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very confused and concerned help me plz

Question: 

Hello I think I was at risk for high expoure to hiv.. I was visiting my family members in Africa the west part and I meet this girl who I now suspect is a sex worker.. we kissed and foreplay.. she performed oral sex on me for like 2 min.. but before having sex she rubbed my penis on her virgina for like a good min but with no penetration we used a condom after but I do think i had her fluid on me when she was rubbing my penis in the beginning .. I went back to the usa because I was scared and I took a hiv antibody test at 3 weeks negative and at 7 weeks also negative after my exposure but at 8.5 week I had a fever for a couple days with me sweating at night and a little diarrhea that lasted a couple of days the sweating to me was do to the fever i got because i was on my vacation in the Jerusalem and change of whether it went away with medicine.. it been 4 .5 months and I am still scared.. I feel fine i have not got sick since i feel strong and also put on 15 pounds of weight.. they say 6- 8 is conclusive should I go back and do another one..

Answer: 

Hello and thanks for reaching out to the AIDS Vancouver Helpline.

It's great that you decided to double check the risk associated with your exposure, and the process of HIV testing you have undergone. We want to let you know that although your exposure happened in West Africa and may have involved a commercial sex worker it seems you have not acquired HIV, based on the test results you have received.

  • Carrying out an HIV antibody test at any point between 21 and 84 days post-exposure can give you an accurate result.

  • Most people get accurate test results as early as between 4 and 6 weeks post-exposure and, you have exceeded this point. You had an HIV test at 7 weeks post-exposure, so we think it is very unlikely your results would change, with no new exposures, after this point.

  • Canadian HIV testing guidelines suggest re-testing once at 12 weeks post-exposure (or later), for the most accurate (conclusive) results.

  • The activities involved in your exposure are unlikely to transmit HIV since, they do not involve a direct exchange of body fluids. This adds strength to your test results also, which seem to support that the activities you have engaged in do not usually provide the conditions required for HIV transmission to happen. Additionally, using a condom during sexual intercourse is the most reliable way to reduce the risk of HIV transmission. If a condom was used during sexual intercourse and did not break, there is no risk of acquiring HIV since it prevented the urethra in the penis from being exposed to the body fluids of your partner, or exchanging body fluids with your partner internally.

We trust this information reassures you, and have included this resource to support our answers. Thank you for contacting the AIDS Vancouver Helpline.

Sincerely,

Marta

AIDS Vancouver Volunteer

AIDS Vancouver Helpline/Online

Monday-Friday 9am-5pm (PST)

1 844 INFO-HIV (Toll free Canada & U.S.)

helpline@aidsvancouver.org

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