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Author Topic: So confused after reading too much after an exposure  (Read 1158 times)

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Offline Ahmed7677

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So confused after reading too much after an exposure
« on: November 25, 2021, 06:33:49 pm »
Hi there,

I met with a woman who gave me a prostate massage (finger in anus). She was fully clothed and wore gloves prior to penetration although I donít know what material they were. After the incident Iíve been worrying about HIV contraction. I have read and obsessed for months, with more and more confusing information online.

My questions are (please and thanks):

1) I did not see any blood or cuts on her hands but worry that she may have had them. I know she used gloves but worry if she had a cut, blood could have been present on the outside of the gloves from her using her hands to put them on. Is this a risk?

2) she also used the washroom about 30 mins prior to insertion. Could something have been on her hands and infected me?

3) I got a 4th gen combination hiv test 4 months and 9 days after the incident which was negative. Is this conclusive? I thought it was but then read a recommendation where if the source person has hiv and hepatitis c then I would need to keep testing up to 12 months! Is this correct? Waiting 4 months has been extremely hard and I donít know how to handle it if so. Is this outdated information? Is this true for older tests that are perhaps not 4th gen?

4) If hiv antibody seroconversion was delayed it would still detect the p24 antigen wouldnít it? Is this true no matter the reason for possible delayed seroconversion such as a co infection with hep c?

5) I took a hep b and c test 4.5 months and both were negative. Iím not sure what test used was but recall the doctor saying it looks for igm and igg antibodies. I also read online that hiv can delay hep c seroconversion. So now Iím doubtful of this result as well. Do I need to test again?

6) Are there any precautions I need to take at home? I have a room mate and I am scared of passing on something (we are not having sex or using needles). I am worried if Iím sharing a common bathroom or shower with him. I am worried about handling or sharing food.

All of the information I have seen as left me confused. I donít know if I should put this behind me or further testing and worry is needed. Please help guide me.

Offline Jim Allen

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Re: So confused after reading too much after an exposure
« Reply #1 on: November 25, 2021, 07:02:07 pm »
Quote
I have a room mate and I am scared of passing on something (we are not having sex or using needles). I am worried if Iím sharing a common bathroom or shower with him. I am worried about handling or sharing food.

Even if you were living with HIV, cooking and sharing the same toilet isn't an HIV issue unless you are having condomless sex in the toilet with them or are sharing needles as a desert.

Cooking and day to day contact with people is not how HIV is passed on. It's simply no HIV concern whatsoever. https://forums.poz.com/index.php?topic=68441.0

Quote
(finger in anus)

Not an HIV risk to you, no HIV risk whatsoever.

1) No HIV risk
2) No nothing she had on her hands could give you HIV.
3) Outdated and irrelevant as you had no HIV risk from this encounter.
4) See above.
5) Not over this event as you had no exposure. Just irrational fear.
6) Already answered above.

Here's what you need to know to avoid HIV infection:
Use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions. Consider talking to your healthcare provider about PrEP as an additional layer of HIV protection going forward

Keep in mind that some sexual practices which may be described as Ďsafeí 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.

Kind regards

Jim

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« Last Edit: November 25, 2021, 07:23:41 pm by Jim Allen »
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Offline Ahmed7677

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Re: So confused after reading too much after an exposure
« Reply #2 on: November 29, 2021, 11:53:11 am »
Hello Jim,

Thank you for your reply. It is much appreciated. I've taken a few days to let your reply sink in as I have been quite worried for weeks and it seems to be hard to shake the worry off even after your reassurance.

If you don't mind I'll just ask you a few follow up questions:

Quote
1) No HIV risk

Even if she had a cut? It seems to me that there would be some risk if she's handling the gloves / putting them on with a cut?

Quote
3) Outdated and irrelevant as you had no HIV risk from this encounter.

Glad to know this is outdated info. So I believe I read this as part of a CDC recommendation for healthcare workers exposed to both HIV and HCV simultaneously. If this is outdated, can I/one assume the standard test windows i.e. 3 months are conclusive (in my case 4 months)? I understand that some conditions may delay seroconversion, in these cases will combo tests pick up the antigen if antibodies are delayed?

I know I'm probably over thinking this, but just trying to put this behind me.

Thanks once again.

Offline Jim Allen

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Re: So confused after reading too much after an exposure
« Reply #3 on: November 29, 2021, 12:36:57 pm »
No HIV risk whatsoever, zero!

Nobody has ever acquired HIV from being fingered. Makes sense as it lacks all the basic conditions needed for you to acquire HIV and nothing she touched before fingering you could lead to you acquiring HIV as HIV would no longer be viable.

I'm not sure why you are focused on looking at healthcare exposure guidelines when your question is about sexual exposure.  ::)

Anyhow, please don't post about this again, move on with your life.

Quote
Anyone who continues to post excessively, questioning a conclusive negative result or no-risk situation, will be subject to a four week Time Out (a temporary ban from the Forums). If you continue to post excessively after one Time Out, you may be given a second Time Out which will last eight weeks. There is no third Time Out - it is a permanent ban. The purpose of a Time Out is to encourage you to seek the face-to-face help we cannot provide on this forum.

Finally, use condoms for any intercourse and test out of standard routine at least yearly for STI's & HIV.


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Offline Ahmed7677

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Re: So confused after reading too much after an exposure
« Reply #4 on: December 10, 2021, 04:35:34 pm »
Hi Jim,

Thanks so much for your response previously. Appreciate all that you do for this community.

I have another recent encounter Iíd like to ask you about.

I met with a SW. During the encounter we just lied down in bed together. She was topless and had leggings on. I had my underwear and jeans on. She massaged my hands and neck and I fondled her breasts while we watched TV. I pressed up against her while we both had our bottom halfís clothed and she stroked my penis through my jeans. I did not think too much of the encounter immediately but thinking back a few things started to bother me.

1) She mentioned sheíd seen a guy right before me, probably minutes apart. Could there have been residual vaginal fluid or semen on her hands that posed a risk to me during the massage on my hands and neck? I noticed small nicks/not perfect skin on the area of skin she may have touched.

2) at one point she noticed a small stain (roughly 3mm) on the sheets. Looked brownish but could have been blood. She proceeded to try and rub it off or check what it is with her hand. She used the same hands to touch my skin.

3) any risk if she had some of the above on her hands and touched my penis through my pants?

Thanks so much.

Offline Jim Allen

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Re: So confused after reading too much after an exposure
« Reply #5 on: December 10, 2021, 04:52:48 pm »
1) No HIV risk
2) No HIV risk
3) No

Look HIV is fragile and limited in the way it can be sexually acquired.

Sexually it means intercourse is an HIV risk and there would be a minute risk when giving a blowjob., that's about it.

So use condoms for any intercourse, relax and as you are sexually active test out of standard routine yearly for STI's & HIV.
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline Ahmed7677

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Re: So confused after reading too much after an exposure
« Reply #6 on: December 14, 2021, 12:41:16 pm »
Hi Jim,

Thank you for your response, much appreciated. I've just done an upgrade to follow-up.

1) I'm worried about if she had cuts on her hand that may or may not have been bleeding, if so, couldn't that come into contact with my imperfect skin (any scratches, nicks, small cuts) on my hands and neck? I think I may have read a previous post on another thread that small cuts (bleeding or not) are not a point of entry for HIV. I can't remember so just wanted to confirm. Please can you clarify for me?

2) Is it true that small everyday cuts aren't a point of entry for hiv regardless of fluid e.g. vaginal secretions, blood etc.?

I just want to be sure there was no point of entry for HIV on my exposed skin. Sorry for asking this but there's just so much conflicting info that I've read in the past.

3) If there was left-over bodily fluids and I touch those and then touch my mouth, is there a risk? I ask as you said giving a blowjob (I know it's not the same thing) is a small risk, so I wonder if the mouth is a concern or place where hiv can enter.

4) If you read my whole experience below with the woman am I making too much of this? Have there been any cases reported like this?

Through some of your advice to others I've decided to seek therapy. He asked me to confirm all my doubts one last time as we work through (as while he can support with fear and mental health he does not have too much knowledge on HIV).

Thanks again Jim - I really appreciate your patience and support.


Offline Jim Allen

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Re: So confused after reading too much after an exposure
« Reply #7 on: December 14, 2021, 01:37:37 pm »
Hiya,

This is nearly the same list of concerns that you had in your first post and I already answered them. Nothing has changed since that time.

What you are concerned about lacks all the biological conditions needed for you to acquire HIV. Hence, nobody has ever acquired HIV the way you fear.

One of the many barriers to your concern as previously explained is that HIV is fragile and the receptors needed to infect corrode outside the confines of the human body leaving it unable to infect you.

1) Same as before, it's not an HIV risk. Lacks exposure to viable HIV and does not have the direct route needed.

2) Wounds, cuts, scrapes etc are not a route and even if they were it would still not be an HIV risk.

3) Asked and answered in different ways already, the answer remains the same. It's not an HIV risk.

4) Yes,  Move on with your life!

Quote
Look HIV is fragile and limited in the way it can be sexually acquired.

Sexually it means intercourse is an HIV risk and there would be a minute risk when giving a blowjob., that's about it.

So use condoms for any intercourse, relax and as you are sexually active test out of standard routine yearly for STI's & HIV.

If you come back again asking about cuts, scrapes etc or about touching fluids or being touched by fluids that have been exposed to the environment it will lead to a ban.


HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline Jim Allen

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Re: So confused after reading too much after an exposure
« Reply #8 on: December 14, 2021, 01:40:03 pm »
Quote
Through some of your advice to others I've decided to seek therapy.

I wish you all the best with the therapy sessions and I hope it can help you cope better in the future.
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

 


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