The encounter you describe did not put you at any risk for HIV and at minimal risk for STIs- your tests prove this.  Frottage is considered safe sex despite the fact that it is typical for persons engaging in frottage to be exposed to partners' genital secretions.  Amongst penetrative sex acts, receipt of oral sex is amongst the lowest risk types of encounter. There has never been a proven case of HIV acquired from receipt of oral sex.  The STI most often acquired from receipt of oral sex is gonorrhea and that is relatively uncommon since most people do not have STIs, since when they do throat infections are less common than genital infections, and since most exposures to person with infection do not lead to infection in the exposed person.  Further, your partner stated that she did nt have STIs although her behavior with you, and presumably others suggests that she may be at risk and STIs can be asymptomatic.   Regarding your specific questions:

Yes.  No need for HIV testing at all following the encounters you describe.

I hope that these comments are helpful.  EWH

Thank you for the response. To follow up on my 1st encounter, which was the frottage and quick oral; 7 days post exposure, I became really fatigued and I began having this tension headache that will not leave. It has been over 30 days with this constant headache, which isn’t painful, just head pressure. 

If I had syphilis and/or HIV symptoms, would the RPR, HIV RNA and 4th gen test catch the issue, since I am having symptoms?  I took the RPR day 24 and the RNA on Day 12 and 23. The 4th gen on 10th and 23rd day as well. 

Also, does a Chancre always appear where the syphilis entered or can it appear elsewhere or not at all? It has been 35 days post exposure and I of course have been self examining my Penis daily looking for Chancre, since that is the only place touched during the encounter. 

Also, should I be worried about HCV at all from both encounters? 

I appreciate your responses and the service you have been providing, also, going through previous questions/answers on your forum is helpful.

Some persons who acquire syphilis may not notice their chancre- chancres tend to be painless.  Chancres occur at the site of contact, not in other parts of the body. If by now you have not noted a chancre at the site of exposure, you will not.  On average chancres appear about three weeks following contact at the site of contact.

No, hepatitis C is only an STI for persons participating in receptive rectal intercourse and even then it is rare.  I would have no concerns whatsoever about Hepatitis C

Last follow up, took another std panel today, 38 days post exposure.

Follow up questions:

1. I am not having any symptoms, but would chlamydia, which you told me was highly unlikely from receiving a blowjob and/ or Gonorrhea show in a std urine test post 5 days?  I also took a urinalysis with UTI culture, would this help find an issue post 5 days?

2. I know the guideline for HIV is 45 days, but I took it a week short, will this matter?  I have taken an Qualitative RNA at Day 12 and 23, finger prick Day 10, 15 & 22 and 4th gen day 10, 23(Did both rna and 4th gen same time same day) and now day 38.

3. My main concern is syphilis, I have went down the rabbit hole about neurosyphilis or chancre sore being in one's mouth or anus.  I have had two RPR tests, one at day 10 and day 24.  Have you encountered neurosyphilis before and if you can elaborate a little about it?  Also, would a chancre be formed elsewhere even though the only contact was on my penis, no kissing or anal play?  Also, at 38 days would you consider that kind of conclusive, this will be my third RPR test?

4. I have had head pressure and some fatigue since day 7 post exposure. Today being day 38, I have felt some relief from the head pressure for the 1st time, which instead of making me feel better, filled me with anxiety, hence me taking another std panel today.  To just double down on your previous answer, if my symptoms were due to an STD (Syphilis,HIV) the test I took would find it atleast 1-2 after my symptoms began?  Is this because the body is creating antibodies to fight off the infection?

Thank you for your time and the affordability of your service.  Also, the education you provided just by the answers on your forum.  Just as I scoured over the forum for answers, I hope my post helps others as well.

I am entirely confident that your STI panel today will be negative. I hope that at that time you will be able to move forward from the anxiety you have displayed.  On to your questions:

1. I am not having any symptoms, but would chlamydia, which you told me was highly unlikely from receiving a blowjob and/ or Gonorrhea show in a std urine test post 5 days?  I also took a urinalysis with UTI culture, would this help find an issue post 5 days?

As I said in my initial response- "Tests for gonorrhea and chlamydia will provide accurate results any time more than 4-5 days after an exposure."  You have proven you do not have gonorrhea or chlamydial and will prove it again with todays tests.

2. I know the guideline for HIV is 45 days, but I took it a week short, will this matter?  I have taken an Qualitative RNA at Day 12 and 23, finger prick Day 10, 15 & 22 and 4th gen day 10, 23(Did both rna and 4th gen same time same day) and now day 38.

I told you in my initial response you did not have HIV,  I also noted " No need for HIV testing at all following the encounters you describe."  The testing you have already taken is entirley conclusive, as will be your tests from today.  This will prove once again that you did not get HIV from the encounter you described.

3. My main concern is syphilis, I have went down the rabbit hole about neurosyphilis or chancre sore being in one's mouth or anus.  I have had two RPR tests, one at day 10 and day 24.  Have you encountered neurosyphilis before and if you can elaborate a little about it?  Also, would a chancre be formed elsewhere even though the only contact was on my penis, no kissing or anal play?  Also, at 38 days would you consider that kind of conclusive, this will be my third RPR test?

Syphilis is not a concern.  As I told you in my initial response (with typos corrected) when you told me you were taking amoxicillin and clarithromycin- "...drugs will certainly eliminate any risk for syphilis (thus no testing in needed) and further lower you already low risk for both gonorrhea and chlamydia.  Although these drugs are not recommended for gonorrhea or syphilis, they have activity against some strains of each disease."  I am an expert on neurosyphilis- you do not have it and the medications you have taken have eliminated any theoretical risk you might have had for syphilis.

4. I have had head pressure and some fatigue since day 7 post exposure. Today being day 38, I have felt some relief from the head pressure for the 1st time, which instead of making me feel better, filled me with anxiety, hence me taking another std panel today.  To just double down on your previous answer, if my symptoms were due to an STD (Syphilis,HIV) the test I took would find it atleast 1-2 after my symptoms began?  Is this because the body is creating antibodies to fight off the infection?

You do not have any of the STIs youmention or have tested for.  I suspect your headache related to tension, as does your fatige.

Please believe the negative test results you will get from your tests, then put your fears aside and move forward.  This completes this thread.  EWH

I hope that over the course of this challenging time for you the responses I provided were helpful. as you know, this is the final response to this thread, which will now be closed. Take care. EWH.