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Author Topic: Please clarify rpossible risk exposures  (Read 17107 times)

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Offline brianyap

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Please clarify rpossible risk exposures
« on: January 25, 2011, 12:12:37 AM »
Hi,
I would like to find out some facts about how risky my encounter was with a male SW. I am on the brink of getting a nervous breakdown and I've been stressing about this for almost two weeks already.

I had unprotected anal sex without any protection with a SW. I was the insertive top. I know this is extremely stupid and extremely risky of me but I was not aware of facts before. Days after the unprotected sex, I pleaded with the SW to get himself tested and yesterday, he turns out to be HIV+. This almost made me insane.

I know this is all my responsibility and I just keep wishing that everything did not happen, but it did.

I had myself tested with ELISA, one week after and it turned out negative. I took another test just yesterday for another ELISA test with P-24 at a different hospital and I'm going to pick up the results later.

I know these tests are not conclusive as I have to wait for at least 3 months to be 100% sure.
My question is, what are the statistics as to my very risky and stupid behavior?
Also, if these tests are not conclusive, at least, how reliable would these early tests be?
Please help.. i am very worried and I'm very scared.
Thanks.
Bryan.


Offline Matty the Damned

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #1 on: January 25, 2011, 12:16:01 AM »
There are no reliable numbers on how likely you are to have been infected. The risk is certainly present and you need to be tested, it's as simple as that.

What might help calm your fevered mind is knowing that a negative top is at less risk from a positive bottom during unprotected anal than the other way around.

If you are going to test positive you will most likely return a positive result 4-6 weeks after the date of the sexual encounter. As you know a negative result will take 3 months to be confirmed.

MtD

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #2 on: January 25, 2011, 12:25:54 AM »
Thank you. It's just really dark times for me now.
I tested and i got negative. How accurate is this?
Also, I read that P-24 usually is able to determine possible infection during the window period?
I forgot to mention that i also have penile psoriasis. Though I'm quite certain I didn't have it at that time...
Thank you for replying.

Offline Matty the Damned

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #3 on: January 25, 2011, 12:27:37 AM »
Thank you. It's just really dark times for me now.
I tested and i got negative. How accurate is this?
Also, I read that P-24 usually is able to determine possible infection during the window period?
I forgot to mention that i also have penile psoriasis. Though I'm quite certain I didn't have it at that time...
Thank you for replying.

Yeah the presence of the p24 antigen would indicate that you are HIV positive. But let's burn that bridge when we jump off it, eh?

Get your test results and let us know how things go.

And in future, when you're fucking another one up the bum use a condom.

MtD

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #4 on: January 25, 2011, 04:52:59 AM »
i got the results! it turned out negative. it's only been 12 days though. the latest test done were the antibody (elisa 2011 version + P24. Both turned negative. I consulted with the doctor and according to him although it's not 100% indicative, it's 99.7% reliable since the current test version they use could more or less capture the presence even at the window  period becquse its highly sensitive.
would aomeone please help me and comment on this?i only did it once w the sex worker though i know it doesnt really mean anything. somehow im still anxious but relieved to a certain degree.
thank you.
bryan

Offline RapidRod

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #5 on: January 25, 2011, 07:18:07 AM »
Your 3 month post exposure test will be conclusive.

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #6 on: January 25, 2011, 07:26:30 AM »
Thank you, RapidRod,
Just a question, at what range of days does the P-24 typically detect it before the antibody test?

Offline Ann

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #7 on: January 25, 2011, 07:32:04 AM »
Brian,

When an hiv antibody test is bundled with the p24 antigen test, it can often catch a very new infection.

The p24 antigen is only present from around a week into infection and it is only present for a week or two. Once antibodies begin to form, the p24 usually disappears.

So what this means is that the p24 may have already disappeared before enough antibodies have been formed in order to trigger a positive antibody result.

However, any negative result is encouraging.

If you test again at six weeks, that would be a better indication of your status. The vast majority of people who have actually been infected will seroconvert and test positive by six weeks, with the average time to seroconversion being only 22 days. A six week negative is highly unlikely to change but must be confirmed at the three month point.

I hope you learn from this experience and wrap it up in future. That's all you need to do to avoid hiv infection - use a condom for anal or vaginal intercourse, every time, NO exceptions.

Good luck.

Ann
Condoms are a girl's best friend

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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #8 on: January 25, 2011, 07:49:45 AM »
Hi Ann,
Just a quick question, I did the Antibody+P-24 test on my 12th day. So, I guess it's pretty okay (though not conclusive) that the P-24 would have detected it if it weren't detected by the Anti-body test?
Also, I'm kind of sick right now with sinusitis. No fever or whatsoever, just a splitting headache and a sore throat that lasted for a day...


Yes, it was a very life changing lesson that I had to learn the hard way. Your words and this forum is very encouraging and it really gave me a lot of information that was very useful to me at times like these.
Thank you very much!

Offline Ann

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #9 on: January 25, 2011, 08:02:04 AM »
Brian,

You're welcome. I hope you have also learned that it's not just sex workers you need to use condoms with. You never know who might have hiv - and as many people never test (especially straight people), many people don't know they're positive.

It's true that if you were infected, the p24 antigen most likely would have still been present at day twelve. It is also true that your result is no where near conclusive. It's totally possible that the p24 had already disappeared, but it's also totally possible that you have not been infected.

The odds of continuing to test negative are very much in your favour as hiv is much more difficult to transmit from the receptive partner to the insertive partner. You're not likely to end up positive over one insertive encounter, but it's not impossible either.

And don't start reading hiv into every little headache or sniffle. Symptoms - or even the LACK of symptoms - will never tell you a single thing about your hiv status, ONLY testing at the appropriate time will.

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #10 on: January 25, 2011, 08:11:52 AM »
Thank you. Symptoms can make people very paranoid. But I will not lose hope and I'll continue to wait and get tested at certain intervals. I will update you again soon. Thank you for the help and encouragement.  :)

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #11 on: January 28, 2011, 05:47:55 AM »
Brian,

You're welcome. I hope you have also learned that it's not just sex workers you need to use condoms with. You never know who might have hiv - and as many people never test (especially straight people), many people don't know they're positive.

It's true that if you were infected, the p24 antigen most likely would have still been present at day twelve. It is also true that your result is no where near conclusive. It's totally possible that the p24 had already disappeared, but it's also totally possible that you have not been infected.

The odds of continuing to test negative are very much in your favour as hiv is much more difficult to transmit from the receptive partner to the insertive partner. You're not likely to end up positive over one insertive encounter, but it's not impossible either.

And don't start reading hiv into every little headache or sniffle. Symptoms - or even the LACK of symptoms - will never tell you a single thing about your hiv status, ONLY testing at the appropriate time will.

Ann


Hi Ann,

I know I shouldn't stress about it but every now and then my nerves are getting a beating waiting for the 6th week to get myself tested again. I know you said the odds are very much in my favor, but can i just ask a few things?

1) What were the odds of my risky activity? I read it's somewhere between 50-60 in 10,000? What does this mean? Also, I read in this site that there are research that says that finding a link between an insertive top being infected is not clearly documented but risks are there hence it is reported? However, I read in some sites that risks are actually greater than the CDC's statistic?

2) Also I forgot to mention that I have psoriasis in general & penile psoriais. However, I haven't had any for more than a year now...psoriasis is not really an open wound... however, does this add to the risk?

3) HIV Antibody+P24 can detect the disease at very early stages as you mentioned.... i tested on the 12th day and it was negative... question is... just how sensitive or accurate is the P-24 test? I consulted with the lab doctor and he said that the current methods they use can actually detect HIV 95% of the time even at window period.... can you please comment on this?

It's my 15 day now and it's pure agony waiting....

I hope to hear from you...
Thank you.

Offline Matty the Damned

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #12 on: January 28, 2011, 05:54:14 AM »

Hi Ann,

I know I shouldn't stress about it but every now and then my nerves are getting a beating waiting for the 6th week to get myself tested again. I know you said the odds are very much in my favor, but can i just ask a few things?

1) What were the odds of my risky activity? I read it's somewhere between 50-60 in 10,000? What does this mean? Also, I read in this site that there are research that says that finding a link between an insertive top being infected is not clearly documented but risks are there hence it is reported? However, I read in some sites that risks are actually greater than the CDC's statistic?

2) Also I forgot to mention that I have psoriasis in general & penile psoriais. However, I haven't had any for more than a year now...psoriasis is not really an open wound... however, does this add to the risk?

3) HIV Antibody+P24 can detect the disease at very early stages as you mentioned.... i tested on the 12th day and it was negative... question is... just how sensitive or accurate is the P-24 test? I consulted with the lab doctor and he said that the current methods they use can actually detect HIV 95% of the time even at window period.... can you please comment on this?

It's my 15 day now and it's pure agony waiting....

I hope to hear from you...
Thank you.

Brian,

There is only one course of action open to you.

Get tested at the appropriate point in time, ie 13 weeks from the date of your sexual encounter. I know you're stressed but you're just gonna have to deal with that.

I think we've explained to you that most people who are going to test positive do so somwhere between 4-6 weeks, so a 6 week test is a good idea. If it's negative then chances are you're going to test negative at 13 weeks.

But it's all a waiting game. You're just going to have to tough it out.

MtD

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #13 on: January 28, 2011, 06:08:55 AM »
Brian,

There is only one course of action open to you.

Get tested at the appropriate point in time, ie 13 weeks from the date of your sexual encounter. I know you're stressed but you're just gonna have to deal with that.

I think we've explained to you that most people who are going to test positive do so somwhere between 4-6 weeks, so a 6 week test is a good idea. If it's negative then chances are you're going to test negative at 13 weeks.

But it's all a waiting game. You're just going to have to tough it out.

MtD

Yes you're right. This is the single, most stressful event of my life. Heart attack might kill me before I get tested. I cant believe I was so stupid. :c

Offline Matty the Damned

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #14 on: January 28, 2011, 06:12:09 AM »
Yes you're right. This is the single, most stressful event of my life. Heart attack might kill me before I get tested. I cant believe I was so stupid. :c

Oh stop being such a fucking pansy.  ::)

You had teh sexor and a rubber broke. Most likely you'll test negative. In the remote event that you test positive, things will be ok.

Believe me. People deal with HIV positive diagnoses all the time. The world keeps turning.

Yeesh!

MtD

Offline Ann

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #15 on: January 28, 2011, 08:05:55 AM »
Brian,

1. The numbers you mention were pulled out of thin air by researchers. Ignore them. As for your risk? How long is a piece of string? Tops get infected all the time, but the risk is lower than a bottom's. If tops weren't getting infected, there would be no straight poz men. Let me tell you, there are plenty of straight poz men. My partner is one. And no, he's never bottomed in his life. He's a bit squeamish where his anus is concerned.

2. You have penile psoriais, but you said it hasn't been active in over a year. This will not increase your risk whatsoever when it is not active. However, should it become active again, you should always use a condom as the psoriasis will leave you open to getting a bacterial infection in the psoriasis site, especially when engaging in anal intercourse. You should always be using condoms anyway when you are not in a securely monogamous relationship where you have both tested negative for all STIs, including hiv.

3. Today's tests are very accurate. However, this does not change the fact that you are just going to have to wait until the appropriate time to test. It's that simple.

I really hope you remember all the stress and anxiety this is putting you through the next time you even fleetingly consider topping or bottoming bareback. It ain't worth it. Sex without a condom lasts only a matter of minutes, but hiv is forever.

All that said, I still expect you to continue to test negative.

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #16 on: January 28, 2011, 10:00:51 PM »
Brian,

1. The numbers you mention were pulled out of thin air by researchers. Ignore them. As for your risk? How long is a piece of string? Tops get infected all the time, but the risk is lower than a bottom's. If tops weren't getting infected, there would be no straight poz men. Let me tell you, there are plenty of straight poz men. My partner is one. And no, he's never bottomed in his life. He's a bit squeamish where his anus is concerned.

2. You have penile psoriais, but you said it hasn't been active in over a year. This will not increase your risk whatsoever when it is not active. However, should it become active again, you should always use a condom as the psoriasis will leave you open to getting a bacterial infection in the psoriasis site, especially when engaging in anal intercourse. You should always be using condoms anyway when you are not in a securely monogamous relationship where you have both tested negative for all STIs, including hiv.

3. Today's tests are very accurate. However, this does not change the fact that you are just going to have to wait until the appropriate time to test. It's that simple.

I really hope you remember all the stress and anxiety this is putting you through the next time you even fleetingly consider topping or bottoming bareback. It ain't worth it. Sex without a condom lasts only a matter of minutes, but hiv is forever.

All that said, I still expect you to continue to test negative.

Ann

Thank you, Ann.
How does penile psoriasis affect the chances? I'm not very sure if I had it at that time but i remember checking and it wasn't there. We used body as lubricant, and sometimes it irritates my penis and shows after a day. Still, I checked and I don't think I had it...


This is really very very stressful for me and yes I've learned my lesson.


Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #17 on: January 29, 2011, 02:41:40 AM »
By the way, just to clarify on the tests that were used... I asked the hospital that did the test on me and they said that they use chemiluminescence? what is this test and how does this differ form the others?

Offline Ann

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #18 on: January 29, 2011, 10:29:38 AM »
Brian,

If you couldn't even tell if it was there or not, stop worrying about it. It would only increase your chance if you had raw, broken skin because of it, which obviously you did not.

It doesn't matter how that test differers, it is an approved, reliable test. I'm not going to get into the chemical nuts and bolts with you.

You need to step away from your computer and get productively busy while you wait for the appropriate time to test. We're not here to hold your hand while you wait.

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline Andy Velez

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #19 on: January 29, 2011, 10:31:51 AM »
It is an approved 4th generation test which yields a reliable result. 4th generation means it is the most up-to-date.

Andy Velez

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #20 on: January 29, 2011, 11:36:56 AM »
Hi Ann and Andy,
I read that here: http://gateway.nlm.nih.gov/MeetingAbstracts/ma?f=102244026.html
Anyways, you're correct. I'm stressing on this way too much. I should be happy that the odds are in my favor to begin with. I should be happy that I got 2 negative test results also. I need to seriously stop obsessing and do something more productive.
Thank you very much for the help.

Offline Andy Velez

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #21 on: January 29, 2011, 12:35:06 PM »
Exactly right. You need to make a real effort to focus on other things in your life. And Bryan, don't bother saying are too upset to do that because I can tell that kind of response is not going to fly here. Just do it.

Lastly, asking someone about their HIV status should not be something that affects your using condoms or not. Even well meaning people often don't know their accurate status. So the smart thing to do is to always, without exception use a condom for anal intercourse. By doing that it doesn't matter if the person is positive because condoms provide very effective protection.

Andy Velez

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #22 on: February 04, 2011, 10:27:12 AM »
hi ann, andy and everyone,
just wanted to update, i went to see an hiv counselor and he was extremely helpful and informative. i also got tested again (care of him) rapid test at 22 days and still negative. so far so good and still hope to get tested negative on my 6th week and 3rd month. thanks to everyone for support :-)

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #23 on: February 15, 2011, 09:22:14 AM »
hi everyone!
just thought of making an update on my progress so far. at the fifth week, my hiv duo test came back negative :)

Offline Andy Velez

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #24 on: February 15, 2011, 09:49:02 AM »
That's good. A negative test result at 6 weeks is even more reassuring and means you will most likely continue to test negative at 13 weeks.
Andy Velez

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #25 on: March 14, 2011, 03:12:06 AM »
hi everyone,
just got tested again and it's been 9 weeks already, using a rapid test, and still negative.  :)

Offline Ann

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #26 on: March 14, 2011, 08:09:35 AM »
Brian,

Your result is highly unlikely to change, but must be confirmed at the three month point. Don't test again until the three month point - to do so would be a huge waste of time and resources.

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #27 on: April 10, 2011, 11:25:52 PM »
Hi Ann and Andy,
it's already the 13th week today and I'm a bit anxious to get tested. Anyways, much to my stupidity, I had another encounter on the 12th week with some person. I've read your different posts over and over and over again and I should know the answer to my own questions, but I just really need reassurance now.

Last week, I had sex with some person. He claims to be negative, but again I know I can't trust him. We basically just did frottage. The most that he did was rub his unprotected penis on my anus for about a minute. He tried penetrating me but I didn't let him, and he was unable to. He wanted to fuck me with a condom after, but still that no penetration. There was no blow job, just some smack on the lips. No deep kissing or anything. We ended up with him jerking me off, and he never cummed.  If let's say, I had hemorrhoids at that time, would it be of risk if he had some pre-cum on him and him rubbing his dick on my anus. What if the head of his penis entered me very briefly, though we're both certain it never did.

Reason why I'm getting paranoid and anxious is that two days after that frottage encounter, I had some diarrhea. It eventually went away on it's own after 2 days. Today, about 7 days later, I have post-nasal drip/congestion and my sinus are a bit inflammed. i have a slight fever with 37.5C or about 99.5-100C for about a day.

Question is:
1) This can't be ARS syndrome that is associated with the real risk event that took place 13 weeks ago? or could it?

2) The frottage experience is absolutely no risk? Even if let's say I had hemorrhoids?

3) I had 5 tests in total distributed over the weeks. (duo test at 12th day, rapid test 3rd week, duo test 4th week, rapid test 5th week, and one last rapid test on the 9th week). I mean, i know the cut off is 12 weeks but I'm guessing that the 5 tests would somehow be very good indicators or close to conclusive given that I only had one risky encounter as an insertive top?

4) Based on your vast experiences, how many people tested negative past 6 weeks and tested positive on the 12th/13th?

I'm really worried  :(

Thanks!

Offline Ann

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #28 on: April 11, 2011, 03:48:03 AM »
Brian,

1. NO. It's way too late for ARS in connection with your first incident and your second incident held absolutely NO risk for hiv infection, regardless of whether or not you have hemorrhoids.

2. NO RISK.

3. Your nine week negative is not going to change, regardless of your risk level.

4. None.

You've tested excessively. You never had a huge risk in the first place and your nine week negative, as I already said, is not going to change. Get your three month conclusive result and get on with your life.

Learn from this experience and make sure you put a condom on before you go putting your dick into anyone's anus or vagina. And if you decide to bottom, make sure your top is wearing a condom. Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid hiv infection. IT REALLY IS THAT SIMPLE!!!

Ann
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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #29 on: April 11, 2011, 04:41:26 AM »
Thank you, Ann.
Funny thing about situations like these is that you always tend to feel that you're the most unlucky person in the world, regardless of what research says. Thank you for once again snapping me back to reality. I don't want to go through life thinking that every single sniffle could be the virus showing up months after the supposed risk.
 :)

Offline krizner

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #30 on: April 12, 2011, 05:27:01 PM »
hey, DUO test 28 days onwards post exposure is as reliable as Antibody ELISA at 12/13 week mark.

you can relax :)

Offline Andy Velez

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #31 on: April 12, 2011, 05:47:29 PM »
Krizner, as it says in the Welcome thread which opens this section, only those who are authorized to do so are permitted to respond to members here. You are not so authorized so please don't do it again.

In fact your response is incorrect. There are circumstances in which a DUO at 28 days would not yield a conclusive result.
Andy Velez

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #32 on: April 13, 2011, 12:59:31 AM »
Oh. That's a scary thought. How many instances did the 28-day duo test did not come out as conclusive? Would you say that my 9th week rapid test is more reliable than the 5th week duo?  ???

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #33 on: April 13, 2011, 07:30:10 AM »
and just to clarify once and for all.... is the 6th week++ a better indicator than a 28-day duo? i think i remember reading somewhere that there instances when the 28 day duo gave a positive result when in fact the person was really negative? i mean, in the sense that it may give false positives, as with the rest?

Offline Ann

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #34 on: April 13, 2011, 08:11:52 AM »
Brian,

A duo test simply means it also tests for the p24 antigen. Most tests in use today do this. Duo is just a brand name.

See - this is why we do not allow others to respond in this forum. All it does is create confusion - and piss me off. You really don't want to piss me off. I've got enough to deal with without well-meaning idiots making my work harder.

Brian, we seriously do not expect your test results to change when you test at the three month point. There's nothing more we can tell you.

Ann
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Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #35 on: April 13, 2011, 08:37:12 AM »
oh okay. that's great :) sorry ann, hope you're not that pissed off. what you do write and suggest actually help people like me. it's greatly appreciated. sorry to hear that you've got a lot to deal with. thanks again.

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #36 on: April 13, 2011, 09:10:29 AM »
Brian,

No need for you to apologise. I just get frustrated when people do not read - or just plain ignore - the rules governing this forum and post incorrect information or otherwise post where they're not supposed to. All that does is make our work harder. As for me having a lot to deal with, well, that's just life.

I still seriously fully expect your conclusive result to be negative. And remember, you only need a three month negative where the unprotected intercourse is concerned. Your latest concern was a no risk situation.

Ann
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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #37 on: April 14, 2011, 08:48:47 AM »
thank you, ann. okay. so today, i gathered up all guts and just bit the bullet and took another DUO test to finally close this 3-month window. I get the results tomorrow. I'll update tomorrow as soon as I get the results....

Offline Andy Velez

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #38 on: April 14, 2011, 08:56:23 AM »
Good move on your part and good luck with the result. Like Ann I expect it to be negative.
Andy Velez

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #39 on: April 15, 2011, 04:59:04 AM »
hi ann and andy,
got the result. NEGATIVE for HIV DUO test at 13 weeks. now this, is unquestionably conclusive and requires no further testing, right?
Thank you so much fot everything. :-)

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #40 on: April 15, 2011, 05:53:45 AM »
Brian,

You are conclusively hiv negative. You do not have hiv.

You do not need further testing over this incident. You do not have hiv.

PLEASE learn from this experience and make sure you use condoms for anal or vaginal intercourse, no matter who you are with. Read the condom and lube links in my signature line so you can use them correctly and with confidence. A correctly used condom rarely breaks. Follow this simple rule and you will avoid hiv infection. IT REALLY IS THAT SIMPLE!!!

I'll say it one more time - you do NOT have hiv!

Ann
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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #41 on: May 31, 2011, 09:52:15 PM »
Hi,
So it's been a couple months already since my 3rd month test and my real risk incident. I'm okay and things seem to be going well. It's just that whenever I see or get reminded of hiv, I go back to the frottage incident. It's absolutely no risk, right? Will the risk increase if let's say either of us had an STD but no penetration? Just to clarify, I can get any STD's from frottage, just not HIV, right? I don't think I've contracted any STD's though since I haven't felt anything since the frottage incident. No need for further testing, right?
Sorry just need confirmation just this time.
Thanks!

Offline Andy Velez

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #42 on: May 31, 2011, 09:57:35 PM »
Brian,

You are conclusively hiv negative. You do not have hiv.

You do not need further testing over this incident. You do not have hiv.

PLEASE learn from this experience and make sure you use condoms for anal or vaginal intercourse, no matter who you are with. Read the condom and lube links in my signature line so you can use them correctly and with confidence. A correctly used condom rarely breaks. Follow this simple rule and you will avoid hiv infection. IT REALLY IS THAT SIMPLE!!!

I'll say it one more time - you do NOT have hiv!

Ann

Just because you get nervous doesn't change the facts of the situation. You weren't at risk and HIV is not your problem.

I am now going to warn you that if you return again over more what ifs and non-risk that  you are going to get a 28 day Time Out from the site. HIV IS NOT YOUR PROBLEM. Period. And as long as you use condoms everytime for intercourse you won't have a problem with sexual risk for the virus.
Andy Velez

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Re: Please help- Had unprotected insertive sex with HIV+ SW
« Reply #43 on: May 31, 2011, 10:02:30 PM »
Okay, Andy. Thank you.

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Please clarify rpossible risk exposures
« Reply #44 on: September 05, 2011, 10:27:46 AM »
Hi Ann and Andy,
i just have some things bothering me and I just want to clarify it once and for all. You mentioned that frottage or even fingering as no risks. I've read that precum also contains the virus. I spoke with a HIV counselor some time ago and i just wanted to validate with you.
1. It takes more than a few drops of semen to get one infected. The longer / the more the exposure the higher the risk.
2. Infection takes place inside the body. What do you mean by this? Is there a particular point? Let's say for instance the head of the penis poked in but penis wasn't completely in, does this carry a risk?
3. If it takes place inside the body, then if i had a cut a pimple or hemorrhoids and let's say a penis with precum got in contact with it, does this carry a risk? I read from the forum that it affects specific cells-- im guessing these are found somewhere else? deeper into the body?
4. How does poppers affect risks? Only by making fucking more rough hence, more possibility of damage?

Thank you so much, I hope to get this thing clarified once and for all.

Offline Ann

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Re: Please clarify rpossible risk exposures
« Reply #45 on: September 05, 2011, 10:51:53 AM »
Brian,

I've merged your new thread into your original thread - where you should post all your additional thoughts or questions. It helps us to help you when you keep everything in one thread. It doesn't matter how long it has been since you last posted in your thread or if the subject matter is different.

If you need help finding your thread when you come here, click on the "Show own posts" link under your name in the left-hand column of any forum page.

Please also read through the Welcome Thread so you can familiarize yourself with our Forum Posting Guidelines. Thank you for your cooperation.






1. True. It's just common sense.

2. What you're talking about is commonly called "dipping" and yes, dipping does pose a risk if there is cum or precum present. Of course the level of risk relates to your first question. The level of seminal viral load weighs in here too - dipping with someone with an undetectable VL is far less risky than dipping with a person who has a very high seminal viral load. As most people have no idea what their seminal VL may be, it's best to avoid dipping.

3. Pimples are outside the body and so are external hemmorhoids and you're not going to be infected that way. The cells that hiv can infect are found in the lining of the anus and vagina, the lining of the urethra, and on the inner surface of the foreskin (the part that is hidden when the foreskin is over the head of the penis) in uncircumcised men.

4. Poppers do not affect your risk level. As long as you're using condoms for fucking while you're using poppers, you're good to go. Make sure you're using the condoms correctly and using plenty of lube. You also need to make sure there is no air bubble in the tip of the condom - air bubbles can cause condoms to pop.

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

Ann
Condoms are a girl's best friend

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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please clarify rpossible risk exposures
« Reply #46 on: September 05, 2011, 10:59:24 AM »

1. True. It's just common sense.

2. What you're talking about is commonly called "dipping" and yes, dipping does pose a risk if there is cum or precum present. Of course the level of risk relates to your first question. The level of seminal viral load weighs in here too - dipping with someone with an undetectable VL is far less risky than dipping with a person who has a very high seminal viral load. As most people have no idea what their seminal VL may be, it's best to avoid dipping.

3. Pimples are outside the body and so are external hemmorhoids and you're not going to be infected that way. The cells that hiv can infect are found in the lining of the anus and vagina, the lining of the urethra, and on the inner surface of the foreskin (the part that is hidden when the foreskin is over the head of the penis) in uncircumcised men.

4. Poppers do not affect your risk level. As long as you're using condoms for fucking while you're using poppers, you're good to go. Make sure you're using the condoms correctly and using plenty of lube. You also need to make sure there is no air bubble in the tip of the condom - air bubbles can cause condoms to pop.

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

Ann

Thank you, Ann. That certainly clarified a lot. When it comes to dipping, the head needs to be in, right? I'm assuming dipping is less risky as compared to actually fucking? Are there instances when people became positive over dipping?

Offline Ann

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Re: Please clarify rpossible risk exposures
« Reply #47 on: September 05, 2011, 11:10:15 AM »
Brian,

Yes, the head needs to be in to qualify as dipping, otherwise it's just frottage. I'm sure there have been people unlucky enough to become infected through dipping. If I recall correctly, we had someone ages ago who ended up posting in the Just Tested Poz forum after dipping (or more correctly, after having been dipped - he was the receptive partner).

You'd be wise to not engage in dipping. It's just asking for trouble. Frottage is ok, but no unprotected dipping, got it? Don't make me come over there and spank you!

Ann
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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please clarify rpossible risk exposures
« Reply #48 on: September 05, 2011, 11:17:49 AM »
oh believe me, ann.. i'd be the last person who is going to engage in any more risky acts.
reason why im asking is i keep repeating that frottage incident i told you about in my head. im not sure if he "dipped" into me but im guessing i would definitely feel it, right?
arrrgggh

Offline Ann

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Re: Please clarify rpossible risk exposures
« Reply #49 on: September 05, 2011, 11:26:20 AM »
Brian,

Unless he has an unusually small penis (smaller than a finger), you'd feel it.

Are you still fretting about that incident from last April? If you cannot put that no risk situation behind you, then why don't you just go test, collect your negative result and get on with your life? It's a no-brainer. Seriously.

Ann
Condoms are a girl's best friend

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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please clarify rpossible risk exposures
« Reply #50 on: September 05, 2011, 12:13:19 PM »
yes i am still fretting over that. crazy, i know.
well, i did get a test about 10 days after that frottage incident (DUO) and it returned negative. I know it's not conclusive at all but i guess since the "incident" was no risk, then i can just let that crazy event die already.
I just have been extremely paranoid ever since that real incident back in Feb. I have you, andy and this forum to greatly thank.  :)

Offline Andy Velez

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Re: Please clarify rpossible risk exposures
« Reply #51 on: September 05, 2011, 02:52:27 PM »
Brian,

Unless he has an unusually small penis (smaller than a finger), you'd feel it.

Are you still fretting about that incident from last April? If you cannot put that no risk situation behind you, then why don't you just go test, collect your negative result and get on with your life? It's a no-brainer. Seriously.

Ann

There's really nothing more to say or add to what you have already been told. Get on with your life. Really.
Andy Velez

Offline brianyap

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Re: Please clarify rpossible risk exposures / New risk or No risk?
« Reply #52 on: June 15, 2012, 02:28:41 AM »
Hi Ann and Andy,
Been quite some time since i last posted here. Anyways, i'm just getting a bit paranoid, hoping you could clarify.
I had sex in Barcelona last March 30. The gave the guy unprotected oral sex. He tried penetrating me with a condom but it was too painful so we stopped after less than 1 min of trying. He was never able to penetrate me even with the condom. He just rimmed me for a few minutes and mutual masturbation after. However, when I was cleaning myself, I noticed that my anus was bleeding (probably from trying to penetrate me). I developed tonsillopharyngitis and needed an emergency operation a week later.
Just to clarify, I was absolutely at no risk from this, right? I mean, I'm just paranoid about him rimming me while I was bleeding.... saliva is not infectious and HIV is not contagious via rimming or oral sex, right? No need to test? I've never had anal sex since my last real risk more than a year ago...
Thank you!

Offline RapidRod

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Re: Please clarify rpossible risk exposures
« Reply #53 on: June 15, 2012, 06:53:33 AM »
You never had an HIV exposure.

Offline Andy Velez

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Re: Please clarify rpossible risk exposures
« Reply #54 on: June 15, 2012, 08:26:10 AM »
Nothing you are reporting from your latest incident would have put you at risk for HIV.

The matter of tonsillopharyngitis was totally coincidental. There's no cause for further concern nor any need for HIV testing.

Get on with your life.
Andy Velez

Offline brianyap

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Re: Please clarify rpossible risk exposures
« Reply #55 on: June 15, 2012, 12:52:16 PM »
Thank you Rod and Andy.
Question- even if someone ejaculates and then some gets into your mouth isn't considered a real HIV risk, right?
Sorry, I was just a bit worried about the bleeding because I didn't know that I was.
Also about Tonsillopharyngitis, is this a symptom of HIV or does it usually manifest during ARS or when HIV is already getting bad?


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Re: Please clarify rpossible risk exposures
« Reply #56 on: June 15, 2012, 05:33:20 PM »
Thank you Rod and Andy.
Question- even if someone ejaculates and then some gets into your mouth isn't considered a real HIV risk, right?
Sorry, I was just a bit worried about the bleeding because I didn't know that I was.
Also about Tonsillopharyngitis, is this a symptom of HIV or does it usually manifest during ARS or when HIV is already getting bad?



The sexual risks for HIV infection are:

Unprotected vaginal and anal sex.

"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

Welcome Thread

Offline brianyap

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Re: Please clarify rpossible risk exposures
« Reply #57 on: June 18, 2012, 12:27:04 AM »
Okay I know that I shouldn't post repeatedly about something but could people please clarify?
This forum has always said that oral sex carries a risk but not a risk for HIV. I've been doing a little research and some websites from supposed HIV experts claim that there is still a risk and there are confirmed cases of getting HIV from oral sex. How valid is this? They say that it has something to do with HIV virus being absorbed by tonsils? Sorry, I'm very paranoid about my recent tonsillopharyngitis episode after giving someone oral sex and receiving anal rimming from him....
1) Based on your extensive experience, do you know of anyone getting infected from oral sex? with or without ejaculation?
2) how valid are these links: http://hivinsite.ucsf.edu/insite?page=pr-rr-05 and http://aids.about.com/cs/safesex/a/oralsex.htm ?
3) So oral sex is 100% risk free in terms of HIV infection (but rsiky for other stds?) What if a positive person that has gonorrhea receives oral sex from someone and he ejaculates inside the person's mouth? No hiv risk?
Please, i just need to clarify these things.
Thank you!

Offline RapidRod

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Re: Please clarify rpossible risk exposures
« Reply #58 on: June 18, 2012, 06:20:47 AM »
No incident HIV infections among MSM who practice exclusively oral sex.
Int Conf AIDS 2004 Jul 11-16; 15:(abstract no. WePpC2072)??Balls JE, Evans JL, Dilley J, Osmond D, Shiboski S, Shiboski C, Klausner J, McFarland W, Greenspan D, Page-Shafer K?University of California, San Francisco, San Francisco, United States

Oral transmission of HIV, reality or fiction? An update
J Campo1, MA Perea1, J del Romero2, J Cano1, V Hernando2, A Bascones1
Oral Diseases (2006) 12, 219–228

AIDS: Volume 16(17) 22 November 2002 pp 2350-2352
Risk of HIV infection attributable to oral sex among men who have sex with men and in the population of men who have sex with men

Page-Shafer, Kimberlya,b; Shiboski, Caroline Hb; Osmond, Dennis Hc; Dilley, Jamesd; McFarland, Willie; Shiboski, Steve Cc; Klausner, Jeffrey De; Balls, Joycea; Greenspan, Deborahb; Greenspan
Page-Shafer K, Veugelers PJ, Moss AR, Strathdee S, Kaldor JM, van Griensven GJ. Sexual risk behavior and risk factors for HIV-1 seroconversion in homosexual men participating in the Tricontinental Seroconverter Study, 1982-1994 [published erratum appears in Am J Epidemiol 1997 15 Dec; 146(12):1076]. Am J Epidemiol 1997, 146:531-542.

Studies which show the fallacy of relying on anecdotal evidence as opposed to carefully controlled study insofar as HIV transmission risk is concerned:

Jenicek M. "Clinical Case Reporting" in Evidence-Based Medicine. Oxford: Butterworth–Heinemann; 1999:117
Saltzman SP, Stoddard AM, McCusker J, Moon MW, Mayer KH. Reliability of self-reported sexual behavior risk factors for HIV infection in homosexual men. Public Health Rep. 1987 102(6):692–697.Nov–Dec;

Catania JA, Gibson DR, Chitwood DD, Coates TJ. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior. Psychol Bull. 1990 Nov;108(3):339–362.

Offline brianyap

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Re: Please clarify rpossible risk exposures
« Reply #59 on: June 18, 2012, 07:17:31 AM »
Hi Rod,
Thanks. i've actually read that post before. I'm just a bit worried but less now. The reason why is because I gave someone of unknown status a blowjob and he ejaculated in my mouth (unintentionally) and i immediately spat it out. Im just worried because a week later, I developed severe tonsilitis which ended up with me getting an operation. (Weather was really cold and I had sinusitis)
I just want to get one thing straight, I don't want to get tested, and I really don't need to, given this blowjob incident?
I haven't done anyl anal intercourse ever since that real risk which I tested conclusively negative for.

Offline Ann

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Re: Please clarify rpossible risk exposures
« Reply #60 on: June 18, 2012, 07:20:34 AM »
Bryan,

1. I've known people who claimed infection this way, but I've yet to really believe them. Here in this section of the forums, I've yet to see someone come in all freaked out about giving blowjobs end up testing positive. In fact, the only men I've seen end up positive in this forum had unprotected receptive (bottom) anal intercourse.

I've never seen a woman claim to have been infected through giving blowjobs. Never. It's only men who indulge in this claim - probably because they can't bring themselves to admit to unprotected receptive anal intercourse - or anal intercourse period.

2. I've read that interview before and guess what - it heavily leans to receptive blowjobs (giving blowjobs) not being a risk. One of the interviewees said,

"I've been following cohorts for 20 years and I still have yet to see what I think is really a documented case.*

The San Francisco Men's Health Study cohort had 46 seroconverters; and the San Francisco Young Men's Health Study cohort had 38, and there was one case of an individual who reports no risks at all. He seroconverted--so I was never able to get what I thought was a plausible story out of him.

So I find it very hard to say that 10-15% of new infections are due to oral sex--I just don't see the evidence for it.

I think the best evidence comes from the cohort studies** for the reasons Kim points out. The cases who present to various clinics for various reasons come along with various stories and histories whereas in the cohorts, they are being questioned, prior to their tests, so you at least have that working for you.

But you still have as everybody has mentioned a bias for underreporting risky behaviors, underreported risk."


*A documented case is where the mode of transmission has been proven, without doubt. This usually but not aways includes genotype and possibly phenotype tests to make sure the virus has come from the person it has been said to come from.

**The "cohort studies" he's referring to are the three serodiscordant studies where one partner was poz and one was neg. In the couples who used condoms for anal or vaginal intercourse, but no barrier for oral activities, not one of the negative partners became infected with hiv. Not one. These studies went on for years and involved hundreds of couples and the poz partners had varying viral load levels, from on meds and undetectable to treatment naive with VLs in the tens of thousands.

3. I wouldn't necessarily say oral sex was 100% hiv risk free, but unless you've got terrible oral health and you happen to get a hold of someone who is recently infected with a sky-high viral load (common in the first few weeks to a month or three of infection), then it is extremely unlikely to happen.

Oral gonorrhea is a growing problem, particularly in the SMS demographic. If you like to give blowjobs, you'd be wise to get your throat swabbed for gonorrhea regularly. How often depends on how many blowjobs you're giving to how many men. You can get it done anywhere from once a year to every three months. It all depends on how active you are.

You know, if you're going to freak out each and every time you give someone a blowjob, maybe you should just forgo that as an activity you're willing to participate in. Is five or ten minutes of pleasure worth weeks of worrying afterwards? It's up to you. Either stop worrying and just makes sure you're getting regular COMPLETE sexual health check ups (including oral gonorrhea swabs) or stop having these encounters. The ball is (or balls are) in your court mister.

I think we've told you everything we can regarding how to keep yourself hiv negative. It's up to you what you do with this information but remember, we're NOT here to hold your hand each and every time you have a new encounter. Got it? Good!

OK, you posted while I was writing. Has it occurred to you that maybe your tonsil problem was being caused by gonorrhea? That's the more likely explaination. Hiv doesn't manifest in that way, but gono could. And no, you don't need to test specifically for hiv over this blowjob. You only need to test if it's time for your regular routine test that every sexually active adult should have at least once a year.

Ann
« Last Edit: June 18, 2012, 07:22:22 AM by Ann »
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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please clarify rpossible risk exposures
« Reply #61 on: June 18, 2012, 07:26:02 AM »
Thank you for elaborating more.
It's just that based on my research which i mostly base on this forum, I always thought the giving blowjobs was considered not risky.
The doctors took a blood sample from me and I guess i've been cleared of STDs including gonorrhea.
And you're right, having sex isn't turning out to be worth my worries so I'm going to abstain for now until I feel more comfortable with it.
So to sum it up, that incident isnt considered risky and no need to test over this incident?

Offline brianyap

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Re: Please clarify rpossible risk exposures
« Reply #62 on: June 18, 2012, 07:33:46 AM »
I don't plan to get any routine tests because I haven't really engaged in anal sex. The most that happened was this blowjob which you say I can just forget. Given this, perhaps I should get tested when I start becoming more sexually active again...

Offline Ann

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Re: Please clarify rpossible risk exposures
« Reply #63 on: June 18, 2012, 07:35:10 AM »
Brian,

For the last time NO, you do not need to test for hiv specifically over this incident. How many times do you have to be told? I'm starting to feel like you're a brick wall and I'm repeatedly banging my head up against you. Knock it off before my head explodes - or I'll give you a time out.

Please consider yourself warned!!!!

Ann
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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please clarify rpossible risk exposures
« Reply #64 on: June 19, 2012, 12:26:23 PM »
Thank you, Ann. However, ONE last question please... you mentioned that my tonsilitis could have been the result of gonorrhea. I have no way of finding out if I did get oral gonorrhea from the incident since I got a tonsillectomy.

IF ever that was ORAL GONORRHEA, does it in any way increase my risk of getting HIV from the person since he ejaculated inside my mouth (but I spat it out). Still very low risk and no need to test?

Offline brianyap

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Re: Please clarify rpossible risk exposures
« Reply #65 on: June 19, 2012, 04:11:24 PM »
Thank you, Ann. However, ONE last question please... you mentioned that my tonsilitis could have been the result of gonorrhea. I have no way of finding out if I did get oral gonorrhea from the incident since I got a tonsillectomy.

IF ever that was ORAL GONORRHEA, does it in any way increase my risk of getting HIV from the person since he ejaculated inside my mouth (but I spat it out). Still very low risk and no need to test?

Offline RapidRod

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Re: Please clarify rpossible risk exposures
« Reply #66 on: June 19, 2012, 04:17:26 PM »
Don't be duplicating your posts. Ann will answer you when she finds time to do so.

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Re: Please clarify rpossible risk exposures
« Reply #67 on: June 19, 2012, 04:22:22 PM »
sorry rod... for you, do you think aquiring gonorrhea through giving oral sex increased my risk of also getting hiv from the same act? (with ejaculation) or still no?

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Re: Please clarify rpossible risk exposures
« Reply #68 on: June 19, 2012, 04:44:51 PM »
No, oral sex isn't a risk of HIV transmission and the math is 0x1 (gonorrhea) = O. You do not have an HIV concern.

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Re: Please clarify rpossible risk exposures
« Reply #69 on: June 20, 2012, 03:24:39 AM »
Thank you RapidRod,

Anyways, before Ann gets the chance to give me some time off for repeatedly posting, I got the courage to finally just take the test to give myself absolute peace of mind.
I got a rapid test from an HIV counselor today and it's NEGATIVE. This is also the 3rd month since that not-so-risk-free "ORAL" incident with Ejaculation + Anal Rimming. So this is the end of the story.

A BIG THANK YOU to ANN, Rod, Andyand the others for being patient with people like me who can be very obsessive even if it's all theoretical.


Offline brianyap

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Anal Receptive Partner (with bleeding) but 100% condom use-- PEP needed?
« Reply #70 on: October 30, 2013, 04:29:42 AM »
Hello,
Been awhile since I last posted here. Anyways, here's the situation, I was the receptive partner of anal sex but my partner of unknown status used a condom throughout the intercourse. I was the one who put the condom on his penis and we used water soluble lubricant (as advised). I haven't been the receptive partner, so I noticed some bleeding after we had sex but the condom was on all the time and it did not break. I got the condom and ran water in it to check for any breaks or leaks and there was none.

The question is, am I at any risk and do I need PEP? I've been a member and I know that most would say it's no risk but I'm just getting paranoid since I bled a little and I read that SOMETIMES condoms can be ineffective despite proper use.



Although this was published in 1992-- perhaps this has been corrected and condoms are now better made?

Please help
Thanks

« Last Edit: October 30, 2013, 06:29:13 AM by Ann »

Offline Ann

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Re: Please clarify rpossible risk exposures
« Reply #71 on: October 30, 2013, 06:35:19 AM »
Brian,

Once again, I've merged your new thread into your original thread - where you should post all your additional thoughts or questions. It helps us to help you when you keep everything in one thread. It doesn't matter how long it has been since you last posted in your thread or if the subject matter is different.

If you need help finding your thread when you come here, click on the "Show own posts" link under your name in the left-hand column of any forum page.

Please also read through the Welcome Thread so you can familiarize yourself with our Forum Posting Guidelines. Thank you for your cooperation.




I removed the link to your outdated research paper. The last thing we need is for other worried wells to start freaking out about an "in vitro" (in a lab/test-tube) study that hasn't been borne out by real-life experience.

Condoms have been proven to prevent hiv infection. There have been three long-term studies of couples where one is positive and one is negative. In the couples who used condoms for anal or vaginal intercourse, but no barrier for oral activities, not one of the negative partners became infected with hiv. Not one.

You certainly do NOT need PEP over this NO RISK situation.

You're doing the right thing by using condoms and water-based lube. That's really all you need to do in order to prevent hiv infection.

I hope you've learned through your time here that as a sexually active adult, you should be getting regular, routine complete sexual health check ups, including but NOT limited to hiv testing. Most of the other STIs are MUCH more easily transmitted than hiv - some only require skin-to-skin contact - and many can be present with no obvious symptoms. The ONLY way to know the state of your sexual health is through testing.

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

Ann
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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please clarify rpossible risk exposures
« Reply #72 on: October 30, 2013, 06:43:01 AM »
Thank you, Ann.
To add to that, he didnt really cum inside the condom either, so that makes the risk (but since there is none) even smaller.
It's nice to see you and the rest of the moderators still actively helping people out.

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Re: Please clarify rpossible risk exposures
« Reply #73 on: October 30, 2013, 06:51:16 AM »
Brian,

If you were testing regularly (at least once a year, twice if you're very active with several partners), it would probably go a long way towards reassuring you that you're doing what you need to do to remain hiv negative.

It worked for my hiv negative boyfriend. All we did was use condoms for intercourse and he remained hiv negative, and after a few negative results he really understood (in his heart as well as mind) that we were being safe.

And you're welcome, by the way.

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please clarify rpossible risk exposures
« Reply #74 on: November 03, 2013, 12:26:07 AM »
Thank you, Ann.
Sorry, just to clarify, when u say condoms "slip off" do you mean it gets removed from the penis and is stuck inside your anus? That's the only thing apart from tearing that can become a risk, correct?

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Re: Please clarify rpossible risk exposures
« Reply #75 on: November 03, 2013, 01:30:46 AM »
Thank you, Ann.
Sorry, just to clarify, when u say condoms "slip off" do you mean it gets removed from the penis and is stuck inside your anus? That's the only thing apart from tearing that can become a risk, correct?


Yes, in some cases a condom will completely slip off. Though a low level risk, it is considered a risk nonetheless.

"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

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Offline brianyap

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Re: Please clarify rpossible risk exposures
« Reply #76 on: November 03, 2013, 04:23:19 AM »
Thank you. But just to clarify my risk (if any), the condom he wore did not slip off completely but after penetration it slipped a bit to cover 3/4 of his penis instead of covering it completely. This is no risk, right?

Offline Ann

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Re: Please clarify rpossible risk exposures
« Reply #77 on: November 03, 2013, 07:47:24 AM »
Brian,

No, a partially slipped condom is NOT an hiv risk.

What's important from the insertive person's point of view is that the head is covered.

What's important from the receptive person's point of view is that any cum or pre-cum is contained within the condom.

The only time a slipped condom is an hiv risk is if it slips completely off the penis during intercourse and is pushed up inside the receptive partner. This means the subsequent intercourse, after the slip, is unprotected.

A condom that slips off during withdrawal is not an hiv risk for either person. The insertive partner is supposed to hold on to the base of the condom during withdrawal to prevent this happening.

I'm sure I've said it to you before, but I'll say it again; read through the condom and lube links in my signature line so you can use them correctly and with confidence.

Ann

Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please clarify possible risk exposures - new exposure
« Reply #78 on: March 12, 2014, 11:26:00 PM »
Hi everyone,
I guess i'm back to this and this time i feel more stupid than ever.
Here's the thing, i've had a partner since early february and he swears he's been monogomous with me since feb to now. We've been having sex 2-3 times a week and had only 1 instance of penetration because of drug use. I recently have been diagnosed with gonorrhea and i've been treated for it already by my physician who injected me with antibiotics and 7 days of oral antibiotics.
Here's the timeline:

My partner's last time to have sex with someone else who isnt me was with a positive partner last Dec 7, 2013 but they wore protection.

Met him February 14  and he bought a rapid testing kit and tested himself in front of me and it was negative. How reliable is this? are false negatives common? Im not sure what kind or brand he used but it was a finger prick method that produced just one line at "C".

Had sex couple of times without penetration

February 26, he sat on top of me (i was top) but lasted only less than 10 seconds because i freaked without the condom. temporary lapse of judgement due to drug use.

March 5, had sex again, no penetration but used his cum as lube to jack me off. Is this an hiv risk?

March 11, i had a rapid test myself and it was negative

March 12 - discovered i had gonorrhea and got treatment.

My question is, how risky is my situation and does this warrant a lot of worrying? Another thing is, he just discovered that he has symptoms of gonorrhea now as well. The thing is, I have not had sex with anyone other than him a for the past year. I have never had any std or gonorrhea ever. He insists that his last sex was dec 7 and has been monogomous since then. Is it possible that his gonorrhea was dormant for months until recently? I'm sorry, im just so scared and feel so stupid at the moment.

Offline brianyap

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Re: Please clarify rpossible risk exposures
« Reply #79 on: March 13, 2014, 02:30:58 AM »
just to add, i read that the use of drugs sort of delays or extends the window period... is this accurate or i misunderstood this.
the drugs i used were taken orally, mdma/molly. thank you!
« Last Edit: March 13, 2014, 02:35:49 AM by brianyap »

Offline Ann

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Re: Please clarify rpossible risk exposures
« Reply #80 on: March 13, 2014, 08:24:10 AM »
Brian,

You cannot use the in-home hiv tests to serosort.

The only way you can use hiv tests to serosort is when you have been in a strictly monogamous relationship - where you have absolute trust that your partner truly is being monogamous - for at least three months before you test for hiv and all the other STIs TOGETHER. If you and your partner's hiv and STI panel of tests come back negative, then and only then should you consider not using condoms for anal or vaginal intercourse.

If you've had unprotected anal intercourse with this person, you need to test out to three months past this incident. You've been here long enough to know the drill.

Regarding the gonorrhea infection the two of you have, it's completely possible that one or both of you had an oral gonorrhea infection and didn't realise it. Most people don't have symptoms of oral gonorrhea and often times doctors overlook giving oral swabs for gonorrhea, either because they don't realise how common oral gonorrhea transmission is, or the patient hasn't indicated that they give blowjobs.

Regarding drug use and the hiv testing window period, MDMA isn't going to affect it. The only people who might take slightly longer to seroconvert and test positive are those people who are on chemotherapy for cancer, anti-rejection drugs following organ transplant, and those people who have been injecting street drugs, every single day, for years. Even these people will normally seroconvert and test positive within the three month window period.

You need to wise up and stop having unprotected intercourse and stop trusting what people you've only just met tell you about their testing and/or sexual history. It's almost like you want to be hiv positive.

Ann
Condoms are a girl's best friend

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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline brianyap

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Re: Please clarify rpossible risk exposures
« Reply #81 on: March 13, 2014, 08:48:42 AM »
Thank you, Ann.

In this case then, my only risk factor was as an insertive top, assuming that he is positive, right? And if he were, what would be my risk factor given that he was able to give me gonorrhea? Please help me understand, do STDs increase your risk if you had them and had sex with a positive partner or the other way around? And from what I recall you told me that HIV is harder to transmit from receptive to insertive, right? Also, given the circumstances that it was a very brief exposure, somehow at least makes it less? I will get that test on my 3rd month.

The ejaculation using his cum is not a risk factor, correct? How long can one person have oral gonorrhea and not know about it?

Again, I know I made another bad move and it is continuous learning curve for me. This is something different but nevertheless a risk.

Thanks, Ann for all your help and advice.

 


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