Hello.  My situation is something you hear about quiet frequently.  I am in a relationship but strayed. This took place on June 3, 2021.     I am a middle aged guy.  I kissed her , sucked her breasts, fingered her and received oral sex (bj) from a women in PA while on a business trip.  Afterwards I asked if she was HIV tested recently and she said yes.  Whether that is true I am not sure.   She was white, age 56, wore dentures, and smoked.  I visited my pcp the day after and he gave me what the cdc recommends to treat gonerrea, clymadia and syphillis.

7. When time was is hiv-2 ruled out?

8. When can I sleep with my regular partner unprotected?

Thanks,

CB

1.  Please see above, no one has ever been proven to acquire HIV from receipt of fellatio.

2.  Given the situation you described, I would have not suggested any need for testing. See my further comment below.

3. I certainly see no need for further testing. The antibiotics you took would have cured or prevented bacterial STI such as gonorrhea, chlamydia and syphilis. None of the activities you described suggest any risk for HIV. Testing is not recommended for evaluation of the possibility of herpes.

4.  55 days after exposure is too late for the occurrence of the ARS  which typically occurs between two and three or perhaps four weeks following exposure. Furthermore, You are thrush is not a symptom of the ARS syndrome which is characterized by high fever, severe sore throat, and widespread muscle or joint aches.

5.  When the ARS occurs, it is due to the high levels of virus circulating in the body as well as early immune responses. Tests for HIV are typically positive in person so experiencing the ARS.

6 and 7.  Tests for HIV-1 and HIV-2 are conclusive 42 days following exposure. Your test results prove that you did not require these infections.

8.  If there was ever any need to avoid unprotected sexual contact with your regular partner, that time is long past. As noted above, the antibiotics you took would have cured bacterial infections if present and your blood test prove that you did not acquire HIV,

I hope the information I have provided is helpful. If there are further questions or any of my answers are unclear please don’t hesitate to use your up to two follow-up questions for clarification. EWH

Good morning.  Thank you so much for your response.  I would like to ask a few follow-ups.  

Before asking you my question yesterday I thought it would be prudent to do a little research on the net and on your site.  So I did.  I was a little confused regarding HIV-2.  I know the duo test checks for HIV-1 antigens and antibodies, but only HIV-2 antibodies.  That being the case, I saw differing information regarding when a test is conclusive for HIV-2.  Sometimes it was stated 6 weeks and sometimes 8 weeks and sometimes 3 months.  This was the case even on this site, but I also know everyone's circumstances are different and some of the responses may have been older. 

1. Can you please clarify my above confusion (about HIV-2)?

2. Does it matter that my thrush sore presented on day 56 after the exposure?  You said that is to late to be ARS?  Is that correct even if it was HIV-2?

3. Can thrush be the only symptom of ARS?

4. My antibiotics were taken a DAY 2 after the exposure.  The thrush appeared DAY 56 after the exposure.  Isn't the time between when I took the antibiotics and when I got the oral thrush sore to long to have caused the thrush sore?    (I believe what I was given was cefixime 400 mg orally or something similar, the pharmacist said it might have out and gave me something similar and Azithromycin 1g orally.

5. I just want to get back to my normal life without worry.  Can I?

My goal using this sight is to both educate myself but also make sure I don't harm my long term girlfriend.  I hope I am never in this situation again.

Thank you for you time and have a great Saturday.

Respectfully,

CB

I had a typo in my response earlier.  I corrected it below; 

Repetitive, as I said above- " If there was ever any need to avoid unprotected sexual contact with your regular partner, that time is long past. As noted above, the antibiotics you took would have cured bacterial infections if present and your blood test prove that you did not acquire HIV,"

Once again, please don't worry.  There is no reason for concern   EWH

Since the last time I wrote I decided to begin to live my life again.  Due to an unhappy relationship I have been talking to a female.  We kissed and rubbed each other.  We eventually tried to have vaginal sex.  I put a condom on  but could not get fully erect (somewhat flaccid). We tried for a little as it wasnt enjoyable I stopped.  I ejaculated a very very small amount.  The condom was always on and I dont think her fluids got inside of the condom.  My head was always covered.  Also the girl claims she was tested (negative) for hiv and hasnt been with anyone in years. (but who knows)  Twenty four (24) days afterwards I fell asleep on my side.  I woke and had this weird sore on my inner cheek.  It might have been from my teeth rubbing against my check as my head was laying on the arm of my sofa.  I rubbed it and nothing seemed to come off or very little and it was gone shortly there after.

1. Should I be scared?

2.  Do I need testing?

3.  Does that sound like thrush?

4.  Can thrush be the only symptom of ARS?

5.  Sometime a condom comes down a little when having sex, is this a concern?

6. What if when the condom was loose a little of her fluids got in (I dont think this happened)?

7.  Can I just forget about this and just have unprotected sex with my regular partner?

From now on I am just staying home>>

Thanks I know this is your last response.

The encounter you describe was very, very low risk.  Your encounter was condom protected with a very low risk partner.  No STI, including HIV would cause symptoms within two days of exposure.  

1.  No

2. Not for the encounter you describe.

3.  This sounds nothing like thrush.

4.  No

5.  No.  As long as the head of the penis is covered, you are protected.

6.  Fluids would not enter in this way.  Not a concern 

7.  Yes, it is absolutely time to put your concerns aside and move forward.

8.  Pimples/lesions of the sort you describe in that location are not a concern.

I hope these final comments are helpful.  Please don’t worry.  There is no reason to avoid unprotected sex with your regular partner.  EWH