[Question #6279] HIV testing worry (Final)

15 months ago
This will be my last question on the forum.

Risk 1: With a CSW, I sucked her breasts and masturbated in her presence. I remember absolutely no discharge or blood from her nipple but can’t be sure. 

Risk 2 (occurred two days after Risk 1): attempted to have protected sex with a friend of unknown status using a latex condom. I couldn’t get erect with the condom on, tried to penetrate but I simply could not. The condom was on the entire time, no breakage, as I water tested it twice.

Anyways, on the same day of risk 2 I realized I had a patch of seborrheic dermatitis on my beard..then four days after risk 2, I erupted in an itchy rash in my groin/ inner thighs that inflated my penis to the size of a novelty balloon. I tested the day the rash peaked, 6 days after Risk 2 using a 4th gen FINGER PRICK Rapid test which was negative. I was then given 200mg of Medrol over the course of 6 days. 6 weeks after Risk 2 using another 4th gen rapid FINGER PRICK test which was negative, but this result concerns me as it was 1.5 months after my steroids. I then tested 4.5 months after Risk 2 using a 3rd gen FINGER PRICK ANTIBODY test and it was negative. 3 month before this test I had a single liquid oral dose of decadron. Anyways, the rash is what scares me.

 I know there’s no risk but does it matter that the test at 4.5 was a FINGER PRICK antibody test? And would the steroids influence that result? I should add I tried on the same brand of condom three weeks after the first rash cleared as a test and ANOTHER rash occurred. My dermatologist insisted it was not STD related but an allergy to the Condom. Given my risk, rash and test results  out to 6 days, 6 weeks and 4.5 months, am I conclusively negative?
15 months ago
I also apologize. I just read about your 6 months policy for questions, but if you would kindly answer this final question, I will be able to sign off of this forum and continue on with my life. Thank you for understand Doctor 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
15 months ago
There is no "6 months" policy. However, there IS an issue about repeated anxiety driven questions. From part of my reply in your last question:  "The issue in all your quesitons is concern about STDs from obviously risk-free exposures." This is another. Equally important, the HIV tests are among the most reliable tests ever developed, for any medical condition. The results always overrule exposure history and symptoms. That is, not matter how high the risk of catching HIV (you describe zero risk events) and no matter how typical the symptoms (yours are not typical), the test results rule. There are NO medical conditions or drugs that have any effect on the modern, currently used HIV blood tests, including steroids or any other drug that may come to mind. Your test results prove for sure you do not have HIV.

HHH, MD
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15 months ago
Doctor, I really appreciate your response and allowing me this last opportunity to ask my question. I trust you read that my tests were fingerprick and I’m assuming your answer will not change. If that is the case, please close this and best of all, I can close this anxious chapter of my life! Thank you!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
15 months ago
I noted that you had fingerstick tests. No problem and it doesn't change my opinion and advice.. All blood tests, both finerstick and drawn blood, and both rapid and lab based, are equally reliable. The only type of test less reliable than the others is the oral fluids test, which takes longer to be reliable and even then misses a few infections, even after 3 mo. ---