[Question #6498] update on Question #2015

15 months ago
Dear Doctors, 

I was not brave enough. It took me 32 months to get tested following your advice. The test result came out today negative. 

Thank you.  

The problem remains the same: how can I be sure not to get HIV with a gay men  of unknown status.  I am not practicing oral or anal sex. Do I have to use condom for anything else to be 200% sure I will never catch it? Internet is talking about a new modification of the virus these days...  
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
15 months ago
Welcome back to the forum. Thanks for your continuing confidence in our services.

I scanned your previous two threads and am very glad to learn you finally were tested. I hope you learned an important lesson and that if and when you fear you might have been exposed to HIV, you get tested more promptly. There was no reason to be worried for almost three years, especially since the exposures you described carried virtually no risk.

You have answered your own question:  by not practicing oral or anal sex, you will not be at risk even with partners who might have HIV and don't need to use condoms for such practices. However, if there is a chance that oral or anal sex might occur, definitely have condoms handy. Also if such contact is possible, see a doctor or clinic to discuss pre-exposure prophylaxis (PrEP) -- i.e. taking anti HIV drugs to prevent infection, which is highly effective and widely used.

In addition, you should discuss HIV status with your partners before having sex, and avoid sex with men who have HIV (unless they are on anti-HIV treatment). Most infected persons do not lie when asked directly; and your partners will also appreciate knowing you have been tested recently and do not have HIV.

HIV continues to evolve and new strains on rare occasions are introduced into western countries from Africa. However, these are no more dangerous, no more easily transmitted, and no harder to treat or diagnose than all other HIV strains. This is nothing to be worried about.

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

HHH, MD
---
15 months ago
Thank you Dr Hunter Handsfield, 

It is clear.  I have no further comments or questions. 

Kind regards. 

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
15 months ago
Thanks for the thanks. I'm glad to have helped. Best wishes and stay safe.---
14 months ago

Dear Doctor,

Just one thing I forgot to ask… The test I mentioned was performed on 29th day after my last sexual contact. (the last-minus-one contact was 2 month ago). This last contact was a mutual masturbation with a guy in a car. Plus, we did brief mouth-mouth kissing. It’s not 6 weeks recommended for the combo test, I understand. But can I consider the test conclusive in these circumstances after 4 weeks?

Thank you. 

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
14 months ago
HIV isn't transmitted by kissing or by hand-genital contact. HIV testing is not needed or recommended after such exposures. But even if there were some miniscule risk, a negative AgAb (4th generation) HIV blood test detects 99% of infections by 4 weeks. Combining zero risk plus that result, the test is conclusive.

As long as your sexual practices continue like this, you'll never get HIV and will not need any testing at all going forward. If you begin to have occasional insertive sex, especiallyw without condoms, then plan on being tested once a year -- but not necessarily after each event.

That completes the two follow-up exchanges included with each question and so ends this thread. I hope the discussion has been helpful.
---