[Question #5739] Re: #5541

21 months ago
Hello Doctor,

I know I said it last time, but this will truly be my last question. Anyways, if you’d refer to my prior question, that’d be fantastic. I took your advice and tried to let go of the non-risks situations and move forward. I attempted to have protected sex with a friend of mine, but due to fear, I could not perform and barely any penetration occurred. I checked the condom twice, filled it with water, squeezed, absolutely no leaks. None..about 5-6 days after this, I break out in a huge rash, on my arms, my thighs, and my penis foreskin swells. It’s incredibly itchy/red and of course, I went and took a rapid AG/AB FINGER PRICK test at Planned Parenthood which was negative. This now has me fearing that my encounters before this (Please refer to #5541 :) ) could have infected me, what if my penis brushed their vagina and I didn’t know it? I am 99.999% sure that didn’t happen. Though I now have a 6 week negative and a 9.5/10 week negative for those encounters with the finger prick 4th gen test.    I didn’t have a fever during the rash, nothing. It was incredibly itchy and started to disappear after taking a steroid + injection. I know nothing I’ve done has been a risk, but why did this happen? My dermatologist looked at a picture of the rash and said it was an allergic reaction. I think the latex of the condom is a good bet, considering my penis swelled so much. But still..I feel so bad about being with the CSW, even if I barely touched them..my doctor and everyone I know says to stop testing, I’ve told them the risks, but not that they were with CSWs..are my negative finger-prick 4th gen tests at 6 weeks and 9.5/10 weeks conclusive? The planned parenth I feel like I’ve heard negative things about the finger prick tests. Since I tested during the rash, would that have been intermediate or positive if relAted to the events 10 weeks prior? Should I test again over the very recent protected sex? I feel like testing may be the problem but isn’t that irresponsible? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
21 months ago
Sorry, but I have nothing to add to the replies to your previous questions on the same exposure and test results. I haven't a clue what might be causing your itching and rash. It isn't HIV or any STD, and we don't speculate on causes of non STD/HIV symptoms. You should not test again for HIV or anything else.

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 will 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. 

HHH, MD
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21 months ago
Hey Dr. Handsfield, 
This would be about a new exposure, the condom protected “attempted” penetration. I understand though, it still relates to a non risk, so they are one in the same. My final question and then you can close our thread, can a negative Ag/AB finger prick be trusted to be conclusive at 6 and 9.5 weeks in comparison to blood drawn from a vein? Thank you and I hopefully will not need your services again. I appreciate your doing this for everybody and it has helped me a lot.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
21 months ago
Sorry I read too quickly and missed the more recent exposure. But as you say, from the previous discussions you should know -- and apparently do know -- that this exposure also was risk free.

The rapid (finger prick) tests are slightly less reliable than lab based tests, but not enough to make any significant difference, especially for testing beyond 6 weeks after exposure.

Thanks for the thanks. But please heed the policy described above about repeat questions with obvious answers. When you can predict our replies with 100% accuracy, there is no point in asking again!
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21 months ago
Thank you Doctor, so given no risk situations, I can trust my 6 and 10 week negative finger prick 4th gen results to be conclusive? Or should I test again now to be sure 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
21 months ago
The answer is obvious from all that has been said before in your previous threads. I see no need to repeat the same thing yet again.

That ends this thread. As discussed above, it should be your last one. Best wishes.
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