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Author Topic: Need Guidance On Testing  (Read 821 times)

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Offline AnxiousIdiot1936

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Need Guidance On Testing
« on: December 04, 2018, 05:12:42 pm »
Hi everyone,

Last week on November 27th I had protected anal sex with a trans escort I met of Grindr. I am extremely worried I exposed and infected myself with HIV. Before we had sex, they tried to give me oral and I didnít stop them fast enough so their mouth touched my penis. (I think this is the only time my penis was in their body without a condom).

After I stopped them I asked them for a condom and I put it on and we had anal sex. The sex lasted less than 2 mins as I lost my erection after realizing how stupid I was being by putting myself at such risk. As soon as I lost my erection I went to the bathroom, took off the condom and flushed it down the toilet. I didnít see any glaringly obvious rips or tears on the condom before I flushed it. I feel so stupid for not taking it off and filling it with water to make sure there were no holes.

2 days after the event I went and got tested for a full std panel. Everything came back negative but Iím worried I went too soon and I couldnít test positive that quickly. I plan on having another panel for stds done this weekend which will be a week out (11 days) and hopefully thatís long enough to detect things like Chlamydia and Gonorrhea. My hep b test said I was immune so thatís a sigh of relief. Hep C says to test again in 6 months.

My questions are:

1) Anyone have experience with HIV RNA Test offered by stdcheck.com [link to details](https://www.stdcheck.com/hiv-rna-test.php). How accurate is it at 11 days? If I get a negative result is it conclusive?

2) Iíve been using the CDC know the risk tool and it says even with a condom there is a .76% chance of infection to the top even if a condom was used?? (This is giving me a lot of anxiety)

3) If i take the RNA test this weekend 11 days after exposure. Should I still do another p24 combo test at 6 weeks after exposure?

Sorry if this is a stupid question. I was a massive idiot that night and right now I donít know if am experiencing seroconversion or if Iím just having anxiety over this. Thank you to anyone who takes their time to read and answer this.

Offline JimDublin

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Re: Need Guidance On Testing
« Reply #1 on: December 04, 2018, 05:21:43 pm »
You had no HIV risk, if a condom fails during intercourse it's without any doubt so as long as that did not happen get over it, also filling condoms with water is a daft condom myth, it's good you didn't.

Getting your penis sucked is also not how HIV is aquired It lacks the bilogical conditions needed and hence nobody has ever aquired HIV this way and I doubt you will be making world headlines anytime soon

So relax, no need to test over this, stop reading utter nonesense about RNA tests that are never recommend for routine testing and, simply move on with your life!

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 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.

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

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Offline AnxiousIdiot1936

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Re: Need Guidance On Testing
« Reply #2 on: December 04, 2018, 05:34:43 pm »
Hi Jim thanks for your response. Just had a question about some of the phrasing about condom failure. Are you saying that if the condoned failed I would have known by just looking at it without doing the dumb water test?

I will skip the RNA test as I am a little worried about the 2-9% false positives. You also said itís not recommended for routine screening, I wonder why the stdcheck website says it is FDA approved for early detection with 100% sensitivity and 99.xx specificity.

But if you think I was at no risk I will skip the test. I am however worried about the mouth on the penis and other stds that arenít HIV. Do you think 11 days for a test looking for Chlamydia and Gonorrhea is after the window periods for those two?

Offline JimDublin

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Re: Need Guidance On Testing
« Reply #3 on: December 04, 2018, 05:58:26 pm »
Quote
Are you saying that if the condoned failed I would have known by just looking at it without doing the dumb water test?

Yeah and lets be clear HIV can not transmit through an intact condom. The issue is in the real world condoms can break due to incorrect usage but thankfully when they do break during intercourse it leaves no doubt as they shred!

On water testing, lets be clear so you have the knowledge, if you (ever) test the condom before you use it this can weaken the condom, making it more likely to break during use. So don't and, also never test a condom after you use it. Instead, immediately dispose of the condom in the bin.

Testing the condom after intercourse could damage the condom, as its not designed as a reusable (Re-stressed) product and this could lead you to mistakenly think that the condom was damaged during sex, when in fact you actually caused the damage after the intercourse by trying to "test" it with water. In short, testing the condom yourself before or after use is not a reliable way to tell you anything.

Testing condoms yourself is basically a daft myth.

Quote
You also said itís not recommended for routine screening, I wonder why the stdcheck website says it is FDA approved for early detection with 100% sensitivity and 99.xx specificity.

FDA approval means the test is approved as it measures a benefit for its purpose or intent. This test is however is not part of the initial screening / testing algorithm for good reason.

Who calls it an STD anymore, gosh next it will be the "VD" check  ::) Anyhow take it up with that site, its nothing to do with us so can't comment directly on their claims.   

Quote
But if you think I was at no risk I will skip the test. I am however worried about the mouth on the penis and other stds that arenít HIV. Do you think 11 days for a test looking for Chlamydia and Gonorrhea is after the window periods for those two?

Yeah so just to reconfirm this, as far as HIV goes getting your penis sucked is not a HIV risk, saliva is not HIV infectious, it also contains over a dozen elements that neutralize HIV.

Let me put it this way after 40 years in terms of BJ's there hasnít been a single documented case of HIV transmission to an insertive partner (the person being "sucked") and you will not be the worlds first.   ;)

Any sexual contact however carriers a risk for easier to transmit STI's particularly ones that are skin-to-skin or skin-to-sore contact transmission as example, however even for them getting your penis sucked is a low risk and if you're going to run out and test every-time you get a blowjob, well its a tad paranoid if you ask me.

Talk to your doctor about the Chlamydia and Gonorrhea if you really want to test for them on the testing window. I recommend however even for them as its such a low risk to simply move on with your life.

Keep using condoms for any intercourse, no exceptions and as a sexually active adult test as routine at least yearly for easier to transmit STI's & HIV.

Jim
« Last Edit: December 04, 2018, 06:02:19 pm by JimDublin »
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
Read more about Testing here:
HIV Testing
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HIV TasP
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HIV prevention
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PEP and PrEP

Offline JimDublin

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Re: Need Guidance On Testing
« Reply #4 on: December 04, 2018, 06:11:17 pm »
Look all in all I don't know why this encounter has you so freaked out. There must be something behind it like guilt or a partner or because of exploring a new side to yourself etc etc etc, I don't judge it and nobody here does but whatever the reason though this encounter simply was no HIV risk.

What I will say is next to condoms and routine check-ups, depending on what you are doing, you might want to talk to your doctor and consider starting PrEP as an additional layer of protection against HIV going forward. Should also offer perhaps some peace of mind.

Take it easy, stop reading stuff online, stop scaring yourself.

Jim
« Last Edit: December 04, 2018, 06:15:08 pm by JimDublin »
HIV 101 - Everything you need to know
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HIV Transmission and Risks
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HIV Testing
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HIV TasP
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HIV prevention
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PEP and PrEP

Offline AnxiousIdiot1936

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Re: Need Guidance On Testing
« Reply #5 on: December 30, 2018, 04:19:43 pm »
Hi I was still feeling very anxious about everything and went in for testing 29 days after the potential exposure event.

I had two tests done. It was the 4th Generation HIV Antibody / Antigen Test and HIV-1 RNA Qualitative tests (I know you donít like that test but apparently itís the only fda approved diagnostic test.) I was informed that the RNA test was conclusive after 28 days and thatís why I waited that long to go get testing done. Both tests came back negative but the stdcheck people said the 4th gen year is only 97% accurate after 21 days and conclusive at 3 months. Retesting they said would be of my own choice. Now Iím even more worried that I got false negatives and I have another 60 days to wait before I can move past this all.

I guess my question is how reliable are the results from the tests I took? Do I still need to go retest in 3 months to confirm? Thanks.

Offline JimDublin

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Re: Need Guidance On Testing
« Reply #6 on: December 30, 2018, 04:29:02 pm »
You had no exposure and  you could have skipped testing all together.

If you ever have a risk test with an approved antibodies test at 4-6 weeks post exposure, this result will rarely change at testing at 3 months is uptoyou for a conculsive result


Please do not post about this again
, move on with your life stop wasting your time testing over nothing
« Last Edit: December 30, 2018, 04:32:31 pm by JimDublin »
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
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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