[Question #642] Unprotected oral sex
103 months ago
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Edward W. Hook M.D.
103 months ago
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Welcome back to our Forum. Dr. Handsfield and I answer questions interchangeably and today I happened to pick up your question. Before beginning to answer this question I reviewed your earlier interchange with Dr. Handsfield and agree with all that he said. The encounter you described was a no risk event- condom protected sex is safe sex and no one has ever been proven to have acquired HIV by receiving oral-penile oral sex or cunnilingus. You are not going to be the first. Further, as Dr. Handsfield already told you, your 27 day test result is reliable and should be believed. I see no medical reason for further testing but would understand if your anxiety might lead you to re-test. If you do, please only do so once - the results will not change with repeat testing. With these background statements I will now address your specific questions:
1. That she hung up on you does not mean that she is HIV infected. Rather she may have been offended by your question. Irrespective however, as I mentioned above, your exposure was no risk and your tests prove you were not infected.
2. The recommendations you mention are conservative. American commercial sex workers virtually never have HIV-2 and your results were reliable.
3. If your rash were due to HIV at the time you were tested, your test would have been positive. You appear to be overthinking this and, as a result, are likely to be noticing things that have been present for a long time and are not related to HIV.
4. I am more convinced than your GP but to be honest, for any individual there is no meaningful difference between 99%, 99.9% and 99.99%, etc. I am confident that you did not get HIV and, as I said above, I see no medical need for further testing. if your anxiety would benefit from another negative test, then get tested again with another 4th generation test but only do this if you can be confident that you will believe the negative test result when you get it.
I hope my comments are helpful to you. I understand that exposures with CSWs can make a person nervous. Please try not to worry however, your sex was safe and you did not get HIV from the exposure you described. EWH
103 months ago
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Edward W. Hook M.D.
103 months ago
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I DID answer your question when I said "... I see no medical need for further testing." this is the case whether or not she had HIV. Your failure to see that I responded is yet another sign that you are over reacting and over thinking this.
Red bumps in the back of the throat are NOT a sign of the ARS. Further, the sore throat of the ARS does not last for more than two weeks.
Once again- Please try not to worry however, your sex was safe and you did not get HIV from the exposure you described. EWH
103 months ago
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Edward W. Hook M.D.
103 months ago
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103 months ago
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102 months ago
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102 months ago
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Edward W. Hook M.D.
102 months ago
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Our Forum Guidelines allow three replies to each client's questions. This will be my 4th, and therefore last, post. There is little reason to think that the discoloration you have noted is in any way related to your exposure nearly two months ago. Typically any STI that was going to become symptomatic would have done so long before this. On the other hand, if they look closely enough, most people have spots and blemishes that appear regularly on their skin. I suspect that this is what you are experiencing. If it persists or progresses, I suggest you have your own doctor take a look. I cannot not provide you with a diagnosis over the internet.
This thread will be closed in a few hours. Take care. EWH
102 months ago
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Edward W. Hook M.D.
102 months ago
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