HIV Risk?

[Pianoplayer5276]

Hello!

First of all, thank you so much for your time.

I (male) had vaginal sex with a female of unknown HIV status and the condom broke during sex. To be safe I began PEP within 48 hours. On the 10th day of being on PEP the girl I slept with went to get tested using a 4th generation test and it came back negative. She hadn't slept with anyone in the last 2 months (other than myself) so I'm assuming that result is conclusive.

Anyway, after I found out she tested negative, I went to a massage parlor and received a hand job at the end of the massage. I didn't notice any cuts on the masseuses hand but she rubbed the tip of my penis for a long time. That kind of worried me so I just continued to take my PEP medication (Truvada and Tivicay.) 9 days after the massage I came down with a slight fever (100 F), body aches, fatigue, cough, slight congestion and a slight sore throat. These symptoms lasted about 6-7 days.

My question is, is there any chance this could be HIV ARS and I was infected from the massage? Perhaps the masseuse had a cut on her finger and blood entered through my urethra when she was vigorously rubbing it? I just don't know how this would be possible especially considering that the Truvada was acting as PrEP since I had been on it for 10 days when I was originally taking it as PEP (correct?). I'm just very confused here and would like some guidance on next steps. Thank you so much, this forum is phenomenal.

[Jim Allen]

I went to a massage parlor and received a hand job at the end of the massage. I didn't notice any cuts on the masseuses hand but she rubbed the tip of my penis for a long time. Perhaps the masseuse had a cut on her finger and blood entered through my urethra when she was vigorously rubbing it?

The handjob from the sex worker was zero HIV risk to you.

I (male) had vaginal sex with a female of unknown HIV status and the condom broke during sex. To be safe I began PEP within 48 hours. On the 10th day of being on PEP the girl I slept with went to get tested using a 4th generation test and it came back negative. She hadn't slept with anyone in the last 2 months (other than myself) so I'm assuming that result is conclusive.

I presume you don't keep her locked up 24/7? Her results mean nothing.

The condom broke during intercourse and you were the insertive partner. You relatively speaking had a low HIV risk but still a real-world risk and started PEP. PEP is highly effective and I fully expect you will be fine, but test to confirm your HIV status six weeks after finishing PEP with a blood draw (lab) HIV antibody test. A non-reactive result at that time would rarely change, and retesting at three months is generally unnecessary.

Here's what you need to know to reduce your HIV risks:
Use condoms for anal or easier-acquired correctly and consistently, with no exceptions. Consider talking to your healthcare provider about PrEP as an additional layer of protection against HIV and get vaccinated against HPV, Hepatitis A & B.

Keep in mind that some sexual practices described as safe in terms of acquiring HIV still pose a risk for other easier-acquired STIs. So please do get tested at least yearly for STIs, including but not limited to HIV, and more frequently if condomless intercourse occurs.

Also, note that it is possible to have an STI and show no signs or symptoms; testing is the only way to know.

Kind regards

Jim

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[Pianoplayer5276]

Hi Jim,

Thank you so much for your quick reply. Is there any way that I can donate to this forum for your time?

I appreciate the clarification regarding the hand job. I just found it strange that I came down with a slight fever (100 F), body aches, fatigue, cough, slight congestion and a slight sore throat 9 days after the event which I thought was typical of HIV ARS? I just want to be careful and not put any one else at risk if there's even a slight chance I became infected from the hand job.

Thank you again for your time and I hope you have a wonderful Thanksgiving!

[Jim Allen]

I just found it strange

I flushed the toilet this morning and then it started to rain. Therefore, my flushing the toilet must have caused it to rain outside.

You did not have a risk of HIV from the handjob, I read all your "what ifs" and your concern lacks any of the simultaneously needed environmental and biological conditions for HIV transmission, whatever made you unwell has nothing to do with HIV from the handjob as the handjob wasn't an HIV risk and some of it has nothing to do with HIV regardless of your HIV status and the rest isn't HIV-specific.

Now, I get that coincidence is hard to accept sometimes, and when combined with uncertainty or a lack of information, the mind can spark some gloomy thoughts. But that doesn't make it a fact; you must let that go.

As for the broken condom during intercourse incident, that was a risk to you. Go and get yourself tested to confirm your HIV status six weeks after finishing PEP with a blood draw (lab) HIV antibody test. A non-reactive result at that time would rarely change, and retesting at three months is generally unnecessary.

Finally, so you are aware, in brief, your adult HIV risks are:

* Condomless intercourse & a minute (theoretical) HIV risk if you give a blowjob.
* Sharing drugs rigs (Syringes)
* Blood products/ transfusions (Rare nowadays in most nations thanks to screening)

That's it.

Is there any way that I can donate to this forum for your time?

There are good local HIV/AIDS NGOs everywhere that are desperate for support, if you want check them out.