5. Got massage from female on 8th Nov. 2018 she sits on my thighs....she is wearing denim shorts and i feel very sharp pain in my thigh for few seconds but when she get off no pain....feel like pin or needle prick but i remember no blood on my thigh.

Welcome to our Forum and thanks for your question..  I'll be glad to address your questions.  Before I respond to your specific questions, let me provide some background information.  First, it is statistically unlikely that any of the exposures that you describe ere to persons who had HIV.  In addition, the exposures you describe are safe, virtually no risk events- condom protected sex is safe sex with no risk for HIV as long as the condom is worn throughout sex and does not break (when condoms break, they typically break wide open, leaving no doubt that breakage has occurred).  Similarly, receipt of unprotected oral sex is also a no risk event for HIV- no one has ever acquired HIV from receipt of oral sex.  Finally, while neither you nor I can know what the pricking sensation you experienced was, the fact that it did not puncture your skin to draw blood makes it also a virtually no risk event.  I would not be the least bit worried about HIV in your situation, even without testing.  Your testing verifies that you did not acquired HIV (or syphilis).

As for your specific questions:

1. You are correct.  As I explained above, your exposures did not put you at risk.

2.  4th generation tests are absolutely conclusive at any time more than 6 weeks (42 days) after an exposure of any sort.  In the past we considered results of 4th generation tests at 4 weeks (28 days) conclusive but colleagues at the U.S. CDC state that they are aware of a very few cases in which tests became positive between 4 and 6 weeks.  These results have, to my knowledge, never been published and occur rarely, less that 1/10th of 1% of the time at most.

3.  See my comment above.  For all practical purposes, a 4 week 4th generation test is conclusive.

4.  No more testing is needed.

I hope that this information is helpful.  EWH

Thank you for the follow-up.  Your wife's pregnancy does not change my reply.  These were no risk events and you have proven that you did not get HIV (or syphilis) from them.  In follow-up:

1.  I agree with your assessment.  You are in the clear and have proved you were not infected by the event you described.

2.  Correct.  No chance.

3.  Correct.

4.  I see no reason for testing for gonorrhea or chlamydia. 

5.  Contact with this person's ringworm lesions would not change my assessment.  Still no risk.

Take care. EWH

1.  Correct.  If you really did experience a needle prick, and if the masseuse had HIV (both are unlikely from what you say), your 54 day results will be conclusive.  you need to believe them and move forward without concern.

2.  You are correct again.  At 6 weeks a single test is conclusive and sufficient.  Repeating the test would serve no meaning scientific or medical purpose.

This is my 3rd reply to your questions.  As per Forum guidelines this thread will soon be closed without further replies.  Take care.  Please don't worry.  EWH