Risk assessement and expert opinion needed.

[francios35]

Hello and thank you in advance for all the work you do here in helping educate the public about HIV infection. I am going to be brief and to the point as I am traveling now. Married 35 white male professional, no high risk behavior.

Encounters:
-July 2013, unprotected vaginal 3 times + Kissing and oral give/take +fingering+kissing with co-worker who is divorced with 2 kids and works at the hospital. All her HIV (ELISA and PCR) and STds negative ( have seen her results) and she is not promiscuous at all,  knew each other for months so according to her it was conclusive as she has not had any sex in a long time. after that no more relationship.
December 5, 2013: Condom protected vaginal 4 times with someone met online, possibly High RISK person i.e drugs, promiscuous (realized that after the fact), fingering, NO oral and some french kissing. Condom had lot of lube, from start to finish, no breakage or slipping.
January 5th 2014: Oraquick home test : negative

I am assuming test covers for July encounter, so in terms of December encounter,
 
1-is testing warranted?

I read that condom protected is 100% safe, but if the person is possibly HIV +ve and there was fingering (not deep), and some kissing, no oral, is that ok? I appreciate the advise.
 2-Is it safe to have unprotected intercourse with wife?
Thanks, Francois

[Jeff G]

There is allot going on in your post but I will address it best I can .

Its sounds like you were going by the July woman's test results instead of your own test, if this is true then you were right to test again in January because the only test that matter is your own . If these two sex partners were your only concern 3 months past your last unprotected anal or vaginal sex then you are conclusively HIV negative .

The risk for sexually transmitting hiv is from unprotected anal and vaginal sex, the oral encounters and fingering are not a risk no matter the HIV status of your partner .

There are no high risk people, there are only high risk sex practices so as long as you are using condoms for anal and vaginal sex it does not matter if your partner is living with HIV or not . As for having sex with your wife ... HIV is ruled out so you need to get checked for all other stds that can be present without symptoms before that question can be answered . 

Here's what you need to know in order to avoid hiv infection:

You need to be using condoms for anal or vaginal intercourse, every time, no exceptions until such time as you are in a securely monogamous relationship where you have both tested for ALL sexually transmitted infections together.

To agree to have unprotected intercourse is to consent to the possibility of being infected with an STI. Sex without a condom lasts only a matter of minutes, but hiv is forever.

Have a look through the condom and lube links in my signature line so you can use condoms with confidence.

Although you did not have a risk and do not need to test for this specific incident , anyone who is sexually active should be having a full sexual health care check-up, including but not limited to hiv testing, at least once a year and more often if unprotected intercourse occurs.

If you aren't already having regular, routine check-ups, now is the time to start. As long as you make sure condoms are being used for intercourse, you can fully expect your routine hiv tests to return with negative results.

Don't forget to always get checked for all the other sexually transmitted infections as well, because they are MUCH easier to transmit than hiv. Some of the other STIs can be present with no obvious symptoms, so the only way to know for sure is to test.

Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid hiv infection. It really is that simple!
 

[francios35]

Thanks a lot for your expert advise. I really appreciate it. Yes the first encounter was unprotected in July 13 and got tested oraquick in January 14, and was negative. The second encounter was December (1 month before Oraquick), and I meant to say that I found out the person has high risk behavior (drugs, promiscuous, etc..).

However the encounter  in December (4 weeks before -ve Oraquick) was 100% protected vaginal, NO oral, there was fingering and kissing. Also made sure after fingering hands were washed very well with soap before touching and applying condom. So shall I rest assured HIV is -ve at this point? You said to check for other Stds, is that because of the July encounter?

[Jeff G]

We recommend that all sexually active people to have regular sexual health care checkups  because some of the other STIs can be present with no obvious symptoms, so the only way to know for sure is to test.

Your HIV test is conclusive, you do not have HIV .