[Question #5698] Follow up

22 months ago
Hi Doctors, lo and behold I have found myself thinking about my two brief protected insertive encounters. I wish I didn't worry as Dr. Hook suggested, but..

In summary, I am a single Asian American hetero male in my 30s. I had very brief condom protected anal sex w/ a white woman in her 40s 7 weeks ago and brief condom protected vaginal sex w/ a white woman in her late 20s 4.5 weeks ago. With both encounters, for sure no condom failure and I inserted "just the tip" as they say and both lasted several seconds.  Let's just say though.. both women are very sexually active, but very regularly test. I called both recently - My anal partner said she tested negative within the last month and my vaginal partner tested negative 3 months ago but will retest this coming week.

1) I am waiting for results on a 4th generation HIV test and urine gonorrhea/chlamydia test that I submitted 6.5 weeks after the anal encounter and 4 weeks after the vaginal encounter. Tests done through quest diagnostics and seems will take almost up to a week to receive. What shall I expect from an odds standpoint based on these two encounters? Also, I am thinking a couple weeks from now about retesting the 4th generation HIV and also getting a syphilis test (6 weeks after more recent encounter) Is that being paranoid or is that rational? 

2) I am pretty embarrassed to ask this question but here it goes.. Contaminated Vacutainer or other blood draw medical device is not a concern for blood-borne pathogen transmission, correct? At least in the US? Vacutainer did not look brand spanking new at my blood draw. So thought crossed my mind..

3) I find sexual activity very rewarding, but found myself thinking way too much about these two aforementioned encounters.  Unless or until I am in a monogamous relationship or if I simply want to stay single, how much of a safety guarantee is restricting activities to kissing, mutual masturbation and maybe receiving condom protected fellatio with any new partner?

Thank you

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
22 months ago

Welcome back to the forum. I read your recent discussion with Dr. Hook and agree with all he said--including his assessment that you're worrying to much. Your fears of HIV are way outside what is warranted based on the risks. Directly to your questions:

1) The HIV antigen-antibody (AgAb, 4th generation) tests are 100% conclusive any time 6 weeks or more after the last possible exposure. Your negative result is proof you do not have HIV, assuming no more recent exposure that you didn't mention.

2) Nobody ever gets HIV from having blood drawn. That happened in the distant past (3+ decades ago) when some clinics and medical offices might have re-used blood drawing equipment without proper sterilization. That's simply no longer a concern. In addition, the Vacutainer® system is virtualy fool-proof in its protections against contamination or re-use.

3) HIV is not transmittted sexually except by intercourse. Without your penis in a partner's vagina or rectum, there is no risk. Receiving oral sex is also virtually risk free, even without a condom:  there has never been a proved case of HIV transmission mouth to penis. (But other STDs are a potential risk, although a lot lower risk than with unprotected vaginal or anal sex.) HIV is not transmitted by kissing, hand-genital contact, etc, even if genital fluids are used for lubrication.

That said, I always advise caution when anyone says they intend to cease all risky activity. Such pledges often disappear in a puff of blue smoke when opportunity arises. Keep those condoms handy!

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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22 months ago
Thank you so much Dr. H!

To clarify - Regarding my question 1) I am actually currently waiting on the results of testing (4th gen HIV, urine gonorrhea and chlamydia). I am thinking this is the result of submitting the specimens just before the weekend. I did have a negative 4th generation HIV test about six weeks ago (The one I mentioned to Dr. Hook before) but that was a only couple days after the first encounter and a couple weeks before the 2nd encounter I have described. 

These  two encounters are indeed the only ones not accounted for (assuming kissing, mutual masturbation and receiving condom protected fellatio can be disregarded)  with my previous negative test and are what drove me to retest at this time. Of course, I wish I was able to move on without re-testing as Dr. Hook suggested, but my fears got the better of me.

Should I let you know when the results of the more recent testing become available to me (hopefully next couple days)? Based on my situation, there should be no reason to anticipate anything beyond negative results right? From a rational and medical standpoint, should I get yet another 4th gen HIV test (because this current pending one is 4 weeks past the vaginal encounter) as well as a syphilis test in 2 weeks? I am kind of on the fence about this part.

All in all I truly appreciate the input from you and Dr. Hook and realize my HIV fears have been way more inflamed than they need to be! I will also certainly be sure to have condoms handy in the future despite my pledge, just in case! (I intend to use condoms anyhow if I am to receive fellatio)

Thank you.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
22 months ago
OK, understood. You can expect a negative HIV test result, since you were not at risk of catching it. When you get the result, it will be conclusive. Do not have any more tests after this. You also can expect negative gonorrhea/chlamyida results.---
21 months ago
My HIV, GC/CT results were all negative. 

Thanks you for all of your advice, Dr. Handsfield! 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
21 months ago
I'm happy to hear the negative test results, but of course not surprised! Thanks for the thanks; I'm glad to have helped.---
21 months ago
I am sorry, just to make sure.. deep french kissing is still considered zero risk for HIV, correct?  So HIV testing should not be a concern now or in the future w/ respect to French kissing if not w/ a mutually exclusive partner? 

Also, I look forward hearing what your conference with the Australian researchers yield regarding potential risk w/ deep kissing and gonorrhea. I am sure this thread will be closed by then, but presumably will be mentioned in future threads.

Again, thank you for everything.
21 months ago
Sorry once again, I re-read your reply above and you mentioned there that kissing is no risk for HIV (I am assuming this includes deep French kissing).

Sorry for over posting. 

Have a great weekend Dr. H!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
21 months ago
Yes, we are referring to intimate ("deep", "French") kissing:  no measurable risk of HIV. Among other thing, saliva kills HIV and oral exposure in general is low risk for HIV.

That concludes this thread. I hope your two discussion\s have been helpful. But please note the forum does not permit repeated questions on the same topic or exposure. This will have to be your last one; future new questions about this exposure, testing, and your fears about HIV may receive no reply and the posting fee will not be refunded. This policy is based on compassion, not criticism, and to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. Thanks for your understanding. 


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