Patient's Query
Hello doctor,
Last month, I visited a salon for a body massage. I did fingering, touching, and sucked the nipples of the female massage therapist. She also had an orgasm. The foreskin of my penis came back during her handjob, and she used her mouth. I touched my exposed penis head and pulled my foreskin back. She had a vaginal discharge. Then, I wiped my penis and hands. I do not have any wounds on my hands and fingers. We did not have penetrative sex (vaginal, anal, or oral).
I took HIV tests after sixteen days and STD tests after two days. Both results were negative. When I spoke with the massage therapist, she told me she took screening tests while donating blood for her family member last year. She did not undergo any tests this year, as she did not have any intercourse with anyone. Should I be concerned about human immunodeficiency virus HIV infection?
Kindly help.
Hello,
Welcome to icliniq.com.
I understand your concern.
From the details provided, your risk of exposure is very low or negligible. Because there was no contact with body fluids, however, you should undergo screening tests, as you were a therapist.
I suggest you take the following human immunodeficiency virus tests. Take the fourth-generation test for human immunodeficiency virus (hiv) after four weeks of exposure. Take the venereal disease research laboratory (VDRL) test, hepatitis B surface antigen (HBsAg) test, and anti–hepatitis C virus (anti-HCV) test after one month of exposure. Reduce your anxiety with yoga and meditation.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
Patient's Query
Hello doctor,
I have attached my fourth-generation p24 antigen test report, which I took after 16 days of exposure. The result is negative. Should I be concerned?
Kindly help.
Hello,
Welcome back to icliniq.com.
I understand your concern.
From the report attached (attachment removed to protect the patient's identity), you have a low risk. Repeat the fourth-generation test after four weeks of exposure for a confirmatory diagnosis. You should also undergo other tests, which I mentioned earlier.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
Patient's Query
Hello doctor,
I have taken all the STD tests after 30 days of exposure. My dry cough has healed completely. I want to lead a normal life.
Kindly help.
Hello,
Welcome back to icliniq.com.
I understand your concern.
From the reports attached (attachment removed to protect the patient's identity), your results are negative. Use a condom hereafter and have a monogamous relationship to lead a normal life.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
Patient's Query
Hello doctor,
The test result value taken on the second week of this month was 0.142, and the fourth week was 0.184. So, there is an increase in the result values. Will this value increase in the next HIV test? Does this numeric value have any significance? Am I HIV negative?
Kindly help.
Hello,
Welcome back to icliniq.com.
I understand your concern.
The value is based on a colorimetry reading and does not have any significance.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
Patient's Query
Hello doctor,
I have a doubt. A pair of cutting pliers used to repair the gas stove caused a pricking sensation in my triceps on my right hand. A mechanic held the tool while picking it up from the shop. He looked like a 30-year-old man, lean, neat, and healthy. There were no wounds, bleeding, or swelling in the area. However, this morning, there was mild pain while touching it.
I became anxious when I read on the internet that blood-infected sharp objects can produce HIV through skin cuts. Also, HIV-positive people do this intentionally by injecting their blood into others.
Did the mechanic prick me with an infected tool?
Should I be concerned?
Kindly help.
Hello,
Welcome back to icliniq.com.
I understand your concern.
Human immunodeficiency virus (HIV) cannot survive outside the human body. The chances of an infected tool pricking you are low due to poor exposure. So, do not worry, and there is no need for any testing. Do meditation and yoga to divert your mind. Have you been vaccinated with the tetanus toxoid injection in the last three years? If there was an injury, you should take a tetanus toxoid (TT) injection within twenty-four hours.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
Patient's Query
Hello doctor,
I did not get any open cut, needle prick, or bleeding wound during that incident. It was a blunt object injury with pain. So, I applied Diclofenac gel for two days and have recovered now. I took a TT dose three years ago. I will start yoga and meditation.
Just for my understanding:
Should the blood on a sharp object or a needle from a human immunodeficiency virus (hiv)–positive person be fresh to cause an infection when pricked onto a human immunodeficiency virus (hiv)–negative person?
How long can the virus survive on the tool?
Will the blood become dry inside the syringe?
Kindly help.
Hello,
Welcome back to icliniq.com.
I understand your concern.
It is a hypothetical discussion and does not hold any meaning. As there was no prick, you can move ahead and try to focus on good mental health.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
Patient's Query
Hello doctor,
To be safer, I have done another round of all STD testing three months after my previous spa massage exposure. The hepatitis B surface antibody, anti-HBs value, is shown as 141.41 milli–international units. Kindly advise what that parameter or value indicates and whether this means I am hepatitis B positive. I am also mentioning my exposure history. Last month, I visited a spa for a body massage. I did fingering, touching, and sucked the nipples of the female massage therapist, and she also had an orgasm. The foreskin of my penis came back during her handjob, and she used her mouth.
I touched my exposed penis head and pulled my foreskin back. She had a vaginal discharge. Then, I wiped my penis and hands. I do not have any wounds on my hands and fingers. We did not have penetrative vaginal, anal, or oral sex. I took HIV tests after sixteen days and STD tests after two days, and both results were negative. When I spoke with the massage therapist, she told me she took screening tests while donating blood for her family member last year.
She did not undergo any tests this year, as she did not have any intercourse with anyone. Should I be concerned about HIV? I have attached all the latest reports. Kindly suggest your opinion.
Hello,
Welcome back to icliniq.com.
I understand your concern.
I have reviewed your attached reports (attachment removed to protect the patient's identity). With regards to HIV (human immunodeficiency virus), you are negative. As the tests are done well beyond the window period and include even p24 antigen, the result can be taken as conclusive, and no further testing is required. Even hepatitis C, RPR (rapid plasma reagin), and herpes antibodies are negative; hence, no infection of syphilis, herpes, or hepatitis C. However, the result suggests that you are positive for hepatitis B. This would require further investigations to see if the infection is active or latent, and then plan your treatment. You would have to consult a gastroenterologist for the same.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
Patient's Query
Hello doctor,
May I know what can be done next? Kindly suggest.
Kindly help.
Hello,
Welcome back to icliniq.com.
I understand your concern.
Nothing is required at the moment.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
Patient's Query
Hello doctor,
I just came across a video on the internet mentioning that PCR testing for HIV is more accurate than other HIV testing methods like ELISA or ELIFA methods. So, requesting your clarification on the same.
Kindly help.
Hello,
Welcome back to icliniq.com.
I understand your concern.
The polymerase chain reaction (pcr) test for human immunodeficiency virus (hiv) is more helpful in known HIV patients to assess the response to treatment. Any test by any method done beyond twelve weeks of the window period is equally good.
Only when testing is done before twelve weeks does the accuracy matter. You will find much unregulated information written by laypersons on the internet. Kindly stick to standard websites for reliable knowledge. Otherwise, you may lose your peace of mind.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
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Answered byDr. Rakesh Kumar Bahunuthula
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
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