigen-Antibody                                                 Non-Reactive

Hepatitis

Hepatitis A (TOTAL ABS)

ABS                                                                                    Negative

Hepatitis B (HEPATITIS B SURF. AG /W REFLEX CONFIRMATION)

SURF. AG. QUAL                                                          Negative

Hepatitis B (SURFACE ABS)

SURFACE ABS                                                                  54.70 HI

Hepatitis B (CORE TOTAL ABS)

CORE ABS                                                                       Negative

Hepatitis C (HEPATITIS C IGG ABS)

ABS                                                                                Negative

HSV (Herpes Simplex 1 and 2)

HSV TYPE 1 IGG                                                            .10       

HSV TYPE 2 IGG                                                           .08

HSV 1/2 IGM ABS                                                         2.24 (Abnormal)

Syphilis

SYPHILIS SEROLOGY

ANTI-TREPONEMAL ABS (IGG/IGM)                          Non-Reactive

Chlamydia

CHLAMYDIA TRACH, RRNA URINE

CHLAMYDIA TRACHOMATIS rRNA URINE                Negative

Gonorrhea

N. GONORRHOEAE RRNA URINE

NEISSERIA GONORRHOEAE rRNA URINE                Negative

Trichomonas

TRICHOMONAS VAGINALIS URINE

TRICHOMONAS VAGINALIS URINE                            Negative

Hi Dr., 

So just to make sure that I understand, the information that I provided illustrates that I have been tested for all of the common STIs except HPV, that includes, HIV - Hepatitis - HSV - Syphillis - Gonorrhea - Chlamydia - Trichomonas. The tests are completely reliable (excluding the IGM test for HSV which is irrelevant with the IGG) and they are all conclusive at 15 weeks. Or is it sooner, and you were just referring to the time passage of the vaginal exposure? (I think the vaginal exposure might have only been insertion between labia not actually the vagina. Nonetheless, I will assume vaginal. Exposure date: 8/13) 

So, if I am negative, non-reactive, or in normal range for all of these infection types at 15 weeks, I am clear from these infections, meaning that I have no infections and if I was infected in the past from exposures over 15 weeks prior to testing, my immune system got rid of the infection and I wont become infected again after that unless I have new exposures?

Just to clarify, if I may, you had mentioned if I was exposed on 10/6 somehow, that the test results would be reliable and conclusive. Is that relevant only for the type of exposure I had because there was no form of oral, vaginal, or anal sex? It was just about 7 weeks not 15 weeks for what I interpreted was the testing window for the complete set of infections unless of course again you were only referring to the vaginal exposure and the testing window that covers all of the common STIs is less than 15 weeks.

Lastly, are bacteria and viruses associated with uncommon STIs weak pathogens with no viability to cause infection; nothing the immune system could not get rid of? If someone is negative for the common STIs, is it safe to assume that they are negative for the uncommon ones.

Thank you. 

Hi Doctor,

I am on the same page for paragraph one and two. I am conflicted with the testing window that covers all STIs including HSV. Is it 15 weeks or 7 weeks? Fortunately, you had explained that my test results for the date I had taken it was sufficient to cover exposure if there was any on October 6, but that was just under 7 weeks.

Also, could an exposure on October 6 accumulate bacteria, virus, etc. collectively with exposure in August to develop infections, or are these exposures too distant from each other? So, if I am clear for August exposure, October would be isolated. However, I do understand that conclusive test results would cover both exposures with sufficient time passage.

Lastly, I think I misunderstood another thread where it was explained that there were over 30 different bacteria and viruses that are sexually transmitted. I was assuming those were the uncommon STIs that are untested. Then, are the above 30+, types of the ones that I was tested for (including HPV types) or are they general bacteria and viruses that just happen to be a part of sex among anything else and aren’t exactly STIs?

I really hope that my test results are completely reliable and conclusive for exposure on 10/6  assuming there was any for all STIs (excluding HPV), and of course the exposures before that.

Thanks.