[Question #8333] hepatitis B / C

46 months ago

Dear Dr

Greetings ,,,

Thank you for this great job in this website

I have some questions

I know combo test for hiv is conclusive at 6 weeks (42 days) can you confirm this?

I have test at my 43 days in conclusive no matter the risk ? Or should retest at full 45 days?

What about hepatitis B / C it is conclusive at 6 weeks (42 days) same combo test?

When i can test for this two STD (hepatitis B/C) if not 6 weeks

Thank you in advance

H. Hunter Handsfield, MD

46 months ago

Welcome back to the forum. Thanks for your continued confidence in our services.

Presumably you are concerned about a new exposure, not the one discussed with Dr. Hook about 4 month ago. The official recommendation from CDC is that the AgAb (4th generation, "combo") HIV blood tests are conclusive by 45 days. On this forum, we (and many other experts) round this off to 6 weeks (42 days), because it's a round number and it is exceedingly rare, if ever, that the additional 3 days makes any difference.

Hepatitis B virus and C (HBV, HCV) testing are never recommended after any single exposure, unless particularly high risk, such as one's partner known be infected. Even then, the risk is nearly zero for heterosexual exposures -- these are only an issue for men having sex with men. And if you have been vaccinated against HBV, you for sure didn't need testing. If you are not vaccinated, I recommend you do that now. And contrary to popular belief, HCV is NOT sexually transmitted between men and women, or so rarely that it can and should be ignored. Finally, I will also mention the obvious: if you consistently use condoms for vaginal (or anal) sex, you'll never be at risk for any of these viruses and not need testing after individual exposures.

Sorry for that mini-lecture. The direct answer to your question is that 6 weeks is long enough for conclusive testing for both HBV and HCV.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

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46 months ago

Thanks dr

Yes this is new one

I can tell you my exposure

i was wearing my boxer only and girls do lap dance naked and rubbing her body over my boxer until i cum ..

Never touch my penis with her hand

46 months ago

my fear if boxer has small cut and can any things go through this

This exposure was for less than 10 min

46 months ago

My last questions

If i do test for (HIV, HBV,HCV) after 45 days

This will be conclusive no matter the risk?

And please make you recommendation about my exposure if any other test can be done.

Tomorrow i will have 45 days

And i will do this 3 test mentioned above

Sorry for my english

H. Hunter Handsfield, MD

46 months ago

You were at zero risk for any and all STIs from such an exposure -- no more than if you shook hands with her. It's a waste of time, energy and money to be tested for anything on account of this event. But if you insist, why are you worried about the least common of all STIs? Where is your concern about gonorrhea, chlamydia, syphilis, HPV, and herpes? I'm not implying you should be tested for any of them -- but if there were any risk at all, all these would be more likely than HIV, HBV, and HCV.

But if you insist on testing, 45 days is conclusive for all three of them (as discussed above).

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46 months ago

Thanks DR many thanks.

I know this is my last replay

She is rubbing her ass /puusy against my boxer to be specific is no risk, no matter type of my boxer?

For other STI you mentioned in your reply

I am at any risk? Should i test or wait for Symptoms ?

Are you recommend not test anything more ?

46 months ago

Direct touch to my boxer by body (ass/Pusey) not risky?

I wear my boxer all the time and also after i cum not off my boxer never but no candom. Can this change your recommendation?

i really appreciate your response to me i would to thank you again before closing my questions

H. Hunter Handsfield, MD

46 months ago

Thanks for the additional information. Still no risk at all for any infection. No STI has ever been known to be transmitted through clothing. Even direct skin-to-skin contact (without genital penetration) is 100% risk free for most STIs, including HIV and the hepatitis viruses. You should not test for anything.

I have to wonder whether you have had seriously mistaken STI/HIV education, or perhaps sex education in general -- perhaps because of family and cultural attitudes, or unenlightened school systems. I hope you will try to educate yourself about sex and sexuality in general, and what is risky and what isn't. For this forum, if and when you have unprotected intercourse, we'll be happy to address concerns you may then have. But let's have no further questions about practices known by all to be risk free. OK?

That concludes this thread. I hope the discussion has been helpful.

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