[Question #6323] Doctor Hook question for you

16 months ago

Doctor Hook,

I am back with some further results and clarifications needed. 

EXPOSURE 1:- On 12th October I went and saw a CSW IN Australia. I didn’t do anything risky and had protected vaginal sex with her for 2 minutes. I used a condom from the start and didn’t break at all. After I came, I saw the condom was intact although not sure there was some blood on my public area and the top of condom may be because she might be finishing a period etc..

 

I got a bit scared but condom didn’t break. All my cum was on top intact inside it.

Now I went and did an HIV test.

21 days after exposure – HIV AG/AB negative (Dorevitch pathology Siemens advia centaur combo)

31 days HIV combo serum ( Melbourne pathology) Negative again.

(On doctor hunter advise I did 6 weeks too)

42 DAYS HIV AG/AB negative combo serum

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EXPOSURE 2:- 26TH OCTOBER.

Met  a lady in Melbourne and did received oral and did cunnilingus for 2 seconds.

Melbourne sextual centre said its not a risk and I got that lady to test for hiv after this she is negative.

 The test I did above also covered this as follows

7 days after exposure – HIV AG/AB negative (Dorevitch pathology Siemens advia centaur combo)

16 days HIV combo serum ( Melbourne pathology) Negative again.

28 DAYS HIV AG/AB negative combo serum

I just wanted to ask should I move on or go do another one? 

I have ready already receiving oral sex and cunniklinus is not a risk for hiv that’s what the pep line told me also.

 

Can I know move on  or seek further testing?

 Have you seen a documented case for receiving oral sex or cunilingus?

Edward W. Hook M.D.
Edward W. Hook M.D.
16 months ago

Welcome back to the Forum.  FYI, that I am responding is due to chance alone.  Dr. Handsfield and I share the site and answer interchangeably, in part because on our over 35 years of working together, we have never differed in our analysis of the facts or recommendations.  There will be no difference today either.  In your exchange about a week ago, Dr. Handsfield replied, "Neither Dr. Hook nor I have ever been aware of anyone negative at 4 weeks (or 30 days) who later had a positive result at 6 weeks. It's very rare.".  That is still the case and given the nature of your exposures, I would have no concern whatsoever about having acquired HIV from either of the exposures you describe. 

Exposure 1. If I were you, I would have no concern and would not bother to test at six weeks.  OTOH, if you think you are the one out of millions and millions pf persons who might become positive between 4 and 6 weeks, then go on and test. I would bet a very large sum of money that this test will be negative as well, proving that you were no infected.

Exposure 2.  Exposure 2.  If anything, the likelihood of having HIV from this exposure is even lower than for episode 1 since you know that following sex, your partner was HIV negative.  i would have no concerns about this exposure and see no reason for testing. 

I hope that these comments are helpful.  EWH

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16 months ago
Doctor Hook,

Thanks fotr your reply.

I think you misunderstood me.

I have already tested at 42 days (six) weeks for the exposure 1 where i had protected sex.

EXPOSURE 1:-

21 days after exposure – HIV AG/AB negative (Dorevitch pathology Siemens advia centaur combo)

31 days HIV combo serum ( Melbourne pathology) Negative again.

(On doctor hunter advise I did 6 weeks too)

42 DAYS HIV AG/AB negative combo serum


exposure 2

NO SEX (ONLY RECIEVEING ORAL AND CUNINLINUS)

7 days after exposure – HIV AG/AB negative (Dorevitch pathology Siemens advia centaur combo)

16 days HIV combo serum ( Melbourne pathology) Negative again.

28 DAYS HIV AG/AB negative combo serum


RECIEVING ORAL SEX AND CUNNLINGUS IS NOT AN HIV RISK YOU MENTIONED IN YOUR THREAD BEFORE.


THATS WHY I AM WONDDERING if i can now move on without any further testing for both exposures?




Edward W. Hook M.D.
Edward W. Hook M.D.
16 months ago

I believe I understood your questions.

Episode 1.  You have proved you were not infected.

Episode 2.  This was a no risk event.  your 28 day result serves to add additional, confirmatory proof that you were not infected.

My advice is that it is time to move forward without concern and that no further testing is needed with regard to either exposure.  EWH

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16 months ago
Doctor Hook i will now move on. Just last two questions
Can u please confirm if there has been never a documented case for someone to recieve oral sex or do cunnillgus and got hiv?
I can move on freely now without testing?
Edward W. Hook M.D.
Edward W. Hook M.D.
16 months ago

Correct.  I have never heard or seen a report of anyone acquiring HIV from receipt of oral sex from an infected person. 

I hope this comment is helpful and will allow you to move forward.  This thirst response concludes this thread, as per Forum guidelines.  EWH

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