[Question #9673] Frottage HIV exposure + brief oral + kissing
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30 months ago
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I'm a 30yo girl from Germany with very little sexual experience.
3 months ago a friend (30yo male) and me engaged in light sexual contact, we were in bed kissing, touching our bodies and we did a bit of frottage and oral.
Specifically I took his semierect penis and rubbed it on my clitoris for 20/30 seconds, there was absolutely no penetration. Then I very briefly did oral sex on his penis head and shaft. The lenght of the oral was around 20/30 seconds max.
There was absolutely no ejaculation but I cant guarantee there wasn't any precum.
Then we did not go any further because I did no feel like doing more than this.
The guy did not ejaculate at all, after that we dressed back and said bye.
This guy said he is tested once per year but he's considering PrEP because he's a bit promiscuous and sometimes (he's bisexual) he bottoms with male escorts, but he guaranteed me he's always practicing sex with condoms.
This guy is in a relationship and I don't think he wants to "bring home" any sort of disease to his partner.
I did not worry about this encounter but on day 7-9 post exposure I had for two days a bit of sore throat with swollen tonsils and a light fever (37.2°C) and diarrhea two times.I did not have any other symptoms.
I did panic as I read that it could have been some ARS.
I took two HIV tests:
- HIV NAT test, blood drawn from vein, NEGATIVE (day 8 post exposure) levels UNDETECTED
- 4th gen HIV 1/2 Antibodies + Antigen p24, blood drawn from vein, NEGATIVE (day 26 post exposure) level detected less than 0.05
- Anti-Treponema Pallidum Antibodies IgG/IgM, NEGATIVE (day 26 post exposure) level detected was less than 0.10
I can't put my mind to rest thinking I did not acquire HIV from this encounter.
Sometimes I have throat ache, muscles ache and a few very small pimple/red dot on my chest.
It's been almost 90 days ago.
Are my tests conclusive? Can move on with my life as a HIV negative person?
3 months ago a friend (30yo male) and me engaged in light sexual contact, we were in bed kissing, touching our bodies and we did a bit of frottage and oral.
Specifically I took his semierect penis and rubbed it on my clitoris for 20/30 seconds, there was absolutely no penetration. Then I very briefly did oral sex on his penis head and shaft. The lenght of the oral was around 20/30 seconds max.
There was absolutely no ejaculation but I cant guarantee there wasn't any precum.
Then we did not go any further because I did no feel like doing more than this.
The guy did not ejaculate at all, after that we dressed back and said bye.
This guy said he is tested once per year but he's considering PrEP because he's a bit promiscuous and sometimes (he's bisexual) he bottoms with male escorts, but he guaranteed me he's always practicing sex with condoms.
This guy is in a relationship and I don't think he wants to "bring home" any sort of disease to his partner.
I did not worry about this encounter but on day 7-9 post exposure I had for two days a bit of sore throat with swollen tonsils and a light fever (37.2°C) and diarrhea two times.I did not have any other symptoms.
I did panic as I read that it could have been some ARS.
I took two HIV tests:
- HIV NAT test, blood drawn from vein, NEGATIVE (day 8 post exposure) levels UNDETECTED
- 4th gen HIV 1/2 Antibodies + Antigen p24, blood drawn from vein, NEGATIVE (day 26 post exposure) level detected less than 0.05
- Anti-Treponema Pallidum Antibodies IgG/IgM, NEGATIVE (day 26 post exposure) level detected was less than 0.10
I can't put my mind to rest thinking I did not acquire HIV from this encounter.
Sometimes I have throat ache, muscles ache and a few very small pimple/red dot on my chest.
It's been almost 90 days ago.
Are my tests conclusive? Can move on with my life as a HIV negative person?
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Edward W. Hook M.D.
30 months ago
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Welcome to our Forum. Thanks for your questions and for your detailed questions. I'll be glad to comment.
This was a low risk exposure. I say this based on the history you provide- your partner appears to be taking precautions for contacts outside of his primary relationship although he does have some risk based on the fact that he has sufficient numbers of partners that he is considering PrEP and he acknowledges sometimes bottoming with other casual male partners. Nonetheless., the contacts you describe were quite low risk- there is no risk for HIV or other STIs from frottage- no penetration, no risk. This then brings us to the question of oral sex. First let me say that while there are no studies specifically studying this topic, it appears that STIs can be transmitted to partner even without ejaculation. That said, among penetrative sexual contacts, oral sex is amongst the lowest risk. The estimates are that IF your partner had untreated HIV (unlikely), your risk for infection would be, on average, less than 1 infection for every 10,000 acts of oral sex. Given his partner number the risk of other STIs, specifically gonorrhea and perhaps chlamydia infection of the throat is slightly higher (each of these infections can occur in the throat without symptoms).
Your test results provide further assurance that you did not acquire HIV or syphilis from the exposure you describe. At 28 days current tests for HIV would detect over 99% of recent infections and would certainly have been positive if your flu-like illness was the ARS. The likelihood of having acquired syphilis, based on your test results and history is similarly low. I would not be worried about either infection and, given the information you have provided, I see little or no reason for additional testing. If you are concerned, out of an abundance of caution, you may wish to get a throat swab for gonorrhea and chlamydia (I anticipate that if you do, the results will be negative) but do not feel strongly about the need.
I hope this information is helpful. I there are further questions, please use your up to two follow-ups for clarification. EWH
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30 months ago
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Doctor Hook, thank you very much for your detailed reply.
I am going to test conclusive with a 4th gen Ab/Ag HIV 1/2 test + a Ab Syphilis test in the upcoming days just for the peace of my mind and let bygones be bygones.
I have one last question for you, considering you've been extremely kind and with such an in-depth professional knowledge.
Are acute HIV infection and acute syphilis infections (first 6-7 weeks post exposure) linked to an increased blood level of C-reactive protein?
Asking this because around day 60 post exposure I've been to the ER for unrelated causes (intense sinus tachicardia linked to my hyperthyroidism-Hashimoto thyroiditis) and in the blood work done by the ER there was also the CRP which level was 0.03 mg/dL, extremely low (cut off was >0.50-1.0) and the ER doctors told me "there's nothing wrong in your body right now".
I figured, since CRP is always linked to viral and bacterical infections (along with inflamations) that if I were in an acute state of HIV+ or Treponema infection (correct me if I'm wrong but HIV viremia and syphilis blood levels peak around 6-8 weeks post exposure) my CRP would have been very high and reactive.
Thank you very much again.
Are acute HIV infection and acute syphilis infections (first 6-7 weeks post exposure) linked to an increased blood level of C-reactive protein?
Asking this because around day 60 post exposure I've been to the ER for unrelated causes (intense sinus tachicardia linked to my hyperthyroidism-Hashimoto thyroiditis) and in the blood work done by the ER there was also the CRP which level was 0.03 mg/dL, extremely low (cut off was >0.50-1.0) and the ER doctors told me "there's nothing wrong in your body right now".
I figured, since CRP is always linked to viral and bacterical infections (along with inflamations) that if I were in an acute state of HIV+ or Treponema infection (correct me if I'm wrong but HIV viremia and syphilis blood levels peak around 6-8 weeks post exposure) my CRP would have been very high and reactive.
Thank you very much again.
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Edward W. Hook M.D.
30 months ago
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c-reactive protein is a non-specific marker of inflammation and should not be used for diagnosis of HIV, syphilis or any other specific illness. I would anticipate that it would be elevated in a person with active Hashimoto's thyroiditis and levels would decline as the illness is controlled. While your low c-reactive protein indicates there is no active inflammation, diagnosis of the presence or absence of HIV or syphilis should be based on the results of specific tests for those diseases. You have no reason for concern about either syphilis or HIV for the reasons I already mentioned. EWH---
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30 months ago
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Outstanding reply.
Dr. Hook, thank you very much for answering my questions and for providing such a great place filled with medical knowledge and experience for those of us that might be hesitant to ask to our GP and want to know more about a possible exposure.
We can close this question.
Wish you and the staff all the best in the future.
Dr. Hook, thank you very much for answering my questions and for providing such a great place filled with medical knowledge and experience for those of us that might be hesitant to ask to our GP and want to know more about a possible exposure.
We can close this question.
Wish you and the staff all the best in the future.
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Edward W. Hook M.D.
30 months ago
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Thank you. EWH---