[Question #7276] What are my odds HIV

5 months ago
So my last HIV test was 9/13/2019 it was negative I had oral sex with a prostitute 8 months before that. Fast forward to now I’ve been only with 1 other woman protected sex unprotected oral on 5/1/20 2 weeks later I got thrush in my mouth and I suffer from a twitching disorder been to a neuro said nothing wrong went to a Lyme dr who examined me looked at my tongue and thought I had leukoplakia and I know that’s associated with HIV my PCP didn’t believe it he examined me 2 days later 
1. Does this sound like HIV to u?
2. What are my odds of getting it with protected sex and unprotected oral
3. Does the 2019 September test rule out the oral sex I had with the prostitute 8 months prior. 

I e only been 1 woman since but the thrush scared me after 2 weeks after I slept with her and I wasn’t taking antibiotics either

Edward W. Hook M.D.
Edward W. Hook M.D.
5 months ago
Welcome to our forum. Thank you for your question. I’ll be I’ll do my best to address your concerns. You are in the clear. That’s the bottom line here. Now let me provide some additional information:

It sounds to me like the majority of your unprotected sexual encounters are receipt of oral sex. If that is the case, there is no reason for concern regarding HIV. There are no proven cases in which a person has acquired HIV through receipt of oral sex.  In that two of your past partners were commercial sex workers I should also add that most commercial sex workers do not have HIV.

Regarding your protected genital infections, these too are no risk events. As long as condoms are worn and remain intact throughout the sex act and do not break, they provide virtually complete protection from HIV and other STI’s. I should add at this point that when condoms fail, they break wide open. Condoms do not leak a little without obvious breakage.

Finally, a comment about your thrush. When one searches the Internet for problems associated with thrush, HIV is prominently mentioned, Despite this, the fact is that people without HIV regularly get thrush and that most people who have thrush do not have HIV. A number of factors including recent antibiotic use and diabetes make thrush a bit more likely and the many people who have no obvious risk factors get thrush.

I hope that this information is helpful to you. If there are further questions or anything is unclear please feel free to use the opted to follow up opportunities for clarification. Take care. Please don’t worry. EWH


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