Whats my risk

[jimmyc462]

I was in pattaya thialand on July 18th she was a vietnameese csw . and I had vaginal intercourse with her three times the first time was on the 18th of July I used a condom  the penetration lasted less than 5minutes no ejaqulation and when I pulled out the condom was on and I was protected  The second time was a few days later I used a condom and she got on top of me and thrusted down three or four times and then she got off of me and told me to take the condom off I did and I can remember looking at my penus and it was clean and the condom was on good and tight I removed the condom inthe morning I noticed blood on the outside of the condom so I asked her and she told me she did not realize she was on her period. But I am sure I was protected and the blood did not get on my penus head. She did preforme unprotected oral on me before the sex for a few minutes. The next and last time we tried vaginal intercourse was around the 11th of august 2013 I entered her from behind and the sex lasted maybe 6or7thrusts by a total of about five minutes but when I pulled out the condom was not on me I ran to the bathroom and washed and urinated she told me the condom stayed in her. I don't think I was in thier unprotected but I could have been briefly she told me the condom stayed in her that was the last vaginal attempt. She did unprotected oral and finished with her Hand till I left on sept 2 Anyway I took a hiv1/2 ab eia screen as well as a herpes select test ghonoree and clamidia syphillys and all the hep a b c thru qwest labs. They were neg except for hsv1 whats your take on my risk factors and time frames for neg tests I took these tests around the 27th of september I keep looking at my penus  with a magnifying glass thinking herpes will crop up and I did get sick like the flew after being with her for one week it later 4days and I had a sore througtht and cough till I left.

[H. Hunter Handsfield, M.D.]

Welcome to the forum.

HIV test results overrule every other consideration, such as exposure history and symptoms.  You had a negative HIV antibody test about 6 weeks after the last exposure.  That's the only part of your question that matters.  All the rest -- the details of sexual gymnastics, your symptoms, everything -- is irrelevant.  Anyway, the exposures probably were zero risk, since they were condom-protected. (Withdrawal leaving the condom behind is still full protection.)  And your symptoms don't sound like those of a new HIV infection.

But even if the exposures were high risk or your symptoms typical, it wouldn't matter.  The test result rules!  By 6 weeks, the modern HIV antibody tests are virtually 100% sensitive -- at least 99%. Despite official advice that final testing should be done at 3 months or more after the last exposure, it really isn't necessary to wait that long.  However, given the official advice and your continuing anxieties, I recommend you have another test at this time.  It will be negative.

If and when you have another HIV test, feel free to return to let me know the result.  Since it's pointless to speculate when a definitive answer is so easily available, I won't have any other comments until then.  But stay relaxed in the meantime.  You can count on a negative test result.

Regards--  HHH, MD

[jimmyc462]

You are absolutely right and Ii am moving on and I am taking your advice I am just feeling guilty for my stupidity. Thank you sir your comments make me feel very good . I should have not made any further comments to you . I am sorry and I am moving on .

[H. Hunter Handsfield, M.D.]

These comments do not change my opinion or advice.  Re-read my comments above, and if you remain concerned, feel free to visit a doctor or clinic for personal evaluation and testing for HIV and other STD.

It's time to move on.  I won't have any further advice.

[jimmyc462]

Hi sir hope you are well I am sorry to bother you agian but I just wanted to ask you I have read some of doctor hooks posts and he said the antibody test like the one I took are only 95 precent accurate at 8 weeks .You stated to me that the HIV 1/2 ab eia screen with reflexes done by qwest labs was100 to 99 precent accurate by 6 weeks. So i am a little confused can you clear that up for me. And on the oral sex that I recieved from the csw she would only do a few minutes of oral on me on and off till I left she did not have sores on her mouth and no blood or anything like that and i had no sores on my penus. The doctor I saw who ordered these tests kept telling me I was at high risk because when I put my penus in her mouth my penus has microscopic cuts on it and under my pubic hair and if she just brushed her teeth or flossed she would have blood in her saliva and that by putting my penus unproteced in her mouth I was having sex with everybody she has ever had sex with and he was ready to send me to a HIV specialist. And a lot of the HIV helplines told me I was at high risk for unprotected oral I recieved. This doctor told me I could be incubating now from this oral exposer. Also I have not seen any herpes lesions on my penus I took the select test for herpes was neg for 2 pos for1 he said this could have been an older exposer or new . I want to so badly put this behind me but I don't want to do anymore tests. What scares me is I let her preform oral on me many times while she lived with me in se Asia for short times no ejaculation she always finished with her hand and I always washed up. Please sir can you clear up these concerns thank you sir

[jimmyc462]

Thank you sir I am moving on no more testing this incident in my life has really made me thankful to god for all my blessing and I love my wife and I will never transgress agian I'm taking your advice and moving on I'm from Israel originally so excuse my English.

[H. Hunter Handsfield, M.D.]

Kissing, oral sex, and hand-genital contact are zero risk for HIV, for all practical purposes.  There is no need for further testing except possibly for reassurance:  if you will more easily accept that you don't have HIV by having another test, feel free.  But if I were in your circumstance, I wouldn't do it and I would be continuing unprotected sex with my wife without fear of transmitting HIV.

[jimmyc462]

I just wanted to make sure you understood sir that the csw stayed with me from August 11th till I left on the 2nd of September but she only did a few minutes of unprotected oral on me and then finished with mastrabation on me I did kiss her sometimes and I did use my hand to stimulate her vagina. So I take it that you are ruling these activities out and if you rule these out then the negative HIV 1/2 eia ab screen with reflexes test woul be a negative at a little over 6 weeks past that last vaginal exposure I had on the 11th of August . So the oral was no risk as stated above. I am so glad I contacted you sir I feel better and  contact you agian as you wanted me to on our last thread thank you sir and god bless you.