[Question #9116] Just need some reassurance
36 months ago
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Had 1st bi experience with a man I met online (he's a doctor with over 35 years experience including testing and treating STIs, which was reassuring). At his house, he performed oral on me and we finished with mutual masturbating. I know both of those activities carry virtually no risk, despite the fact that I had a small cut on one of my knuckles. We also tried anal, with me as the bottom. He wore a condom the entire time, although he had to take off the condom and put a new one on because he had trouble maintaining an erection. I was right next to him when he did this and I did not observe any broken condoms nor did he report one. I even reached out to him a week or so later and he verified that all condoms were intact when he took them off. All was fine until the next day when I entered a period of deep anxiety, probably fueled by the fact that I had cheated on my wife and spending hours on the Internet searching HIV symptoms. Did not have any "standard" ARS symptoms, but at around weeks 2-3, I started experiencing this generalized itchiness/prickliness that has come and go even until today (feeling it now). I believe this is due to anxiety, because I don't notice it much when my attention is focused on something else and it comes and goes. Around weeks 4-5 I felt this off and on soreness in my groin, adductors, and thighs. I run a lot, and my ortho attributed it to that and put me on PT, but still it felt "different" (anxiety). Took Oraquick test at 37 days (5.5 weeks) -- negative (which rationally I should have expected). Guess my question is should I move past this? Feel like getting a medical expert's opinion would help me shake the anxiety and help me put this behind me. Could my "symptoms" even be ARS? Could they come and go and last this long (it's been 11 weeks now)? I know probably not, but your opinion would definitely help me.
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Edward W. Hook M.D.
36 months ago
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Welcome to the forum. Thanks for your question. Thanks as well for your detailed history. I think you have largely answered the question yourself and my task is to reassure you that you are correct.
You do not mention your partners HIV status but my guess is he is either HIV negative or, as a healthcare provider is on affective anti-HIV therapy. FYI effective therapy for HIV renders individuals non-infectious to others.
---The encounter that you described was virtually no risk. There certainly is no known risk of acquisition of HIV from receipt of oral sex and masturbation is safe sex, even when partners get each other’s genital secretions on one another. Further, your receptive rectal intercourse was condom protected and therefore, no risk. Even more importantly however you have proven that you were not infected with your test. Your 5+ week test results are virtually conclusive. Standard recommendations are that HIV test results are conclusive anytime after 42 to 45 days however neither of us have seen or heard of a person whose test became positive if it was negative at a time after 28 days.
You can be confident that you did not require HIV from the exposure you describe. I see no medical are scientific reason for additional testing. My advice is to put this behind you and move forward without continuing concerns. I hope that my response will help you to do that. EWH
36 months ago
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I don’t know my partner’s status, but he was insistent he was negative and regularly tests every 6 months. He’s been very straightforward and reassuring — nothing comes across as “off.” So you are good with the 5+ week Oraquick result? That’s a relief. I’m hoping the itchiness/muscle soreness works itself out. Isn’t it reasonable to assume these things are anxiety-related. I had no health issues and had just come off a physical with a complete bill of health the week before the incident. Maybe those symptoms will abate as I come to the realization that I’m okay. If not, I’ll see a mental health specialist. Amazing what the mind can do to the body. Thank you, and it’s good to hear from someone from UAB!
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Edward W. Hook M.D.
36 months ago
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Thanks for your thanks. I didn’t mention you were itching so let me point out that on occasion when individuals are concerned and on the lookout for symptoms they not uncommonly tend to notice otherwise normal sensations which would otherwise be overlooked. The fact that your itching has come and gone and it’s not noticed when you were distracted is consistent with us.
Hope this helps. Take care. EWH
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36 months ago
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Just a couple of follow up questions, then I promise I’m done!
1) You’re good with the Oraquick results at 5+ weeks? I felt pretty confident, especially after reading that the newest versions of this test pretty much put it on par with 3rd gen tests, which are pretty accurate in this timeframe, especially considering the presumably low-risk activities I was engaged in. If you’re good with it, I am!
2) Would the symptoms I reported (the generalized itching/prickling that comes ago and the soreness in my adductors and other upper leg muscles) even be considered symptoms? Could early HIV/ARS symptoms even persist for 7-10 weeks? (Most of what I’ve read says no.)
3) Should I test for anything else? I tested neg for chlamydia/gonorrhea at 1 week and 7 weeks, and my partner who is a doctor who is experienced in testing and treating STIs said he would know if he has syphillis, which is probably true. Plus I heard it’s hard to pass orally. I already have Herpes 1-2 from long ago.
4) Should I feel comfortable resuming normal sexual relations with my wife?
I know you told me I’m good to go, but your answers to these questions would help. Happy to report my anxiety has faded drastically in the past few days and the itchiness has as well (wonder if they’re related, lol). After I get your response, close the thread — I should be good to go. Thanks so much for the service you provide. Can’t tell you how much it’s helped!
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Edward W. Hook M.D.
36 months ago
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Straight to your f/u questions:
1. The exposure you describe was relatively low risk based on your partner's reports and your descriptions. The Oraquick is our least favorite test, particularly for detection of early infections. As an antibody only test, Oraquick results are conclusive at any time more than 8 weeks following an exposure. At 5+ weeks, results are quite likely to be accurate but not entirely conclusive. In the context of your report however, I would have confidence in this result.
2. The symptoms you describe are not worrisome for recently acquired HIV.. ARS symptoms more than 7 weeks after exposure are most uncommon, if they even happen at all.
3. No
4. Yes
My sense is that the information I have provided, as well as all else you have learned has been helpful. I'm glad to hear that. This completes this thread. Take care. EWH
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