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Harm reduction

New relationship with woman that has HIV (undetectable)

Hello,

I am here for support as I have never been in a relationship or know of any one that has had HIV. I know that I love this person. But I don't want to go though the relationship with all these Questions. First about me that I have never been diagnosed with anything and have only had two sexual partners my whole life.
The Woman that I meet is from Colombia and she was diagnosed with HIV back in 2013. Since then has been "undetectable" for 3-4 years. What I know is that she has been on medicine since the start (2013) and has been told that she is able to have children (by Columbia doctors) (2019). She has had unprotected sex with her ex-partner and there was never contagion.

This will sound stupid and I know, I am sure someone else has ask this.

But is there any risk for me being with a undetectable HIV partner?
Eating food together (sharing),
open-mouth kissing
Contact between broken skin (wounds)
Oral sex
safe vaginal or anal sex or Unprotected Sex

If we do go ahead with relationship How often should I get tested?

Is there any help for traveler coming to Vancouver?

Thanks You

Source Negative, DNA PCR and PEP

Hi, Took PEP for 28 days. Source was negative at 29th day (DUO test and Proviral DNA Test). I am negative as of 68 days (DUO Test). I was tested negative on 7, 10, 21 and 45 th day using Proviral DNA and 51 days using PCR RNA test. Am i risk free now?

Dirty hands with hiv touched mouth

Hi

Is it possible that if my hands had hiv blood on it and touched mouth one second later I can get hiv?

Worried thanks

Hiv CMIA test negative 29 days after PEP completion

Hi,

I had sex with someone on Dec 20 and the condom broke in between. I only realized after finishing. I started PEP in less than 48 hours and took it for 30 days. I tested at 42 days after exposure (11 days after PEP completion) the test was negative. The test I used was HIV CMIA (p24 and Antibody). I took another test (HIV CMIA serum) at 60 days after exposure (29 days after PEP completion) which was also negative

My question is this:

1. Are these test results encouraging?
2. I am planning to take another test at 42 days after PEP completion (74 days after exposure). Have you ever seen post pep test at 28 days turn positive in the future?

I have read on the Internet that HIV 4th gen test are conclusive at 6 weeks by expert. So if my test at 74 days (10 weeks and 4 days after exposure or 42 days after PEP completion) is negative. Can I consider this conclusive?

over thinking about contracting hiv

Twenty days back i had a sex with a sex worker and suddenly during starting of intercourse the condom was broken and she noticed it and stopped me there and guided me to finish by hand and now i'm over thing about contracting Hiv .please tell me what are the chances of contracting hiv through single vaginal encounter assuming she is hiv positive

Circumcised pennis- inner skin tear while hand relief

Hello There,

I have been circumcised 3 months back. I went to this massage place and at the end she gave a hand relief, later I noticed there is an extra skin which got torn and small blood has come out. The lady also has small cut on her hand, Two weeks later I am experiencing Fatigue, Fever, Swollen nodes(pain comes and goes). I have tested -ve at 18 day mark, but my symptoms have been there for 2 weeks now. I am scared to death now.. I am really worried, I feel like killing myself... Please advise am I at a greater risk because I am circumcised and the skin which tore was under pennis glan ?

Blood in hydrogen peroxide dispenser

I'm a soon to be a doctor med student working in the Emergency Department of my local hospital. We often use a portable hydrogen peroxide dispenser for cleaning wounds, last Saturday a women came in with a small wound due to an accident with a fork. I started cleaning her and notice that the tip of the dispenser touched the wound, there was no visible blood in it but I assume there may have been some contamination. After I finish with her, I dumped the dispenser in a tub we use for cleaning reusable items like steel trays and such. A few minutes later I saw the same dispenser outside the tub, mounted and refiled with peroxide, ready for use. So I tell one of the nurses what happen and ask her if it was okay to keep using the dispenser given the fact that the tip of it touched someone else wound (and maybe even blood, although I couldn't see any of it), she say the dispenser is already clean and it's perfectly okay to keep using it (just to clarify, the only cleaning it may have got was just a quick bath in tap water, nothing more). Then a new patient came in, it was woman with a dog bite lesion, small in size but certainly profound and actively bleeding, so it was my task to clean her wound again (using the same dispenser of course). I dumped some peroxide in a white tissue looking for signs of visible blood in the peroxide dispenser, it seems clean, there was no visible blood, so I just use it again to clean that dog bite.

I want to know if (in the context cited above) there is some risk that blood in the tip of a peroxide dispenser infected someone else with HIV or any other common blood borne disease. Also I would love to know if this situation constitutes a negligent act from my part or a professional misconduct (I know this last question may exceed the helpline objectives, but I want to clarify that I'm specially referring to the risk of exposing a patient to the HIV virus).

I will really appreciate any answers, this whole thing keep me thinking for days and I'm honestly terrified by the idea that mistakes like that could compromise the most important thing I keep in mind as a future doctor, that is to do no harm. Thanks for your time and excuse my poor english. Goodbye

Negative HIV antibody test 10 months after exposure to a HIV positive contact

Dear doctors,
This is my story. I had sex with a HIV infected partner, and he revealed to me his HIV positive status only when I started to have acute symptoms 3 months later after exposure when I texted him with a question, what's the matter with me, it looks like HIV and if it is, it is certainly from you and he answered me, yes I have HIV. Up to that 3 months period I had not suspected and not thought at all about any HIV. But after his confession I started to remember the prehistory. All that previous time I had an exhausted look though I didnt feel very tired. I also had some rare small night sweat outbreaks. After about 2,5 months I started to have some very small pain in the throat which after 3 months grew to a terribly full-blown flu-like episode with my pharynx hot-red and so painful, though fever grew slowly and did not rise above 38. All that time I had painful neck under the chin, which continues to this day and has not gone anywhere. This flue-like episode lasted about a week. But temperature about 37.2-37.5 lasted 2 months. Now too from time to time it rises to 37-37.2. Now often when I get up in the morning my temperature is 36.2 but the moment I leave my house for work it is often 37.2. I felt terribly tired about 1-1.5 months, I could hardly prevent myself from falling flat on earth any moment. But after 1-1.5 it disappeared almost completely. I also lost about 7 kg within a month, after that I gained back my weight quickly and even over my usual weight. From that time on my bowel gradually behaved worse, although before I have never had any problem with it. My stool about 1 month after an acute episode started to be more and more liquid. Now about about 1-2 times a week I have a perfect diarroea and this keeps going on already for more than 8 months. During the acute period my two very small hardly visible warts on the head became bloody and now they are quite bigger in size. During the acute period I started to have a coated tongue, which does not improve and continues to this day. I had HIV tests after 3,5, 6, 8, 10 months after exposure, all are negative. I have had some tender small spots in the lymphatic region in the neck and about the armpits on the chest from that period up to this time. So you can see I still have symptoms which I have never had before: sore throat with coughing (continues to this day), coated tongue, rises in body temperature, liquid stools with diarrhoea, some tiredness and weakness bringing me definitely some level down (though generally I am satisfactory). My exposure details are such. Anal sex was protected (I am on the active side), but my skin on the penis easily breaks even after small rubbing with some blood showing due to chronic fungal dermatitis. We had a lot of kisses, and there are papillomas in my throat which delay swallowing. I should explain about my fungal condition. It is chronic but spread all over the body and it is dormant. But if I rub my skin any anywhere just very little it breaks and becomes an injure. My doctor was very surprised that my fungus on the body did not disappear after many treatments with antifungals and became chronic though inactive, he said he has never seen such a case in his life. As for me I can attribute my new continuing symptoms to nothing else but HIV. Also it seems my immunity (although good enough in itself for living) is somewhat special and abnormal and can explain somewhat strange reaction of my body to HIV. Also I should say I cannot pay for PCR test, I must tell my name if I want it free, but I am terribly afraid of being disclosed. I will greatly appreciate your responses to my question what can you tell me about my case and what should I do? Can I do RNA test in your laboratory? Regards.

Testing while on PEP

Hello,

I had a sexual encounter with an HIV+ man (which I found out later). Though I was the top and we had protected sex most of the time. I rubbed my penis on his anus and teased it, and inserted it into his anus for around 10 seconds a couple of times. I also fingered his anus and went in a bit deep with a couple of fingers. I had Dyshidrotic Eczema (very small stress bumps filled with transparent fluids but no open wounds that I can recall) on my fingers at the time.
I was put on PEP on the 60th hour post exposure and have been taking the medications everyday. I'm on day 14 at the moment and have 14 more to go.
On the 11th day post exposure, I started having a sore throat, a fever of 99.8 to 100 F, congested/runny nose, sneezes, coughs and headaches. Today, these subsided minus the fever which still fluctuates between 99.5 and 100 F.
I'm really worried about my HIV status. My question is: are there any sorts of HIV tests that I can take while being on PEP that can tell me about my status? Or do I need to finish all 28-days of PEP to get tested via 4th gen HIV test or RNA test?

Thank you for your help.

ARS symptoms after PEP

6 weeks after l finished pep l developed flu-like symptoms such as intermittent fever(37.4'C) for a few days and feel fatigue till now.
My question is:
1) Can pep failed to protected me from hiv and l just have an ars?
2) Can intermittent low-grade fever is include in ars?

PS.l test negative immediately after finished pep.

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