[Question #5404] HIV & HPV

23 months ago
Hey Drs, I just want to start by saying thanks for what you do here. It really helps when your in tough times. 
So I recently had a lapse in my judgement due to curiosity. I am in a monogamous relationship with my girlfriend. However, curiosity got the best of me and I made the mistake to partake in providing masturbation to another Male. I'm wanting to ask what the risk of acquiring HPV and HIV are from this occurance. The act only lasted 2-3 minutes and the guy didnt even get erect really. However there was some pre-cum that I dont even think touched my hand (but it could have). I'm overridden with guilt and anxiety to the point I've lost 10 pounds in this 4 week span, I continue to not want to eat or drink, and I just feel like crap after it all. I got an HIV RNA at 9 days which was negative and I just got a HIV duo test at 28 days of which I'm waiting on the results for. I'm most worried about transferring something to my girlfriend.. 
Thanks a ton and I'm sure I'll come up with a few more questions for my follow ups..
Edward W. Hook M.D.
Edward W. Hook M.D.
23 months ago
Welcome to the Forum.  Both receipt of, and performing masturbation with another person are no risk events for all STIs- including HIV.  Following the event you describe there was no need at all for testing of any sort.  I am confident that any testing that you do will show that you did not get an STI from the event you describe.  

I hope that this comment will relieve your anxiety and allow you to move forward.  EWH
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23 months ago
Thank you for the quick reply. Does this also include HPV? Everything I've been reading seems to say something different. 
Edward W. Hook M.D.
Edward W. Hook M.D.
23 months ago
While there is a theoretical risk the fact is that if it happens at all, it is extraordinarily rare.  I would not worry.  I would however stay off the internet.  It will mislead you more than it will help.  EWH---
23 months ago
I just got my test results back. It is the test Panel 083935 from Labcorp. It came back non-reactive.. can you explain this test to me a little further by chance? Is it the DUO test? Is it mostly conclusive at 28 days? Thank you and I know this is my last response. So once again, thanks. 
Edward W. Hook M.D.
Edward W. Hook M.D.
23 months ago
The tern non-reactive is a technically more accurate term than "negative" and essentially means the same thing.  A positive test "reacts" with the components of the test, thus your non-reactive result means that neither HIV p24 antigen nor antibodies to HIV-1 or HIV-2 were detected in the specimen from you.  You are in the clear.  At 28 days these combination HIV antigen/antibody detection tests detect over 99% of all infections.  The last fraction of 1% of positive tests occur between 28 and 42 days - I have never seen such a case - they are very rare.  Given the no risk nature of the events you describe above, my strong advice is to believe these results and not worry about additional testing.  I certainly would not bother with further testing if I were you.

As you point out, this is my final reply.  I hope the information I provided has been helpful.  Take care.  EWH
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23 months ago
https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(18)30655-8/fulltext
Is there any possible way you could explain this study to me? I dont quite understand the HR and CI in the study.