[Question #73] Dr Handsfield pls help its me again... A bit worried

40 months ago
Hi dr Handsfield its me again I am sorry to start another thread but couldnt stop myself posting,  I posted last week regarding my exposure with a swinger.
After reading your and Dr Hook's replies i was so relaxed but last night i had unprotected sex with my wife and then i started getting scared again.

My issue is I just wanted to make sure that you did read my comment last time which says 

"Lady I had sex with was having sex with a black African guy and it was unprotected as well so am now worried whether she had HIV2 and she might have had sex with him in the past as well and there was another african women with whom other men were having sex (comdomless) so those men after having sex with this women might had sex with my partner in the past"

Would your assesment remain same should i not worry abt hiv2 though i saw her havig unprotected with african guy. 

You did say my test covered hiv2 as well but antibody part is not accurate at 32 days right?

I am scared thinking whether i put my wife at risk and should take PrEP for her as its only been 36 hours. (I dint ejaculate though just withdraw while climaxing but worried of precum)

Also in medhelp i saw this post link is below
http://www.medhelp.org/posts/HIV-Prevention/Which-one-is-more-reliable-HIV-RNA-Qualitative-or-HIV-4th-Generation-Test/show/269406

Basically this guy got pcr positive result after 2 months duo negative result, should i be worried on this, or would you say pcr gives false positive results

Pls reply asap dr I really need to put this behind and move on

Edward W. Hook M.D.
Edward W. Hook M.D.
40 months ago

Typically I open my replies with a statement of something like "welcome back to our Forum" but I cannot say that in your case. It troubles and worried me that your anxiety/guilt/shame over your single recent encounter seems to have consumed your thoughts and actions.  In preparing to respond to your question I see that virtually all of them have already been answered.  To repeat the question and expect a different answer is a waste of your time and ours.  The answers will not change.  No less than Albert Einstein said that one definition of insanity is to ask the same question again and again and expect different answers.  Neither my, nor Dr. Handsfield's responses to your questions are going to change.

That your partner was having sex with an African man does not change the answers to your questions.  Your exposure was very, very low risk and your tests effectively prove that you were not infected.  Your concerns about HIV-2 are misplaced- even in West Africa where HIV is most often seen, it is a minority of infections and, as Dr. Handsfield has already told you, the test you have taken also tests for HIV-2 antibodies as well as for HIV-1.

Further, for you to even bring up PREP is silly, it would be on no benefit at this time, even if you had been at risk which you are not.

Finally, as Dr. Handsfield has already said, searching the internet is a mistake and will more likely mislead you than help.  It is time for you to put your fears behind you and move on.  If you cannot, you do not need to post further, you need to seek the help of a mental health professional to assist you in addressing your fears.  EWH



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40 months ago
Thanks for your reply Dr Hook

PrEP i was thinking to give it to my wife as I said I had unprotected sex with her after reading your's and Dr Handsfield replies but started getting scared thinking about HiV2, would you recommend prep for her as its only been 43 hours. I didnt ejaculate inside her though Or should i still believe my results for hiv2 as well

I understand that the test i had detects hiv2 antibodies but 32 days are too early for antibodies right?

Also can you pls suggest your thoughts about the link that I shared regarding a guy who got duo test negative after 2 months but later pcr test positive.

Thanks Dr for your time and God bless you


Edward W. Hook M.D.
Edward W. Hook M.D.
40 months ago

Believe your test results.  At weeks, antibody tests would detect over 90% of recent infections, including those caused by HIV 2. 

Your wife does not need PREP.  You need to move on.

I cannot comment on the other case you cite except to point out that the situation you describe in most likely not relevant to you. EWH

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40 months ago
Ok thank you Dr Hook i am going to leave this behind and move on, thanks again 
Edward W. Hook M.D.
Edward W. Hook M.D.
40 months ago
Great.  I hope you can move forward from here.  EWH
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40 months ago
Thanks Dr Hook I really appreciate your patience and support.
The reason I was very anxious was becoz I never cheated my wife this is the first time ever i had sex with someone then my wife so was so worried abt HIV.
I am not going to repeat this ever in my life and will always be loyal with my wife, thanks again for your help.