[Question #6885] HIV test cloncusive?

9 months ago
Hi Doctors,
Some months ago I had sex with a csw, vaginal sex and fellatio were protected, but I performed like 10 seconds of unprotected cunnilingus to her, at the moment of the event I had chapped lips, no blood or open cuts but there were some pain to the touch.
3 weeks after the event I started to feel tired and had body aches all over the body, the aches were intermittent during the day and changed location during the 4-6 weeks they lasted, no fever, rash or other symptoms.
I had 2 HIV lab tests, at 5 and 12 weeks, according to the lab they use an antibody only chemiluminescence test (I assume is 3rd gen?).
Can I consider my test results conclusive?

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
9 months ago
Welcome to the forum. Thanks for your confidence in our services.

Your test results are conclusive. The latest ("third generation") antibody tests are considered conclusive by 8 weeks.  Your negative test at 5 weeks nearly sealed the deal, and the 12 week result definitely proves you don't have HIV, assuming no more recent exposures.

At this point, the details of the sexual exposure and your symptoms 3 weeks later don't matter:  whatever the risk at the time, the tests show you weren't infected. However, perhaps it will also reassure to know that the exposure was very low risk. In the US and most industrialized countries, well under 1% of female sex worker have HIV, and it's often less than 1 in a thousand. And condoms work; and cunnilingus carries little or no risk-- there's never been a proved case of HIV transmitted or acquired by cunnilingus. And the symptoms you reprot are not typical for HIV -- but even if they were, once again, the test results overrule all else.

So all is well:  no worries and no need for addtional testing.

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

HHH, MD
---
9 months ago
All clear Doctor, tks for your help.