Possible Exposure, HIV Testing Accuracy

[boixngtalk]

I made a very poor choice to see a transexual sex worker in Las Vegas. During the session she was playing with my penis and inserted my penis (halfway) into her anus.

She then thrusted on my penis a few times (for 3-4 seconds) and I quickly panicked and withdrew from her. I warned her NOT to do that again, and of course later on she became very aroused and momentarily inserted the tip of my penis in her anus. This time I withdrew the moment she inserted.

At that point I became so angry by her behavior that I got dressed and left. She claimed she was clean and usually never does that with anyone but she was just trying a few tactics to get me aroused (I was nervous and having issues getting fully hard).

There was no ejaculation. She never entered me. The only lube used was some random KY jelly type of substance which she was using more to get me off with her hand than anything else.

So now I'm so scared that I can barely think straight because of this incident. I spoke to an STD counselor who said this was extremely low risk, especially with no ejaculation and the fact I was the one inserting for a few seconds (as opposed to the other way around), but even despite his assurances of having nothing to worry about, I haven't been able to sleep or eat in two days as this paranoia has taken over my mind.

[Jeff G]

You did have a low risk but must test all the same. I would expect a negative result so just test for peace of mind for your low risk encounter.

You did have a risk for HIV and will need to test, you can do so at 6 weeks past any possible exposure and again at 13 weeks to confirm the results. You can read about testing here...
http://www.aidsmeds.com/articles/HIVtests_5029.shtml
 
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.

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!

Please Note.
As a member of the AM I Infected Forum you are required to only post in this one thread no matter how long between visits or the subject matter. You can find this thread by going to your profile and selecting show own post and it will take you here . It helps us to help you when you keep all your thoughts or questions in one thread and it helps other readers to follow the discussion. Any additional threads will be deleted.

[boixngtalk]

Thanks Jeff. I had asked the counselor about PEP, but he said based on the facts of the matter he wouldn't recommend it in this situation. I feel a bit better and will test in a few weeks just to have a clear head.

[Jeff G]

I agree PEP is not recommended in this case … I think you are going to be OK . Just get tested at the appropriate time .

[boixngtalk]

This is not really an HIV related question, but I'm worried that I might have an STD.

I had sexual intercourse with a girl about 2 weeks back. About two days after we had sex (vaginal protected, oral unprotected) I came down with a real bad cold for several days.

Once the cold started clearing up, I noticed that the opening to tip of my penis was a little red and tender. As the days passed on, it got more tender and it started irritating me when I would pee.

When I spread my pee hole and looked in, I saw what appeared to be a watery pus-like substance.

Once I saw that, I went to urgent care. They ran a test on my urine and told me I tested positive for a urinary tract infection, that it could have happened by not properly washing after sex or the area became dirty from contact with bacteria.

They put me on a strong medication called Cipro. I've taken it twice so far in the last day and I already feel a bit better down there. Peeing is a little easier and the tenderness/pus seems to be going away.

Of course I made the mistake of searching the symptoms online and half the results came up for a UTI and half came up for chlamydia.

The doctor told me "I don't really think it's chlamydia, you seem to have a bad UTI and your Leukocyts are very high, at +6 and if it was a little higher we would have sent you to an emergency room"

Of course I can't get the search engine results out of my head, so I went today to get a chlamydia test. It takes several days to get the results and until that time I'm going a bit crazy.

Any thoughts on how to differentiate a UTI from chlamydia?

[Andy Velez]

Your postings are all combined here in this one thread.  It is a rule of the site for members to keep all entries in one thread.  This is the only thread you should use in the future.  Thanks for your cooperation.

Now for your latest concern...

There is nothing HIV specific about your symptoms.  We can't diagnose anything in this setting. You need to discuss your symptoms and questions with your doctor.  What I can say is there is no basis in HIV science to think you have a problem with HIV because you didn't do anything risky.

And stop searching the net.  All you will do is find more to scare yourself about and all to no good purpose.

[boixngtalk]

Hey guys, some background.

Back on April 6th, exactly six weeks ago, I had unprotected intercourse with a woman who I later found out was escorting on the side.

After I found out about her side gig, I confronted her and she claims to be 100% clean, but I don't take anyone for their word.

The sex was not long, around 1-2 minutes and there was no full ejaculation inside of the vagina. I'm circumcised as well.

At the two week point, I took the Oraquick saliva test and it came up negative.

As I know two weeks is far from enough time for detection, I took another Oraquick test yesterday, one day shy of six weeks, and it was also negative.

To place my mind completely at easy, earlier today (exactly six weeks) I took the "Instant HIV Determine 4th Generation P24/Ag/Ab Combo Test" = which is done via blood taken from a finger. That test also came up negative and is advised to be very accurate within four-six weeks post-exposure.

From your experience, is this test very conclusive?

The physician who administered the test claims that out of the thousands of tests they've conducted through this method, not single one (negative or positive) resulted in a different outcome at the 12 week mark or beyond (unless there were other exposure events).

[Ptrk3]

Most experts recommend that testing for HIV antibodies be conducted six weeks after exposure then at 13 weeks past exposure for confirmation of the six week results.

However, many of today's tests are considered to be highly accurate and conclusive during earlier time frames.

Your physician, however, has given you his or her perspective on your tests based on his or her experience, and that perspective should certainly be taken into consideration by you as you decide whether to test again because of the incident you have described.

Whether you, in fact, decide to test again is your decision based on your own desire for closure and peace of mind.

I would not expect that your test results would be different.

[boixngtalk]

I get my life together and practice everything sexual as safe as I can (even protected oral sex at all times) and then the following happens.

I started having sex with a female escort (vaginal sex) that I've seen in the past and about 10 seconds in I felt the condom pop and could tell it was a bad break right away.

I immediately pulled out of her vagina and my penis was pretty much exposed. I didn't even attempt to place on a second condom as I was a bit rattled. I just masturbated the rest of the way on her stomach.

Everything happened so fast. From the moment I felt the break until the moment I pulled out - there were around three thrusts and maybe 5 seconds of time involved.

I am circumcised. She did use some lubricant (made by Trojan) to get her vagina slippery so I would slide in and out.

She placed the condom on me and I think she did it a little too tight is my guess (but who knows). I usually place it on myself.

To be honest, it happened so fast that it was almost like borderline dipping. It was basically a rip.. then thrust, thrust, thrust and withdrawal.

I know this was a low risk exposure and likely have nothing to fear, but it was an exposure.

Spoke with my doctor and he almost blew it off like I was making it into something bigger than it was. He said "HIV is not as easy to catch as people think" and told me I should be more concerned with a bacterial STD like The Clap (which he also felt was unlikely).

I just figured I would get a third party's thoughts on the incident in question, based on the facts.

[Jim Allen]

Condom broke, you had a risk.

Guidelines are to test at 6 weeks past any incident and then at 13 weeks to confirm the result. 

You can read about testing here:HIV Testing

Here's what you need to know in order to avoid hiv infection:
Use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions.

Keep in mind that some sexual practices which may be described as ‘safe’ in terms of HIV transmission might still pose a risk for transmission of other STI's, so please do get fully tested regularly and at least yearly for all STI's including but not limited to HIV and test more frequently if unprotected intercourse occurs

Also note that it is possible to have an STI and show no signs or symptoms and the only way of knowing is by testing.

More information on HIV Basics, PEP, TaSP and Transmission can be found through the links in my signature to our POZ pages, this includes information on HIV Testing

Kind regards

Jim

Please Note.
As a member of the AM I Infected Forum you are required to only post in this one thread no matter how long between visits or the subject matter. You can find this thread by going to your profile and selecting show own post and it will take you here . It helps us to help you when you keep all your thoughts or questions in one thread and it helps other readers to follow the discussion. Any additional threads will be deleted.

[boixngtalk]

That I know and plan to do regardless. As I'm very sexually active, I get tested every three months like clockwork, with or without exposure, because its better to be safe than sorry.

However, based on your expertise should I lose any sleep over this?

[Jim Allen]

Look you had an exposure,  test and move on.

Nobody can tell you much more than that

Jim

[boixngtalk]

I guess I got my money's worth. Never again. Thanks Jim.

[Jim Allen]

No sure what you had been expecting.

You are an adult, you know the risks, you know about testing and prevention.
Not much more anyone can do for you over the internet.

Jim

[boixngtalk]

Jim, take it from someone who owns two websites with far larger communities than this one... when people spend money on a product they usually look for something outside of cookie-cutter answers that seem to be cut and pasted from thread to thread. It's not only me, I've seen you do it from thread to thread with plenty of people.

If you have a Comscore subscription, you should run your numbers because your overall traffic, organic and direct, is declining. That should be a hint.

This morning, I went to a competitor's site and got a realistic breakdown on the facts.

White male with Asian female, 5 seconds of exposure in the worst case scenario, circumcised and water based lubricant was used. He was wondering why I was even wasting my time breaking a sweat over the scenario.

I actually should have ran a simple search on this forum before even wasting a nickel, because when I did run a search I found that another admin, who actually gives very informative answers, make a statement in a separate thread that in his 10 years of working on this site he's never seen a scenario like mine where it led to an actual infection. That would have been nice to know.

[Jim Allen]

You want a story, okay sure good here it is:

Race has very little to do with it if you had an exposure you can get infected. Yes I have seen single exposures lead to transmission, even against all odds . Site Doctors and people who play the numbers games are simply fooling themselves and the people who read them into false securities.

The odds and statistics simply do not apply to a single event, for all i know the person you were with was only recently infected and 25X more infectious
 - did they run that fact past you ?? - I guess not

Short of it none of it matters the outcome is the same.  You had a risk, guidelines are test - If you do or not is up to you.

This section of the forum is about HIV risk assessments, HIV is only transmitted in very limited ways so the answers are always going to be similar. Its a narrow subject.

My site numbers are stable under the target audience, some ghosting was cut out recently and as for out "Am i infected" posters being slow and that's good this is a HIV community I am so glad we keep "am I posters" separated from the rest of the posters. My goal here is not to cater all day to people with questions. Perhaps you did not realise that as I am sure you do now and end of the day this community does not have to justify itself to you. 

I wish you all the best when you do test. There is nothing more we can do for you in this setting, move on with your life.

Jim

[boixngtalk]

Jim, I hear what you are saying and agree with you for the most part.

I was waiting to get some good news before posting.

I contacted the girl, who "claims" she's clean and never has unprotected sex - other than our condom incident.

However, she was more than willing to go take a Rapid HIV test in my presence to prove her status.

We went to a local clinic earlier and they gave her an Oraquick test, which came up negative in 20 minutes time. The control line was a little faint for my liking based on my own Oraquick tests in the past, but the doctor said the darkness of the line is irrelevant - its only an issue when no lines comes up.

Having said that, I can rest easy now and take a cautionary test at the 3 month mark for some piece of mind.

[Jim Allen]

Hi

Well glad it gives you peace of mind. I'm clean as well btw, just had a shower.

Her rapid test result does not change the risk event or need to test as you mentioned.
I am saying this to you for a reason, I have seen stories like yours end in tears when relying on other peoples test results.

Jim

[boixngtalk]

I agree, which is why I'm testing at the three month mark, but I always test every three months if I'm active and not in a committed relationship.

The only thing I do know, is as of today she was negative. There is always the possibility that she tested in a window period where should be negative even if positive.

I know you hate to play the stats, but out of the 40,040 HIV infections the prior year in the United States (it's been pretty much the same scenario year to year with Asians), only 125 were Asian women (954 Asians infected in general but near 90% were gay or bisexual men). How many were sex workers? Only 17.

Maybe they know some secret or have a higher tolerance to infection, but even the CDC admits that Asian/Pacific Islanders make up a tiny fraction of the HIV/AIDS numers in the US.

Taking all that into account, and my circumstances and her negative test, I have a smile from ear to ear - and you should too.

[Jim Allen]

Asked and answered.

Play the stats game all you want, I knew people who do that and cry afterwards hence we don't play that game here.

You had an exposure, that is biologically viable for HIV transmission, no matter what race you or the girl belong to.

Anyhow there is nothing more to add and if you keep posting about this it is going to be deemed excessive and lead to a time out. (Ban)

I wish you all the best when you do test

Jim

[boixngtalk]

A very odd situation that freaked me out.

I was having "condom protected" vaginal intercourse, doggystyle. We started with oral sex, same condom and also protected. The vaginal sex didn't last too long (maybe 1-2 minutes) and she was really pounding back at me.

Not sure if she had ass implants but it was hard as a rock.

While she was pounding back at me, it almost felt like my penis hit her vaginal wall or something inside - and it hurt.

I felt a sharp pain as I came and I quickly pulled out.

At first I noticed something light pink at the end of the condom and I assumed she had her period and I freaked out.

She said there was no way it was her period and it was likely a pinkish condom (lifestyles brand).

She safely took the condom off (using tissues to avoid hand to condom or semen touch) and then I realized it wasn't pink on the outside - but the inside.

As I started to examine my penis, it started bleeding from the opening, almost like a bloody nose. I got really freaked out and even light headed as I've never seen blood from that area before.

Then she freaked out, looking at the condom to make sure it didn't break - and asking me questions if this ever happened before.

The blood went away, for the most part, after urinating.

I actually masturbated that morning (hours before this encounter) and there was no blood or anything, it was normal and no pain.

I called my doctor and because there was no further blood, he said it was likely rough sex and just advised me to rest my penis for a week or two. He said unless I saw further blood, which I haven't, there was no reason to see a doctor just yet.

It's a bit sore on the head, but that's about it.

Now I'm a bit nervous on whether or not that condom had any tears. She took it off and it appeared there were none, but since I obviously had an internal bleeding wound (at least towards the end I believe) and didn't properly examine the condom myself, it's made me a bit shook up. She claims she's clean, but who knows.

Any risk here? Just my anxiety or?

[Jim Allen]

Hiya

Look HIV can not transmit though an intact condom during intercourse. The condom did not obviously break and so no reason to believe otherwise.

Relax and move on with your life.

She claims she's clean, but who knows.

The word “clean” to indicate "HIV Negative/"STI Negative" suggests that an HIV-positive result and therefor people living with HIV are unclean, dirty. 

This can be very offensive to some people living with HIV particularly new people coping with a new diagnosis and the fear of stigma that comes with it, so since this is a HIV community forum I would ask you to be more careful with the language.

Here's what you need to know in order to avoid hiv infection:
Use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions. Consider starting PrEP as an additional layer of HIV prevention for the future.

Keep in mind that some sexual practices which may be described as safe in terms of HIV transmission might still pose a risk for far to acquire STI's, so please do get fully tested regularly and at least yearly for all STI's including but not limited to HIV and test more frequently if unprotected intercourse occurs

Also note that it is possible to have an STI and show no signs or symptoms and the only way of knowing is by testing.

More information on HIV Basics, PEP, TaSP and Transmission can be found through the links in my signature to our POZ pages, this includes information on HIV Testing

Kind regards

Jim

Please Note.
As a member of the AM I Infected Forum you are required to only post in this one thread no matter how long between visits or the subject matter. You can find this thread by going to your profile and selecting show own post and it will take you here . It helps us to help you when you keep all your thoughts or questions in one thread and it helps other readers to follow the discussion. Any additional threads will be deleted.

[boixngtalk]

I'm pretty sure I know what the answer is going to be, but I figured I would post to relieve any anxiety while supporting the site at the same time with a sub.

I had a full body massage with a woman who afterwards informed me that she was HIV+. She found out about her status a year ago.

According to her, the only reason she informed me is because we were not going to have sex, but she usually does "not" tell her clients of her status because she is "undetectable." I'm not her doctor, so I have zero clue on whether or not she is undetectable. I found it more worrisome that she's escorting and hiding status from clients, although she claims to only play safe.

Regarding our interaction, she gave me a full body massage with coconut oil, masturbated me for a while. She gave me a few pecks on the lips. Tried playing with my rectum, but I quickly told her stop due to her very sharp nails. Had me kiss her boobs, more like pecks. I think she kissed my neck and chest.

That was the full extent of it.

I'm pretty confident I didn't do anything to place myself in any risk, but it never hurts to get a second opinion.

[Jim Allen]

You had no HIV risk whatsoever from the massage.

As for her clients, I'm not bothered at all. Doesn't effect you and they are responsible to protect themselves like always.