Welcome back to the Forum and thanks for your question.  On this occasion I happened to pick up your question and will be answering.  FYI, Dr. Handsfield and I have worked together for more than 35 years and while our verbal styles differ, we never disagree in our assessments.  In addition we have answered literally tens of thousands of questions on this and other forums and are in agreement on those as well.

In preparing to answer your question, I reviewed your earlier interchange with Dr. Handsfield and completely agree with all that he said.  In addition, while it is unfortunate that your partner has turned out to have untreated HIV, at least he can now seek therapy.  For you however, my assessment is the same and unchanged from the assessment that you received from Dr. Handsfield - you are in the clear and did not get HIV from the encounters that you described.  I realize just how unsettling it is to learn after the event that a partner had HIV but your test results are completely conclusive and you can be sure that you did not get HIV from the exposures you described.  Let me elaborate on the logic and why I am completely confident of this answer:

1.  Your encounters were condom protected.  Condoms are highly effective for reducing risk for HIV.

2.  Even when partners have HIV, the risk of acquiring infection from a single unprotected encounter are low- no more than 1 in 100.  Thus following a single encounter there is a 99% chance that you would not be infected.  Then, when you add use of a condom for sex, the risk is lower since condoms provide 99% protection from infection.  thus your mathematical risk for infection is 0.01 per sex act.  In other words, 9999 out of 10,000 condom protected sex acts with an infected partner will NOT become infected.

3.  Finally, currently available HIV tests are highly reliable and at any time more than 42 days are entirely conclusive.  Thus your 47 day test result entirely rules out the possibility that you acquired HIV.

Put another way, my answers to your questions are:

1.  There is no chance that future tests will turn positive for these encounters.

2. Yes, this was safe sex.

3.  The is absolutely no need for further testing related to this encounter.  Testing of any sort is a waste of time and money.

4.  See above.  Believe your results.

In conclusion, yes, you dodged the bullet and were not infected.  Please don't worry.  EWH

I'm sorry to hear that you continue to worry and to attribute perceived symptoms as possible HIV.  Your multiple tests prove that these symptoms are not HIV.  In response to your specific questions:

1.  Yes, condoms are highly effective at preventing HIV acquisition.

2.  Believe your test results.  Entering into a new relationship will not put your partner at risk. Your tests prove that you do not have HIV from the encounter that you describe.

3.  Yes, this was a relatively high risk exposure however  your current results are conclusive and I see no need for further testing.

4.  The only cases not detected by 45 days are in persons who have taken anti-HIV medications in unsuccessful attempts to avoid HIV

Please believe your test results.  I know that a known exposure to HIV is disconcerting but your testing has proved that you were not infected.  You can and should move forward without concern. EWH

Thank you for the follow-up. As you know, we provide up to three responses to each question. This will be my 3rd response and thus following answering these questions it will be time to close the thread.  At that time I rust that you will be able to accept the results of your many tests and appreciate that despite the frightening circumstances of your exposure, you did not acquire HIV. 

As for your questions:

1.  Testing is a personal choice however there is no medical or scientific reason for continued testing beyond 45 days.

2.  Testing is carried out because of the possibility that a partner might have HIV and not know it.  That you know your partner has HIV naturally adds to your concern but it does not change the reliability of your tests.  You can have complete confidence in the result.  The use of PEP is likewise a personal decision but if you had asked my advice or if I were in a similar situation, I would not recommend PEP. Condoms work!

3. Your tests will cover HIV-2. HIV-2 is VERY rare but in the unlikely event that he has HIV-2 rather than HIV-1, you can be entirely confident in your test results.

4.  Once again, I urge you to believe your test results.

5.  You are conclusively negative and there is no need for a PCR test.

6.  You are correct, I have done considerable research on condoms.  Evaluation of condoms is challenging because of the need to rely on the observations of persons using them and their may be misperceptions. Even so, our research shows that condoms worn throughout a sexual encounter and which do not break reduce the already small chance of infection from a single exposure by more than 99%.  I encourage my patients to use them correctly and consistently.

7.  PrEP is also a personal choice.  For persons with multiple at risk partners, PrEP is very, very effective, reducing HIV acquisition rates to virtually zero in persons who take all of their medication as directed.  If you chose to take it, you can start at any time - your tests have already proven that you did not acquire HIV from the exposure you described.

I hope that the information I have provided has been helpful.  This thread will be closed shortly.,  Take care, please believe your test results and don't worry. EWH