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Insertive oral + symptoms + pcr dna + 2 antibody tests

Question: 

I have read that insertive oral is low risk, 0.5/10000 per occurance on the high and potentially zero since there have been no known instances. My question do you agree with te above stats? Also I had a pcr dna at 6 weeks and 2 antibody tests at the same time. My thoughts with dna it would show positive by 28 days but it was negative or if my immune system had fought it - I would be positive at 6 weeks but it was negative. Besides HIV, what other STIs would show symptoms of myalgia, neuropathy, fever, headache, fatique, and loss of appetite? What are your thoughts on actually being negative after the negative tests but with the symptoms. Now at 9 weeks. 

Answer: 

Hi there,
Thank you for using the AIDS Vancouver Online Helpline as your source of HIV/AIDS related information.
If I understand you correctly, by saying insertive oral sex, you are referring to having received oral sex.  Receiving oral sex is consider a negligible risk activity for the transmission of HIV.  What that means is that while transmission is theoretically possible because there is an exchange of body fluids there have never been any confirmed reports due to this activity.  The risk ratios numbers that you have listed are actually quite accurate and reported by the US CDC.
HIV antibody tests have a window period of 4-12 weeks with 95% of infections being detectable within the first 4-6 weeks.  After the 12 week mark many international guidelines regard the results from these tests as conclusive.  PCR DNA tests have a considerably shorter window period at 2-3 weeks after exposure and are considered 99.6% accurate after that period of time.  Your antibody tests give you a very good indication of your status and your PCR DNA test is highly accurate at the 6 week time point.  Given the low risk of the exposure you had and the test results you’ve received, it is unlikely that your results will change at 12 weeks. But if you feel that it would give you additional peace of mind, you could choose to get tested again at that time.
Regarding your symptoms, there are no specific symptoms of an HIV infection. In fact, some people may never develop symptoms and for those that do, most of these symptoms will usually go away after a few days, or at most, a couple of weeks. Some people may develop flu-like symptoms 2-6 weeks after HIV infection.  What this means is that the only way to know your status is to get tested, which you have and you have not acquired HIV.  So hopefully you can put this incident behind you and continue on with your life.  If your symptoms persist you may want to continue to work with a health care professional to determine their cause as they could be related to other STIs or other viral infection.
Here at AIDS Vancouver we do recommend that everybody who is sexually active opt to include a regular STI checkup (including HIV) for their own safety and the safety of their partners.  This can be every 3-4 months, bi-annually, or annually depending on your preferences or needs.
Please feel free to contact us again if you have any additional questions or comments.
In Health,CameronAIDS Vancouver Helpline VolunteerE-mail: helpline@aidsvancouver.orgPhone (Mon-Fri 9am-4pm): (604) 696-4666Web: www.aidsvancouver.org/helpline

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