[Question #5492] Hypothetical Question About The Exposure

22 months ago
Hi again,

It has been 41 days since my unprotected oral, and so far I didn't have any chancre or other symptoms. Should I test myself on Syphilis and HIV?

Now, one hypothetical question.

What is the chance to get a HIV, if I had two unprotected sex 2013 and 2014 (with girls that I know, and they also have sex with people that I know) and so far I didn't hear anything about their HIV status or that they had any problems. (Location: Serbia).

I got baby 2019, I had many, many times sex with my girl and now wife from 2013 until now, and I think that she was tested for HIV during pregnancy.

I never tested myself, and yes I'm in fear to test myself, to be honest.

I just wanted to know what do you think about my exposure 2013 and 2014. 

I really appreciate your answer.

Kind Regards.
22 months ago
From 2013 to 2019, I forget to mention, I had maybe 3-4 protected sex (with condom) and maybe 4 unprotected oral sex, with other girls.
Edward W. Hook M.D.
Edward W. Hook M.D.
22 months ago
Welcome back to the Forum although I am sorry you felt the need.  This question was asked and answered last month by Dr. Handsfield when he said "For all the reasons discussed above, there is no medical or risk-based need for syphilis or HIV testing. But you are free to be tested if the negative results would help reassure you."  The answer is unchanged - there is no medical or scientific need for testing related to the encounter you have described.

Regarding your hypothetical question, the risk of acquiring HIV from the encounters long ago that you describe is low.  Most women do not have HIV and even when they do, the risk of acquisition from a single unprotected encounter with an HIV infected person is less than one infection per 1000 sex acts.  

Thus it is unlikely that you are HIV infected.  If you really want to know however, get tested.  Testing does not change the fact, it just provides you with factual information about whether you are or are not infected.  EWH
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22 months ago
Thanks for your response.

If you are on my place, would you go to test yourself or not?

I read that chances are low, but did you ever had or hear for the similar case, after 5-6 years, even though wife was tested negative?

Kind Regards
Edward W. Hook M.D.
Edward W. Hook M.D.
22 months ago
In relationship to the encounter you described, no I see no reason for additional testing.

Similarly, with respect to your encounters years ago, I would not be worried and probably would not test although at the same time, it is my suspicion that you will want to test at some point in the future for your own peace of mind.   EWH
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22 months ago
Hi,

Thanks for your answer.

Sorry, but I have a few questions.

I just saw both girls on the Facebook, and I saw that they living normally without any problems after 7 and 4 years since our encounters.

Can I assume that they are fine so I wouldn't test myself? 

Is any kind of symptoms that I should monitor after those years?

What Dr. Handsfield thinks about this case? I read that he wrote that he never make mistakes in judgment (and you, as well).

Btw... I will test myself tomorrow on syphilis, so please don't close the case, because I will post the results.

Thanks a lot.

Kind Regards

22 months ago
Just forget to add: I had immunological test 2015 (in February), because I had 3-4 herpes 2014 (because I trained a lot). 

Unprotected sex was 2014 or 2015 (spring time), but I really can't remember well... sorry because of this confusing information, I'm trying to remember when that was happen.
22 months ago
Sorry because of 3rd submitted.

Immunological test was good in 2015.
Edward W. Hook M.D.
Edward W. Hook M.D.
22 months ago
Sigh.  You seem to be playing games here.  The chance that you have HIV from the encounters you describe is very, very low for all the reasons already cited.  To put a number on it would be nothing more  than a guess.  Certainly less than a small fraction of 1%

As HIV progresses over time, infected persons begin to get infections of the sort that persons with very weak immune systems get- unusual forms of pneumonia, fungal infections, and a wide variety of manifestations.

No idea what "immunological tests" mean- there are many.

You are worried when you really have little reason to.  This will complete this thread but I will leave it open so you can post your test result which, I'm confident, will be negative.  EWH


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22 months ago
Thanks, I really appreciate your answer.

I don't play any games, sorry if you thought this, I'm just really concern about these situations.

You are confident that my HIV result will be negative or you think on syphilis? 

Thanks again.
Edward W. Hook M.D.
Edward W. Hook M.D.
22 months ago
 If you are really concerned despite my assurances , I suggest you stop asking "what if" questions and get tested. 

 As I have already indicated your risk for both HIV and syphilis is very very low. It is not something that I would worry about. 

 There will be no further replies. EWH 
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