Some advice

[Someadvice_12]

Thankyou dr for the time to answer my question.

Approximately 6 weeks ago i had what i believe to be a low/medium risk possible exposure. Whilst in the company of a SW I masturbated myself as did she (masturbate herself) My error in judgement occurred when I allowed her to touch my penis (head and shaft area) for approximately 2-3 secs before asking her to stop. I am concerned about the possible transmission of HIV under these circumstances. The SW was of african descent and i was in the middle east at the time.

I had a test at 4 weeks with negative results.

Now at six weeks have loose stools and body aches. Am concerned.

Your advice would be most appreciated.

[H. Hunter Handsfield, M.D.]

These additional comments do not change my original opinion or advice.  Your concern "that there mey have been a risk involved with the incident" has no basis.  And yes, having a negative p24 test makes it even more certain you didn't catch HIV.  (If you had come to my clinic, we would have refused to do that test even if you asked for it.  It was a waste of money in such a low risk situation.)

I won't have any further comments.

[Someadvice_12]

Thankyou for your reply. I have one point to clarify.

You state that the incident was a zero risk exposure as HIV is never transmitted via hand-genital contact yet you state that my negative test at 4 weeks is highly reassuring as 90% of tests have turned positive. I am sure i am splitting heirs here but am concerned that there mey have been a risk involved with the incident.

Lastly the test i had was p24 plus standard HIV test of which was conducted in a highly reputable institution. Does the p24 test heighten the accuracy of the result as my dr has stated that p24 conducted within the 9 - 23 day period is 95% accurate.

Last post.
thankyou

[H. Hunter Handsfield, M.D.]

You can relax; no worries here.  Your judgment that this was a "low/medium risk exposure" is wrong.  It was a zero risk exposure.  HIV is never transmitted by hand-genital contact, even when the hands have genital secretions on them.  Further, your negative HIV test 4 weeks later is highly reassuring, since at least 90% of newly infected persons have positive results by that time.  Finally, "loose stools and body aches" are not symptoms that suggest HIV and undoubtedly are due to something else.

Since you are nervous, have another HIV test now.  You can expect that result to also be negative.

I hope this helps.  Best wishes---  HHH, MD