[Question #9600] Hiv risk
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31 months ago
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Hi doctors,
I performed blowjob to a man(unknown hiv status)about three months ago. It's a very short time, about 5s. And I received blowjob from him about 3 minutes. None of us ejaculated. I took pep for 28 days due my anxiety. HIV and syphilis test were negative in 18 days after completion pep.
But I'm experiencing some symptoms. I had a fever in week 5 and experienced skin rash, mostly on my chest and back. And it has lasted until now. Some itches, some don't. I also feel some lymph nodes swelling and pain.
Am I at risk of hiv? I will have another test in 10 days. I'm worried that the result will be positive at that time.
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Edward W. Hook M.D.
31 months ago
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Welcome to our Forum. Thanks for you questions. I would have no concerns that you r current symptoms are due to HIV and am confident that any future tests for HIV performed related to these exposures will be negative as well. Here are a few additional comments:
1. You do not know that your partner had untreated HIV. Statistically this is unlikely.
2. The risk for HIV from these activities are very low, even if your partner had untreated HIV. No one has ever been proven to acquire HIV from receipt of oral sex from an infected partner and the estimated risk for acquisition of HIV from performing oral sex on an untreated infected partner is less than 1 infection for every 10,000 exposures (i.e. 99.99% of such exposures will NOT result in infection). The brief period of your exposure reduces your risk for infection even more.
3. PEP. which I would not have recommended for you, is highly effective and would have prevented infection if exposed.
Bottom line, in my opinion, there is NO evidence of any risk whatsoever from the exposures you describe and no reason for concern. EWH
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31 months ago
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Thank you for your reply, which has helped me a lot! I still have few more questions.
1: Do you think the symptoms that appear 40 days after completing pep are related to hiv?
2: Do I still need to get test?
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Edward W. Hook M.D.
31 months ago
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1. No, 40 days are too far after your no risk events to be due to HIV.
2. There is no need for further testing.
I urge you to put your concerns behind you and move forward without further concern. EWH
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31 months ago
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The thing that worried me is when I asked him to get test, he reacted with a strong refusal. And as I know, he often performs oral sex on strangers. Should I still put the whole things behind me?
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Edward W. Hook M.D.
31 months ago
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His reticence to answer your question in no way impacts my assessment. Please try to move forward, there is no meaningful risk for HIV from the exposure you describe. Try to move forward.
This completes this thread. Take care. EWH
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