POZ Community Forums
HIV Prevention and Testing => Do I Have HIV? => Topic started by: wqgates on September 24, 2012, 01:09:41 pm
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so, i took a higher end CSW to an adult book store, she charges 300 per hour. we went into booths next to each other. she gave me unprotected oral through the hole in the wall, then i asked her for a condom. i put it on, we had some protected vaginal sex through the hole, then she took it off and completed my with oral. i have no reason not to trust her, she says she took it off and that we did not have ANY uprotected vaginal sex. i have seen her before, have no reason to think she would lie.
is this a scenario where testing would be required?
thanks to all
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wq,
The condom was on YOUR penis, surely you'd know if it had been taken off or not.
Getting a blowjob is NOT a risk for hiv infection.
Protected intercourse is NOT a risk for hiv infection.
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 DO NOT NEED TO TEST SPECIFICALLY OVER BLOWJOBS OR PROTECTED INTERCOURSE, 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!
And hon, "higher end" sex workers don't do business in bookstores. Just sayin.
Ann
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about 1 year to 3 years ago, i had multiple (10+?) episodes of unprotected insertive oral sex with CSWs in the USA. each encounter was limited to me being the insertive partner, each episode was unprotected, never had vaginal or anal sex of any kind.
i have never had any symptoms of ghonnorea or syphilis. none at all. no sores, pus, burning, etc.
at this point, need i be tested for those STDs? or does the absence of any symptoms negate any medical need for testing?
thank you
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Hi, You had no risk of HIV from getting a blow job, however other STIs are much easier to transmit and sometimes show no symptoms. Everyone who is sexually active should test routinely and always after unprotected anal or vaginal intercourse.
To avoid infection,
You need to be using condoms for all anal and vaginal intercourse until you are in a trusting monogamous relationship and both have been tested for all STIs and HIV.
Everyone who is sexually active should have an annual exam and test for all STIs and HIV ,and always after unprotected intercourse. Always using condoms will give you peace of mind your tests will return with a negative result.
Best, Wade
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hello there:
if possible exposures are 7 months ago, or more than 2-3 years ago, would 3 negative oraquick results at this time be considered conclusive and no need to do any other testing? if the tests were done to the letter of the instructions without fail?
are the oraquick tests considered as accurate as in lab testing at this point?
thank you
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Hi
Any approved antibodies test for HIV is considered conclusive at anytime 3 months post exposure.
I don't know what you think your exposure was but you simply don't have HIV.
Remember to use condoms for any intercourse no exceptions and test out of standard routine at least yearly for easier to transmit STIs & HIV
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thank you Jim.
one reads that the Oraquick might not be as accurate as in lab blood tests so just want to make sure the 3 i took are conclusive since long past the 3 month window.
so finally, it is the position of you and POZ that the Oraquick is accurate and conclusive if done past the 3 month window period and there is no need for additional testing via blood test etc?
thank you
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A negative result is accurate post the 3 month window period and I think I've been very clear on that, further testing is not warranted.
I'm not sure why your testing, but my advice is to move on with your life and test like every sexually active adult should out of standard routine at least yearly for easier to transmit STIs & HIV
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thank you.
i have read that there are 7% or 8% false negatives with oraquick, hence my questions.
regardless of exposures, if you wait at least 3 months from possible exposure, and you administer the oraquick test properly, the results are totally conclusive?
thank you, you are the experts, that is why i am asking.
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would blood lab based tests be more accurate or conclusive?
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No, and even on older rapid tests the first- through third-generation test all scored perfectly at correctly identifying HIV-negative cases, except for the OraQuick Advance rapid saliva test, which was 99.9 percent accurate in one study. So overall they are rated at 99.8/9 %
In short as long as you have no underling medical reason for a severally suppressed immune system like being treated for chemo or test before the window period of 3 months the results are conclusive, not a false negative and you need to move on with your life.
Look I am simply not going to go merry go round with you on this, I don't know what you think your exposure was but you have tested 3 times and you simply don't have HIV at the moment. By all means if you had a more recent exposure or can't accept this go test again if that helps you move on or speak to a therapist if that does not help you move on
There is not much more I can do for you other that to say remember to use condoms for any intercourse no exceptions and start testing like every sexually active adult should out of standard routine at least yearly for easier to transmit STIs & HIV
Jim
(Generation 1/2/3)
Pilcher CD et al. Performance of Rapid Point-of-Care and Laboratory Tests for Acute and Established HIV Infection in San Francisco. PLOS ONE, 2013.
Branson BM State of the art for diagnosis of HIV infection. Clin Infect Dis 45:S221-225, 2007
Coombs RW Clinical laboratory diagnosis of HIV-1 and use of viral RNA to monitor infection. In Holmes KK (editor), Sexually Transmitted Diseases. New York: McGraw-Hill, 2008
Maldarelli F Diagnosis of Human Immunodeficiency Virus infection. In Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases (sixth edition). Philadelphia: Elsevier Churchill Livingstone, 2004
Parry JV et al. Towards error-free HIV diagnosis: guidelines on laboratory practice. Comm Dis Pub Health 6:334-350, 2003
Jim comment- This is on 3rd gen testing accuracy Perry KR et al. Improvement in the performance of HIV screening kits. Transfus Med 18:228-240, 2008
(Gen 4)
Bentsen C Performance evaluation of the Bio-Rad Laboratories GS HIV Combo Ag/Ab EIA, a 4th generation HIV assay for the simultaneous detection of HIV p24 antigen and antibodies to HIV-1 (groups M and O) and HIV-2 in human serum or plasma. Journal of Clinical Virology, S57-S61, 2011
Nick S Sensitivities of CE-Marked HIV, HCV, and HBsAg Assays. Journal of Medical Virology, S59-S64, 2007
Eshelman S Detection of Individuals With Acute HIV-1 Infection Using the ARCHITECT HIV Ag/Ab Combo Assay. Journal of Acquired Immune Deficiency Syndromes, 121-4, 2009
Speers D et al. Combination assay detecting both Human Immunodeficiency Virus (HIV) p24 antigen and anti-HIV antibodies opens a second diagnostic window. J Clin Microbiol 43:5397-5399, 2005
Ly TD et al. Evaluation of the sensitivity and specificity of six HIV combined p24 antigen and antibody assays. J Virol Methods 122:185-94, 2004
http://www.bhiva.org/
Testing guidelines bhiva "British HIV association" : Although fourth generation tests shorten the time from exposure to seroconversion a repeat test at three months is still recommended to definitively exclude HIV infection.
https://www.cdc.gov/hiv/testing/clinical/index.html
2018
CDC recently published research findings that estimate the window period for 20 U.S. Food and Drug Administration (FDA)-approved HIV tests. The study showed that laboratory testing using antigen/antibody tests detects HIV infection sooner than other available tests that detect only antibodies. If a person gets a laboratory-based antigen/antibody test on blood plasma less than 45 days after a possible HIV exposure and the result is negative, follow-up testing can begin 45 days after the possible HIV exposure. For all other tests, CDC recommends testing again at least 90 days after exposure to be sure that a negative test result is accurate.
2015 WHO http://apps.who.int/iris/bitstream/handle/10665/179870/9789241508926_eng.pdf;jsessionid=1F192FECF734A0DE7E2520864984AE63?sequence=1
In many settings post-test counselling messages recommend that all people who have a
non-reactive (HIV-negative) test result should return for retesting to rule out acute
infection that is too early for the test to detect – in other words, in the window period.
- (3 months)
However, retesting is needed only for HIV-negative individuals who report recent
or ongoing risk of exposure. For most people who test HIV-negative, additional
retesting to rule out being in the window period is not necessary and may waste
resources.
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Oh stupid me, I must be getting slow.
You have just been Banned!
The penny dropped and I know who you are. You had NO exposure, No risk and do not have HIV! So unless you have been engaging in unprotected intercourse or sharing drug rigs this whole issue so far is all between your ears
You should consider seeing a psychiatrist or therapist to help you confront your irrational fears, and break this irrational thought process. Testing over no-risk is not the answer for you as its the merry-go-round of testing whilst justifying a HIV concern that is simply is not real and does not address the underlying mental aspect that created this irrational fear to start with.
See a therapist face to face if you can't move past this.
I wish you well, but I can't help you with your delusions
Jim