Q. I had unprotected oral sex with a CSW. Should I be worried about HIV?

Answered by
Dr. Ravinder K. Sachdeva
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 20, 2021

Hi doctor,

My issue is that I had unprotected oral sex with a CSW a few months before. Since then, I have fleeting lymphadenopathy till date. I have done my HIV tridot after a month, and it was negative. I had an HIV ELISA (enzyme-linked immunosorbent assay) test done in the same month after ten days, and it was also negative. I got an HIV-1 RNA (ribonucleic acid) PCR (polymerase chain reaction) test done in the first week of the previous month, and it was negative. HIV-2 RNA PCR and Western blot were done in the same month, and it was negative. At the end of the month, I got an HIV duo test done, and it was negative. I got a Western blot test done this month, and it was negative. Doctor, should I be worried about HIV, and will I need further testing? May I have your valuable opinion?



Welcome to

1) Unprotected oral sex carries a low risk of acquiring HIV, especially if there are bleeding gums or active oral ulcers.

2) If the last exposure was a few months ago and there had been no further exposure, your test results for HIV will be considered conclusive. The recommendations are to get tested at four to six weeks of last exposure. If the result is negative, get a confirmatory HIV antibody test at three months of previous exposure. There is no need to repeat the test if there is no further exposure.

3) Regarding lymphadenopathy, I would like to know the size and site. Also, I suggest not to press the lymph nodes hardly. Just smooth palpation to estimate the size would suffice.

4) There can be varied reasons for lymphadenopathy, and it does not necessarily mean HIV. There are no specific symptoms or signs which can diagnose HIV. The only thing required for HIV diagnosis is getting the test done, which are negative in your case.

I hope my answer helps you, but please revert if there is any further question.

Best wishes.

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