[Question #5266] Brief unprotected oral

24 months ago
Ok.  I took the HIV RNA test through Labcorp at 11.5 days and awaiting results.  If negative, will put HIV behind me.   Probably more nervous than I should be based on research I've done.  Amazing how the internet and health professionals have such a viewpoint of giving a blowjob without ejaculation is from "no risk" to 1:2500 and everything in between.

Other question is in regards to other STIs.   I went to doctor 6 days after exposure as throat was scratchy.   They did a swab for Gonorrhea and Chlamydia which was negative; although they did treat me empirically with 1 shot and 2 pills as I was traveling the next day and would of had limited access to medicine if positive.

My strep test came back positive and doctor thought we caught just as it was starting.  They gave me a fairly large shot of penicillin (my choice) rather than take 10 days of penicillin pills.

I am assuming with the drugs they gave me, even if the swab test was inaccurate I was covered for Gonorrhea and Chlamydia.  I am also assuming the penicillin for Strep would also knock out any potential Syphilis.  Can you confirm?

Sounds like I just need to wait out my results for the HIV RNA test (should have by Monday at latest) and if negative - sounds like I am in the clear? 

Edward W. Hook M.D.
Edward W. Hook M.D.
24 months ago
Thanks for reposting.  I don't mean to be overly forward but the speed of your reply suggests that this remains a concern.  Hopefully I can help put things to rest.

Given the nature of your exposure, a negative 11.5 day RNA effectively proves you did not get HIV.  Time to forget about this and put it behind you.

With respect to other STIs, your risk is low and I anticipate that your tests will be negative.  That said, the shot and two pills you received where likely ceftriaxone (the shot) and azithromycin ( the pills) which are recommended therapy for many STIs and will put you in fine shape if your test are positive (which I think is most unlikely).  Further, both these drugs AND the penicillin would effectively prevent penicillin.  

Bottom line, get your test results.  I predict they will be negative. At that time, put these concerns behind you and do not worry further.  No need for continuing concern or further testing.  EWH
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24 months ago
Thanks Doctor Hook.  Clarification.  I am still awaiting the hiv rna test results.

Gonorrhea and chlamydia were negative.

Didn’t test for syphilis as I believe the drugs they already have me would prevent that.
Edward W. Hook M.D.
Edward W. Hook M.D.
24 months ago
Thanks for sharing your results.  I am confident your test for Syphilis will be negative as well.  EWH---