Anonymous
I had protected vaginal(no idea about what the condom was but it did not break) and unprotected oral with a csw 8 months ago. I tested negative at 10 weeks and 3 months in Bangladesh(ELISA 2nd gen).... Is it conclusive? I do have swollen neck now but it does not hurt
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Anonymous
Hello and thank you for contacting the AIDS Vancouver Helpline. We are happy to help answer your questions.

We are happy to tell you that the indication given by your HIV test at 3 months post-exposure can be considered conclusive (in BC). If testing guidelines in your local community differ from those we use (from the BC CDC), we suggest that you follow local guidelines since they may consider information that is specific to your region.

The activities that you engaged in during your exposure are not likely to transmit HIV, and the fact that you engaged in them with a commercial sex worker does not necessarily put you at greater risk of acquiring HIV. For a risk of HIV transmission to exist, 3/3 parts must be present in an exposure:

HIV TRANSMISSION EQUATION

BODY FLUID
+
ACTIVITY
+
DIRECT ACCESS TO BLOODSTREAM
---------- -------- ----------------------------
• blood (including menstrual) • unprotected anal or vaginal intercourse • vagina
• semen • sharing needles • anus
• pre-cum • mother to child (in specific cases) • urethra in the penis
• rectal secretions • open cuts and sores (in theory)
• vaginal fluids • other mucosal membranes
• breast milk • points of needle injection
ABOUT YOUR EXPOSURE

* the condom covered the urethra (in the penis), and prevented the exchange of bodily fluids when you engaged in protected sexual intercourse [no risk](http://helpline.aidsvancouver.org/question/risk-assessment-chart)

* saliva (spit) contains a substance (enzyme) that helps stop HIV transmission from happening when giving or receiving oral sex [negligible/low risk](http://helpline.aidsvancouver.org/question/risk-assessment-chart)

* the mouth/urethra (in the penis) does not provide direct access to the bloodstream when we are giving or receiving oral sex

So, it seems like further testing is not required for this exposure. However, we may suggest that you continue to partner with your local healthcare professional to find out how to treat the symptoms you are experiencing. Additionally, we encourage all sexually active individuals to be tested for all STIs, including HIV, regularly to maintain overall health.

This website can provide reliable information to discuss with your healthcare professional about [sexual activities, HIV, and other STIs](www.smartsexresource.com)


We trust we have answered your questions. Feel free to contact us again in the future, or call for immediate assistance with general inquiries. Thank you for using the AIDS Vancouver Helpline.

Sincerely,

Marta

AIDS Vancouver Volunteer

[AIDS Vancouver Online Helpline](www.helpline.aidsvancouver.org)


Monday to Friday 10am-4pm (PST)


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= RISK OF HIV TRANSMISSION