Oral with HIV girlfriend

[Jim Allen]

1 & 2 - No

[Jim Allen]

BTW Why was someone sticking a needle in you hair?

[cjdog100]

Been years since I last been in this page. I had sexual intercourse with my friend we have past history ( post from 2019). I had insertive vaginal sex without a condom in the heat of the moment.  She shown me her tested results which she was undetectable in April at the time. Fast forward I’ve been having a burning sensation on my arm, legs, and etc. Plus a rash only on the inside of my elbow ( both). She told me it must be from working out in 100 degrees weather and I been dehydrated badly. Im taking full panel test today which would be 28 days from last sexual encounter. My two questions would be would my test be a decent indicator or am I testing to soon? Is it possible for her to have a blip ( she had a virus around the time) that could’ve make her transmissible during our encounter. Encounter was June 21st

[Jim Allen]

Hiya,

If they have had a suppressed viral load (below 200 copies) for six+ months, and have continued to take their meds; they can not pass on HIV sexually.  https://forums.poz.com/index.php?topic=71864.0

Is it possible for her to have a blip ( she had a virus around the time) that could’ve make her transmissible during our encounter.

UD doesn't mean zero copies and having a suppressed viral load it isn't a straight line. Intermittent/transient blips happen in bloodwork all the time for PLHIV, including defective HIV copies released from the viral reservoir that you could argue are incorrectly counted; intermittent/transient blips are not an issue and will not result in HIV being passed on sexually.

In short, if they had a suppressed viral load (below 200 copies) for the six+ months required, the realistic issue would be if they stopped taking their meds or are taking them haphazardly.

I had insertive vaginal sex without a condom

To confirm your HIV status, test at six weeks post potential exposure with a blood-draw (lab) HIV antibody test. The result at this time will rarely change, and retesting at three months generally isn't needed.

I’ve been having a burning sensation on my arm, legs, and etc. Plus a rash only on the inside of my elbow ( both).

See your healthcare provider and treat it instead of stressing about it.

[cjdog100]

Ok, thank you for the info. Few more questions so June 21st wasn’t true it was actually June 16th. So I got test on the 18th by the Duo 4th generation( 32 days after exposure)…. Would this be a good indicator for negative results ? Also one of the health people I was talking to had me take the RNA test on the 1st of August to have a confirmed result. The symptoms I experienced wouldn’t relate to HIV ( would you mind explaining)?

[Jim Allen]

The symptoms I experienced wouldn’t relate to HIV ( would you mind explaining)?

?

Not sure what you want me to explain.

The symptoms were not caused by HIV but by something else, and the last time you posted, I, therefore, recommended that you see your healthcare provider and treat it instead of stressing about it.

As for testing, I already answered this in my previous post.

[Jim Allen]

If you don't trust your friend to take their meds and are going to panic and test each time you have sex with them, then maybe it's not a good fit for you. Stop having sex with them and find someone else. 

I hope you are not bothering your friend with your concerns, as that would not be healthy mentally/emotionally for them.

[cjdog100]

I had a talk with her soon as I noticed the rash. We had a sit down talk and came to an understanding

[Jim Allen]

Okay. Well, I hope you can stop stressing.

Best, Jim.

[cjdog100]

Thanks Jim….I think this was be my last question about the RNA test. I was told im out of the window period for it and the result I would get back would be a conclusive result(sensitivity)would that be the case? June16th -Aug1?

[Jim Allen]

You don't need an RNA test, and I am not recommending it for screening post-potential exposure or going to speculate on the results.

As for testing, I already answered this in my previous post.

To confirm your HIV status, test at six weeks post potential exposure with a blood-draw (lab) HIV antibody test. The result at this time will rarely change, and retesting at three months generally isn't needed.

[cjdog100]

I already paid for it….mind telling me why you don’t recommend it for post exposure. Also I have little bumps on both hands and a purplish rash on my hand. Is that not something related to HIV? It happens 2 weeks after my encounter but I also work in the sun all day. I already went to the hospital to get myself looked at and they just told me to get some OTC meds.Because it not rash that’s spreading all over my body. I’m honestly using this form instead of going to her panicking.

[Jim Allen]

Also I have little bumps on both hands and a purplish rash on my hand. Is that not something related to HIV?

See your healthcare provider and treat it. Its nothing to do with your HIV status.

I already went to the hospital to get myself looked at and they just told me to get some OTC meds.Because it not rash that’s spreading all over my body.

If it's not getting better, go back to your healthcare provider.

I’m honestly using this form instead of going to her panicking.

I'm not a therapist, and I presume with "she" you mean the women you had sex with. Well, it's good you are not bothering her with your fears/problems.

You had sex, and if she takes her meds and was UD for 6+ months, it was Zero HIV risk to you.

I already paid for it….mind telling me why you don’t recommend it for post exposure

Mainly because it's a waste of resources and money and they tend to run an HIV1 RNA test (worse would be an HIV DNA test) and miss to test for HIV2, false results etc.

[Jim Allen]

This is what I recommend:

1) Don't sleep with her again! You clearly can't handle being physical with PLHIV, and the stress it causes you and others isn't worth it.

2) Consider talking to a therapist, prehaps that will help you with these fears, and maybe someday you will be more comfortable being physical with someone living with HIV.

3) Control yourself and start using condoms correctly and consistently. Consider PrEP as an additional layer of HIV prevention and for peace of mind.

4) If I believe that the woman is taking her meds and has been UD for 6+ months, there was zero HIV risk to you. However, I can't confirm that, so as it's been more than six weeks since the encounter, get an antibody HIV lab test; it's relatively cheap and easy, and then put this behind you.

Don't post about this again; thank you!