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Harm reduction

Needle stick question

I am a health care provider, I tried finding the answer by looking through the history but I couldn't find one. My question concerns needles, is a (hollow) needle able to transmit the virus when stuck with one without a syringe attached to it? Syringes are very easy to spot in the health care environment as they are rather large, but a hollow needle (Detached from a syringe) by itself is very, very, hard to spot.

HIV Cut on Finger and Vaginal Secretion

Hello,
A few days ago (I'd say three to four weeks) I satayed up late working when I had a cut on my finger while moving some books from one shelf to another. I've cut the skin the border the nails of my middle right finger and the skin was loose. It stopped bleeding shortly after that, but It was one of those cuts that still hurts when you make a fist.
The next day (about 5 to 6 hours later) I had sexual intercourse with a prostitute in a brothel, and at some point I used the cut finger in her anus (or vagina). When I finished, I noticed the skin was peeled back though it wasn't bleeding. It had a shade of pink and what appeared to be some secretion.
My concern is: If she has HIV, am I at risk? Is that the type of cut that can have me infected?

Condom reversed without my knowledge

I'm deep worried because I had sex with a sex worker and as I was drunk I don't know why she asked to change the condon. When she put the new one I felt some humidity in my penis. She also rubbed my penis vigorously, as it was flacid and at the moment I didnt think much of. Now I'm almost sure that she used the same condon reversed. After 9 days I started feeling the symptoms of the early stage, as muscle ache, chills, but no fever. After 20 days I got tested, it was a 4th generation test combined with antigen p24. The result was negative. What can I do?

Chances of STDs after protected vaginal intercourse?

Hi there,

About a week ago I had vaginal intercourse with a women. First we used a condom for oral sex, and then I used a new condom for vaginal sex. The condoms were put on properly both times and they did not break. A little bit of lubricant was also used.

My only worry is that I know this individual has many sexual partners, although she is always safe, as in this case. Also, she has been tested within the last 6 weeks for any STD's.

I'm still a little concerned though. I do have anxiety problems which makes the whole situation worse. My question is, should I get myself tested?

It's hard for me to wait many more weeks so I was thinking to get the RNA test done next week, however, this test is extremely expensive.

I spoke with a few people and the main advice I received is that if we were safe and the condom did not break, then even if the other individual had an STD, it is not really possible for her to give it to me (unless it is something that can be passed along with just skin to skin contact of course). And on top of that she has been recently tested. I have been told it is not necessary to get tested given the facts. What would you suggest in this case?

What are the chances that i have got HIV ?

Hi there,
I have been living in absolute anxiety for the past 2 months plus. i am at day 65 post exposure(unprotected vaginal intercourse with an unknown status woman 4 times in 2 days, (first 2 protected last 2 unprotected) and seem to have ARS symptoms. I have been having random sore throats, and i have had some sores in my mouth(inner lip and top of tongue and under it as well), had a rash on my chest(Day 52 - Clearing up without ointment or treatment) and have been experiencing flu like symptoms which began on day 28(Nasal congestion after a bout of sneezing 35 times, no fever). i have done 5 HIV Ag/Ab Tests as follow,

Day 32 - SD Bioline 4th Gen Ag/Ab test rapid test - Non reactive
Day 47 - SD Bioline 4th Gen Ag/Ab rapid test - Non reactive
Day 54 - SD Bioline 4th Gen Ag/Ab rapid test - Non reactive
Day 54 - STD Screen Hep B's antigen and antibody - non-reactive, Anti HCV - non reactive, HIV Ag/Ab - non reactive ( Did, Chlamydia PCR - Not detected , Gonorrhoeae - Not detected , Syphillis TP Ab - Non reactive , HSV Type 1 IgG Ab - 3.50 (Positive) Had this my whole life, HSV Type 2 IgG Ab - 0.18( Negative )
Day 62 - SD Bioline 4th Gen Ag/Ab rapid test - Non Reactive

My questions are:
(1) What are my chances that the Virus or antibodies has not been sufficiently produced and is still undetectable ?
(2) Would you recommend further testing or wait for the 12 week mark (84 days) ?
(3) I unable to sleep properly and have been getting only 3-4 hours sleep per night before waking up in a fright. Could my symptoms be due to Anxiety and Stress ?
(4) In the day i seem to have chills, perplexed by this.

Potential HIV infection and condom question URGENT

I was having anal sex the other day with a TS prostitute, and now I am worried if the condom broke during the time and I could get hiv. It lasted for less than a minute. If i saw that there was a sac of semen that formed at the tip, what are the chances that the condom broke?( i did not ejaculate in the rectum, it was outside). If the condom did not break, and the tip was protected, there is an incredibly tiny chance I could get hiv right? thank you so much for your time.

broken condom/Worried about HIV risk

i am a 18 year old girl, i was having sexual intercourse with a 22 year old man, towards the end of the intercourse, the condom broke, but he did not tell me and continued but not for very long, not even 2 minutes, as he then ejaculated but using the withdrawal method, which is when i found it the condom was broken.... he has had a history of sleeping with a number of girls, i dont know whether he is HIV + or - , and so i am freaking out, i guess i just want to know the chance of me getting pregnant and getting HIV... please help

Doubts of HIV test result and my exposure

Thank you so much for your help. I have asked question here before and my exposure was considered low risk
Exposure: receiving oral sex from a man whose tooth was actively bleeding. I ejcaulated into his mouth and he spitted the semen out and its all of red colour. His one tooth was actively bleeding. I cannot see any blood on the surface of my penis.

I got tested HIV combo CMIA at 16 and 31 days = negative
Abbott HIV rapid test 3 rd gen at 86 days = negative
I know that current guideline states that 84 days is considered conclusive. However, I did read a several cases which the people took longer than 3 months to get tested positive and those were for unknown reasons ( not drug abusers, not born immune deficicency or other co-infection). I think that its very rare but I am just afraid that I am the one because I have suspicious recurrent and persistent symptoms .
1. My body feels hot to touch but no fever ~ persist till now ~ 4 months already
2. Wounds heal weirdly that it seldom forms scab - I have consulted doctor he said its bacteria infection . I am not sure if it it really due to that. he gave me antibiotics . It was of 7 days . After 2 days of antibiotics, I started having foamy urine. I told him and he said its due to antibiotics and it will go away in one week. However, It persists till now and more than one month already.
3. 4 months after exposure, I seem to have swollen lymph node under my jaw on both sides. Its slightly bigger than before because I can feel it before, I know how large they were. Few days later, I have a stiff neck( I am not sure but I think my neck sometimes is so tight.)

My question is: How do I know if I am not the very rare case? Do I actually have the need to retest again at 6 months? I want to move forward and go on my life but symptoms are driving me crazy.

Thank you for your great help and it can really address many concerns.

acute Hep B PLZ HELP!!! Possible co-infection?

I have a Question, Several months ago ( 3 - 4 moths ) I was diagnosed with Hepatitis B; my current infection was very, but very symptomatic; That desease is already controlled by hematologist. My ALT levels are normal now, but the virus is still in blood, we are waiting for antibody response ( 6 moths of aware ) .
Since does that happened, I have being really scared about HIV possible coinfection.
I tested 5 times!!! ( as an obsessive ) , 1 was a rapid test 3th gen. and the another 4 were 4th. Generation Laboratory Test ( combo +p24 antigen). All of them each week since my last possible exposure ( oral sex receptive )

I don’t really know when or were matched the HBV ( but probably was more than 4 months ago) ; but Im really concern and my question is:

Does Acute, symptomatic and diagnosed Hepatitis B can delay, hide, or affect the HIV accuracy test?

DO you recommend re-test 6 months after my last, in this case, low-risk exposure? ( and that exposure wasn’t obviously when I watched HBV, cause the HBV window period).

Ill be really glad to receive your answers, believe me, Since the Hepatitis B was diagnosed my nervous are killing me, Im just 30 YO and was just diagnosed with hypertension about stress and anxiety. Believe me, I will never, never have sex without a condom :(

God bless you!

Sincerly

MR

Do I need an HIV test after sex with a condom?

Hello,

I have tested my self with 4th generation combo test and it comes negative on 84th day, yesterday i had sex with hooker with condom on (no breakage and it looks fine when pulled out from vagina). I licked her breast but not sure about lactating. Can you please let me know should i go for testing.

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