[Question #7001] Unprotected oral sex with sex worker
 |
62 months ago
|
Hello i am from Athens Greece and i had received oral sex from 2 ucranian sex workers it was unprotected oral sex and protected vagina.That happens 3 times from 20 October to 07 November.At the end of November i saw that my tongue was White and yellow at the back place.The Doc says oral candidiasis but a little bit he gives me dactarin gel but nothing happens my tongue steel White and yellow.Then ifeld fatigued until now.Iwas vomiting 3 timesa and feel nausea for a month.After 4 months of dispersion and fatigue finally get tested with elisa 4 gen for hiv syphilis hep b and hep c.The results was negative but still the tongue is white and yellow .Then i do a check up and i see that my ferritin was law but i was already know that from 2017.I think that maybe my results its a false negative .
 |
H. Hunter Handsfield, MD
62 months ago
|
Welcome to the forum. Thanks for your confidence in our services.
First, you describe very low risk exposures. Condoms work and protected you during the vaginal sex events; and there has never been a proved case of HIV transmitted mouth to penis. Second, white or yellow coated tongue is not a common symptom of new HIV infection. Also, coated usually is not due to oral candida, and lack of improvement on miconazole gel (Dactarin®) is strong evidence you had just regular coated tongue, not candida.
Most important, your HIV blood test is conclusive: you definitely do not have HIV. The antigen-antibody (AgAb, "4th generation") HIV tests are among the most accurate diagnostic tests for any medical condition. They are 100% reliable when done more than 6 weeks after the last possible exposure, and a negative result always overrules both exposure history and symptoms; there is no such thing as a false negative results more than 6 weeks after catching HIV. Even if your exposure had been high risk, and even if you had oral candida, the test result proves you don't have HIV. (Hepatitis B or C would not cause these symptoms either -- but that also doesn't matter: those test results also are conclusive.)
If your oral symptoms continue or you have other symptoms that concern you, keep working with your doctor -- or perhaps ask for referral to another doctor for a second opinion. In the meantime, you can stop worrying about HIV. You don't have it!
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
--- |
62 months ago
|
Thank you for your answer.I want to ask you about the test how possible is to make mistake the lab.
|
H. Hunter Handsfield, MD
62 months ago
|
The HIV blood tests are highly standardized and automated, and they have built-in controls that assure the test is accurate. For example, every test run includes control samples known to be negative and positive; if those known results are accurate, it proves that all patient specimens in that test run also are accurate. You can be 100% certain your test was negative and that you do not have HIV.---