Aa
Am I ok?
Hello!
I am a gay man who has been very careful over the years regarding sex.
Last year I had an exposure (condom breakage) which was solved out by proper testings besides your kindest help.
On September 24th 2010 I had sex with a man and here what happened: he performed oral sex on me (not so much) BUT I had a "small almost healed Herpes Simplex 2 lesion" on my penis shaft. By the time he did the blow job I tried to avoid him get in contact with the lesion by putting my hand over the lesion. I did not perform oral sex on him at all. After that I penetrated him and I properly used a condom. There was no condom breakage.
On October 28th 2010 this guy called me to inform me he had just found out he was HIV positive.
Yesterday (Oct 29th 2010) I got a DUO HIV1/2 test (4th generation) which came back NEGATIVE and I also decided to get an ULTRASENSITIVE HIV RNA PCR (the one that detects as low as 20 copies/ml - AmpliPrep / COBAS TaqMan, Roche Diagnostics, v2) which came back UNDETECTABLE.
So, my testing has been run after 35 days from the exposure.
1) Regarding my exposure (saliva with no blood in contact with a almost healed herpes lesion): do you consider it as a risk at all?
2) What are my chances of being indeed HIV negative after these testings at 35 days after exposure?
3) Do I need any further testing?
4) In your opinion, is saliva with no blood in contact with lesions like the one I have described above a risk at all?
Thank you in advance.
All the best!
I am a gay man who has been very careful over the years regarding sex.
Last year I had an exposure (condom breakage) which was solved out by proper testings besides your kindest help.
On September 24th 2010 I had sex with a man and here what happened: he performed oral sex on me (not so much) BUT I had a "small almost healed Herpes Simplex 2 lesion" on my penis shaft. By the time he did the blow job I tried to avoid him get in contact with the lesion by putting my hand over the lesion. I did not perform oral sex on him at all. After that I penetrated him and I properly used a condom. There was no condom breakage.
On October 28th 2010 this guy called me to inform me he had just found out he was HIV positive.
Yesterday (Oct 29th 2010) I got a DUO HIV1/2 test (4th generation) which came back NEGATIVE and I also decided to get an ULTRASENSITIVE HIV RNA PCR (the one that detects as low as 20 copies/ml - AmpliPrep / COBAS TaqMan, Roche Diagnostics, v2) which came back UNDETECTABLE.
So, my testing has been run after 35 days from the exposure.
1) Regarding my exposure (saliva with no blood in contact with a almost healed herpes lesion): do you consider it as a risk at all?
2) What are my chances of being indeed HIV negative after these testings at 35 days after exposure?
3) Do I need any further testing?
4) In your opinion, is saliva with no blood in contact with lesions like the one I have described above a risk at all?
Thank you in advance.
All the best!
MEDICAL PROFESSIONAL
Hello,
Thank you very much for your post.
Let me answer your questions here below:
1) Regarding my exposure (saliva with no blood in contact with a almost healed herpes lesion): do you consider it as a risk at all?
NO HIV INFECTION RISK AT ALL FOR YOU AS YOU WERE JUST RECEIVING ORAL SEX. THERE WOULD BE A RISK FOR THE OTHER PERSON OF CONTRACTING HERPES THOUGH.
2) What are my chances of being indeed HIV negative after these testings at 35 days after exposure?
YOU ARE DEFINITELY HIV NEGATIVE. ALL THOSE TESTS ARE CONCLUSIVE.
3) Do I need any further testing?
NO, YOU DON'T
4) In your opinion, is saliva with no blood in contact with lesions like the one I have described above a risk at all?
NO RISK AT ALL. SALIVA ACTUALLY NEUTRALISES THE VIRUS.
Best wisehs,
Dr José
Thank you very much for your post.
Let me answer your questions here below:
1) Regarding my exposure (saliva with no blood in contact with a almost healed herpes lesion): do you consider it as a risk at all?
NO HIV INFECTION RISK AT ALL FOR YOU AS YOU WERE JUST RECEIVING ORAL SEX. THERE WOULD BE A RISK FOR THE OTHER PERSON OF CONTRACTING HERPES THOUGH.
2) What are my chances of being indeed HIV negative after these testings at 35 days after exposure?
YOU ARE DEFINITELY HIV NEGATIVE. ALL THOSE TESTS ARE CONCLUSIVE.
3) Do I need any further testing?
NO, YOU DON'T
4) In your opinion, is saliva with no blood in contact with lesions like the one I have described above a risk at all?
NO RISK AT ALL. SALIVA ACTUALLY NEUTRALISES THE VIRUS.
Best wisehs,
Dr José
Dr Jose
Thank you so much! I know these postings have to get to an end, so I promise this will be the last one. I just want some information for future sex encounters I might possibly have in my life. If you think it is more appropriate, I can pay another 20 dollars fee. No problem at all, really.
1) Regarding texts about HIV testing from Freedomhealth website, when they say a DUO test is good enough at 28 days after exposure...is that based on personal medical experience or does the UK Guidelines say the same? I have just read an answer of yours in the Freedomhealth Forum called "Low viral load and symptoms" (posted today Nov 2nd 2010) and you said something about "testing being fully conclusive after 8 weeks". So I got some confused about the 28 days (taking DUO test). Could you give me a short explanation on that issue?
2) In my case, despite the obvious low risk, which test I took (DUO and Ultrasensitive PCR) that gave you more clues to say I am negative?
3) By when would an Ultrasensitive RNA PCR HIV Test be detectable (above 20 copies/ml) after an exposure in your experience?
4) At last, if you catch "Pediculosis pubis" from a HIV positive person, would you be at risk for getting HIV? I mean, this type of louse sucks blood from someone, right? If this same louse passes to another person, by sucking this new person's blood...would there be a mixture of blood from both fellows? I know this is crazy and I excuse myself.
Thank you for your patience and kindness.
All the best!
Thank you so much! I know these postings have to get to an end, so I promise this will be the last one. I just want some information for future sex encounters I might possibly have in my life. If you think it is more appropriate, I can pay another 20 dollars fee. No problem at all, really.
1) Regarding texts about HIV testing from Freedomhealth website, when they say a DUO test is good enough at 28 days after exposure...is that based on personal medical experience or does the UK Guidelines say the same? I have just read an answer of yours in the Freedomhealth Forum called "Low viral load and symptoms" (posted today Nov 2nd 2010) and you said something about "testing being fully conclusive after 8 weeks". So I got some confused about the 28 days (taking DUO test). Could you give me a short explanation on that issue?
2) In my case, despite the obvious low risk, which test I took (DUO and Ultrasensitive PCR) that gave you more clues to say I am negative?
3) By when would an Ultrasensitive RNA PCR HIV Test be detectable (above 20 copies/ml) after an exposure in your experience?
4) At last, if you catch "Pediculosis pubis" from a HIV positive person, would you be at risk for getting HIV? I mean, this type of louse sucks blood from someone, right? If this same louse passes to another person, by sucking this new person's blood...would there be a mixture of blood from both fellows? I know this is crazy and I excuse myself.
Thank you for your patience and kindness.
All the best!
You are reading content posted in the HIV - International Forum
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
Can I get HIV from surfaces, like toilet seats?
Can you get HIV from casual contact, like hugging?
Frequency of HIV testing depends on your risk.
Post-exposure prophylaxis (PEP) may help prevent HIV infection.
