Dr. Basti Bharatesh Devendra
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 32-year-old guy. I had an encounter with an unknown girl. I was involved in foreplay (kissed her lips, sucked her boobs, and rubbed her genitals). She gave oral sex for around half a minute without protection, rubbed my penis on her buttocks and I ejaculated on her buttocks. My penis did not touch her anal and there is no insertion in the vagina and anus. I am not sure about her HIV status. I asked her multiple times but she is saying I am not HIV(Human Immunodeficiency Virus) positive but she is having multiple partners I guess. This happened a month ago. After two days I consulted with a sexologist and took HIV tridot test and other tests for sexually transmitted diseases. The result was negative. And then after 20 days, I took the HIV-1 RNA (Ribonucleic acid) PCR (Polymerase Chain Reaction) test. That was also negative. Am I out of risk or any test is needed for more safety? Is there any chance I can get HIV now?
Hello, Welcome to icliniq.com.
The chances of transmission of HIV by single unprotected oral sex are almost nil unless there are bleeding wounds in the oral cavity. If there is no contact with infected secretions or blood during the other acts mentioned, the chances of transmission of HIV are nil. It is good that the HIV antibody test is negative but is not conclusive. HIV PCR negative results are a very good sign but not considered conclusive. The chances of HIV tests coming positive later are almost nil. But it would be better to go for an HIV antibodies test after 3 months of exposure to have conclusive results and be relieved of anxiety totally.
Patient's Query
Hello doctor,
Thank you for the reply.
So after a 3-month test only I can say I cannot get HIV. Are there any chances that I can get HIV? I heard HIV RNA-PCR is conclusive after 10 days.
Hello,
Welcome back to icliniq.com.
HIV RNA-PCR test is a very sensitive test after 10 to 14 days of exposure. But it is usually not used for diagnosis. The chances of HIV tests coming positive later are almost nil. Better go for an HIV antibodies test after 3 months of exposure to be relieved of anxiety totally and conclusive results.
Patient's Query
Hi doctor,
Thank you for the reply.
HIV RNA test did not detect HIV in the body. I am very scared, so waiting three months is difficult. Is there any test that can detect HIV early in the body?
Hi, Welcome back to icliniq.com.
I understand your concern. HIV RNA-PCR is a very sensitive test at these dates. They are more than 95 % sensitive. If it has come negative means chances of HIV are almost nil. But it is not considered conclusive. The chances of HIV tests coming positive later are almost nil. But anyway HIV antibodies test after three months of exposure is conclusive. So go for it after three months of exposure to be relieved of anxiety and conclusive results.
Patient's Query
Hi doctor,
I am a 32-year-old male. I encountered an unknown girl (she is not a sex worker but has multiple partners). This is my first time. I was involved in foreplay (I kissed her lips and sucked her breasts, and rubbed her genitals). She gave oral sex for around half a minute without protection, and I rubbed my penis on her buttocks and ejaculated. My penis did not touch her anus, and there was no insertion, vaginal or anal. I am not sure about her HIV status. I asked her multiple times, but she said she was not HIV positive. Her report was negative last month, but I am not sure if she gave her sample or not. After two days, I consulted with a sexologist and took an HIV TRI DOT test; the other STD was negative. After 20 days, I took the HIV-1 RNA PCR test, which was also negative, and then I took an HIV DUO test on the 29 days, which was negative.
Am I out of risk? Do I need more tests?
Is there any chance I can get HIV?
Hi,
Welcome back to icliniq.com.
I understand your concern.
The HIV RNA PCR and antibodies duo test is negative. They are almost conclusive. The chances of HIV tests coming positive later are almost nil. Better go for an HIV antibodies test after three months of exposure to be relieved of anxiety totally and conclusive results.
Patient's Query
Hi doctor,
Thank you for the reply.
I have a fever around 101 today with body pain, so I am scared. Is it because of HIV?
Hi,
Welcome back to icliniq.com.
I understand your concern. Fever can be due to many reasons. However, it need not be due to HIV. So I suggest consult your specialist doctor, discuss with them, and take the medicines with their consent.
Patient's Query
Hi doctor,
Thank you for the reply.
Is there any other test I need to take now, or should I go for a test after three months?
Can I rely on the RNA and DUO test if it is negative?
Am I safe now?
Hi,
Welcome back to icliniq.com.
I understand your concern.
HIV antibodies test is enough after three months of exposure. No need for a PCR test.
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