[Question #5602] Daughter risk

22 months ago

Hi DrsThanks for the time.

FWIW, I'm going back to my primary dr. for a 4th generation test today.

I had an exposure with a woman I met at a bar during a bachelor party, which I know in general is high risk. She was, however, married, and I guess that makes her lower risk? I asked if she had any stds she said no. I also learned that she travels very often internationally. Like once  a month. She's probably 33-35 and no children and travels instead.

Anyway, we went back to hotel where we were in bed together both naked. Lot's of rolling around, maybe some frottage as she was trying to have inter course  but with no condom I refused. Still, lots of mutual mast. She also gave me oral, twice...for probably a total of 15 mins. Frottage was when she was trying to have s e x and was grinding on top of me, on my lower shaft. I don't remember contact with the head, but can't say for  sure it didn't happen.

I was tested once 6 months later for ghon, chlym, and hiv. All tests were negative. I'm concerned that ghon chlym was too long? I took penacilyn for an unrelated issue a few months later so I'm worrying if that cleared it before testing I could have given something to my wife. My wife and I actually haven't had unprotected s e x, but she has given me oral.

Biggest concern is my daughter. my daughter is 5 and after I shave sometimes likes to rub her hands on my face. She did this as normal a long time back and I realized afterwards I had some blood on my face from cuts. She still is a thumb sucker so theoretically she could have sucked some of it off. The fear is that I noticed out of NOWHERE she's had dry spots around her nose and behind her ear. Flaky skin. I google this and it looks like sebhorric dermatitis. She's never had that before and they say u get it as an infant or not again until puberty. I read a medical study that says if kids in between these ages have it, it should prompt HIV testing!? Questions:

  1. Will get test today, chances of false positive?

  2. My daughters risk?

  3. Risk I infected my wife in the time between my exposure and penacillin


22 months ago

Sorry

4. I worry about false positive because with the holiday weekend approaching I'm afraid if it happens I'll cause an enormous panic and horror for my family if I get one. Or is the process to test it again before giving me results? I know I could wait...but thinking about my daughter I read that children survive about 10 years after diagnosis and it just cripples me to do this to my daughter so I want to make sure I get diagnosed so she can and get treatment ASAP. I have to do the right thing.

Edward W. Hook M.D.
Edward W. Hook M.D.
22 months ago
Welcome to our Forum.  I'll be glad to comment.  If your question had been whether or not to test, I would have said there was no need- while I know this is hard to believe, all of the activities you describe were no risk events for acquisition of HIV, gonorrhea, chlamydia and other STIs.  Your only penetrative sex was receipt of oral sex and there are no proven cases in which HIV has been acquired from receipt of oral sex.  

Since you tests, I can state with confidence that your tests will be negative.  Rather than go through the rabbit hole of possible falsely positive results, go get the results, I am confident they will be negative.  thus in answer to your specific questions:
1. Your results will be negative.  The chances of a false positive results are less than 1/100th of 1%.
2.  The sort of causal contact you describe would not put your daughter and any risk whatsoever.  
3.  The scenario that you might have infected your wife is simply not realistic.  While you certainly could have tested far sooner for gonorrhea and chlamydia, you should believe your test results.  You did not get gonorrhea or chlamydia from the events that you described.
4.  Your lab has specific protocols and standard operating procedures to prevent them from giving you false positive results. If your test was positive in the lab, they would take steps to confirm the result before reporting them to you.

I hope these responses are helpful.  Please don't worry. EWH
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22 months ago
Thank you Dr. My personal Dr refused to test me and instead referred me to a psychiatrist. Now I’m at a city md waiting for a rapid test, which I know has more chance of false positive and no procedures in place to stop that from happening. 

No fear about my daughter’s sudden seb derm? I’ll post when I get my rapid results that I’m almost sure will be positive, where it’s real or false. 
22 months ago
Oh and I’ll note I did have one test at a physical in December which was 6 months after the incident and it was negative. I believe it was 4th generation. 
22 months ago
Ok - my city md finger prick rapid test was negative. So now I had a 4th gen at 6 months and finger prick rapid at 1 year.

1. Assume all good? 
2. Sorry to repeat but to be clear. My incident was June 2018. I engaged in things with my wife after. I had penecillin for another reason in October and tested negative for ghon/chlym in December. My question is is it possible that I could have had it, been treated by the peneccillin, gave it to my wife beforehand and then tested neg? She only gave me oral we haven’t had unprotected. Thank you 
Edward W. Hook M.D.
Edward W. Hook M.D.
22 months ago
Thanks for your additional information.  Both your 4th generation test and today's finger stick tests provide conclusive evidence that you do not have HIV- believe the results.  Similarly,  you should believe your tests for gonorrhea and chlamydia.

As far as your daughter's rash, there is no reason to worry that this is HIV related.  Most people with seborrheic dermatitis, if that is what she has, do not have HIV.

While I might not have suggested a psychiatrist immediately, if your test results do not reassure you, my advice would be to consider seeking counseling to help you work through any guilt and shame that might be influencing you. EWH
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22 months ago

I know I used up replies but please give me this extra as I fear we're still not being clear regarding ghon/chlym.

I took penicillin for a different issue in October. I tested negative in December. So - could the penicillin have cleared me and thus exposed my wife for the few months before penicillin. Again, she only gave me oral.

Edward W. Hook M.D.
Edward W. Hook M.D.
22 months ago
Is it possible sure, just as it is possible that you'll be struck by lightening while reading this.  Is it likely, absolutely not.  I urge you to stop worrying and move forward without concern and without additional testing.  

this ends this thread.  I wish you the best. EWH
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