[Question #5048] Do I have to get tested?
76 months ago
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I had a sexual encounter with a guy I know on a friend basis. He plays for the D1 football team at my university. He is very good athlete and claims he gets tested all the time and that he got tested for HIV 2 weeks ago and his last encounter was 4 weeks ago.
(So he had sex then 2 weeks later got tested.)
Young Half black male. He only has sex with women and does not do any drugs.
I was giving him a hand job when I felt pressure from him to lick his unprotected penis which I did. Only 3 times. His dick was covered with both of our saliva combined with his pre cum. He came on my breasts.
That night after I was brushing my teeth and realized I had formed a small canker sore through the day. And thus became worried.
I called the university health center. Explained my concern and she said that I should would not be worried and that I don’t have to get tested. However if I wanted to I could get free rapid testing done that day with pretty accurate results.
I understand that this is a very low risk. However I have extremely abnormal fears around STDs, please calm them with your expertise.
However 3 weeks after exposure I got a stuffy nose, sneezing, mild sore throat, light cough, and on and off mild headache.
No fever. no swollen lymph nodes. no rash. No muscle aches.
It feels very much like a cold. But made me nervous at the 3 week mark.
I was prepared to forget about the whole thing at the four week mark. Until this happened.
I’m officially on the 4 week mark.
Questions
1. Am I required to get tested after this encounter alone?
2. How could they have accurate results after one day after potential exposure?
3. Even after the symptoms I described am I still not required to get tested?
4. At what point after exposure would someone get symptoms? Am I in the clear at the 4 week mark?
5. How much pre cum or HIV is required to pass the virus?
6. How long does HIV in pre cum last once exposed in the air?
P.S. I really don’t want to get tested as I am scared of false positives. Which the nurse told me could happen.
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Edward W. Hook M.D.
76 months ago
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1. Am I required to get tested after this encounter alone?
No, your partner described his recent contacts and testing history. Further, there was no penetration. I would not be worried.
2. How could they have accurate results after one day after potential exposure?
Test results for the most common STIs, (gonorrhea, chlamydia) would be reliable at 3 or more days after exposure. The reliability of earlier testing is unclear.
3. Even after the symptoms I described am I still not required to get tested?
Correct. The symptoms you describe do not raise any concern for STIs, or HIV. It is more likely than not that you coincidentally got a cold.
4. At what point after exposure would someone get symptoms? Am I in the clear at the 4 week mark?
The onset of your symptoms are within the range of symptoms for the onset of recently acquired HIV. Having said that, as I note above, your symptoms do not suggest HIV. I would not worry.
5. How much pre cum or HIV is required to pass the virus?
The virus is present in pre-ejaculatory fluids,. Despite that, nothing about the exposure you describe suggests any risk.
6. How long does HIV in pre cum last once exposed in the air
See above. Any HIV present becomes non-infectious almost immediately on exposure to the environment.
I hope these comments are helpful. Please don't worry. EWH
76 months ago
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However, being the anxiety-ridden person than I am. (I probably need counseling)
A thought came to me in the middle of the night about how two years ago I had reason to believe that I had contracted oral HSV 2 from a different encounter. My Dr., however, saw no need for testing as it could very well have been HSV 1.
My symptoms for this potential HSV 2 were ugly sores and inflammation on tongue that I experience frequently after the encounter however not at all during the time on this current encounter.
As you can see I don’t have many sexual encounters due to the fact that I am petrified of STDs.
And when I do have any mild sexual encounters I get abnormally and ridiculously so scared.
Does this new information change your original opinion in any way?
*crossing fingers* desperately hoping not.
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Edward W. Hook M.D.
76 months ago
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76 months ago
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I have had canker sores on my tongue before and these are not it. They are very hard to explain.
However regardless if I am correct or not on if it is in fact oral HSV 2, what impact does that particular fear have?
Considering this is my last available question:
- What is the incubation period for HIV symptoms? Is it 4 weeks after exposure?
- What are the symptoms to look out for?
- Does having oral HSV 2 in my situation make any difference on your original opinion on whether or not I am requirement to get tested?
- I am now 32 days after exposure, if I take the rapid antigen antibody hiv test will my test be conclusive?
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Edward W. Hook M.D.
76 months ago
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- What is the incubation period for HIV symptoms? Is it 4 weeks after exposure?