Anonymous
Hi Dr,

I am a 39 yo man. I had unprotected oral sex with a man who I allowed to ejaculate in my mouth. I didn't swallow but I know I exposed myself to a very big risk. 4 weeks after exposure, I had swollwen lymph nodes under my armpit, my throat and groins. Unfortunately, approx. 10 days after exposure, I also had sex with my wife, protected vaginal but unprotected oral, I didn't ejaculate but she might have received precum from me.

At 31 days post-exposure, I had a so called "duo" test. The results were:
p24 antigen 0.00 (negative)
hiv 1/2 ab/ag antibody 0.07 (negative <0.25)

This was encouraging but still me and my wife has swollen lymph nodes and a bit fatigue.

Can you please comment on my situation?

Thanks in advance.
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Anonymous
Hi there and thank you for reaching out to AIDS Vancouver with your question! We're happy to help.

Receiving oral sex is actually considered a negligible risk: while it is theoretically possible to acquire HIV in this scenario, there has never been a confirmed report.

Here in Canada, all tests are considered conclusive 3 months after your original exposure. Therefore, in order to obtain a conclusive result, you must re-test again at 12 weeks (3 months). However, the 4th Generation "Duo" test is a very accurate and reliable test, and many HIV specialists consider this test conclusive at 6 weeks. That being said, since AIDS Vancouver adheres to official Canadian guidelines, the test is still considered conclusive at 3 months.

I also wanted to briefly address your symptoms. There are no specific symptoms of HIV. In fact, certain individuals may never develop symptoms, and for those who do, most symptoms will go away after a few days, or at most, a couple of weeks. This is why the only way to diagnose HIV is to get tested. Because HIV symptoms mirror so many other viral infections or can be explained by other things, we do not go by symptoms here at AIDS Vancouver.

I hope I have answered your questions, and feel free to contact us with any further concerns.

Regards,

Sierra, Helpline Volunteer

AIDS Vancouver Online Helpline

helpline.aidsvancouver.org

Private & Confidential
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