Anonymous
I'm male and had sex with a prostitute. I received unprotected oral sex and almost fingering vagina (contact finger with vaginal fluid) i'm worry because i bit my nail and bit my finger's skin, i sucked the woman's breasts and i had protected vaginal sex. The problem is i think i have fordyce spots, this can increase/rise the chances of hiv transmission?

i tested hiv negative with 80 and 100 days after exposure (antigen p24 and antibodies hiv1 hiv2) can i need to re-test?
the windows period can be 6 months? if i catch hepatiti or other std... the window period can increase/rise?
do i need to test for other stds? i don't see anything wrong with me until now.
I'm thinking, the test in a laboratory even in Brazil is reliable/conclusive with 84 days?
I count on you, ok? One more thing, which is the higher risk? protected sex, unprotected oral sex, suck breasts or masturbation? what is the chances in percentage? Byeee
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Anonymous
Hi there and thanks for using the AIDS Vancouver Helpline as a source for HIV/AIDS related information.

First of all, a sex worker is not necessarily at a higher risk for HIV than anyone else. Anyone can pass HIV, no matter what occupation, age, gender, ethnicity or sexual orientation. It is the activity that poses the risk.

Fordyce spots are visible sebaceous glands that are present in most individuals. They appear on the genitals and/or in the mouth. They appear as small, painless, raised, pale, red or white spots or bumps 1 to 3 mm in diameter that may appear on the scrotum, shaft of the penis or on the labia, as well as the inner surface (retromolar mucosa) and vermilion border of the lips of the face. They are not associated with any disease or illness, nor are they infectious but rather they represent a natural occurrence on the body. No treatment is therefore required, unless the individual has cosmetic concerns. Persons with this condition sometimes consult with a dermatologist because they are worried they may have a sexually transmitted disease (especially genital warts) or some form of cancer. They certainly do not transmit any Sexually Transmitted Infection, including HIV.

The HIV test you took is the 4th Generation (DUO/COMBO) test is one of the best HIV testing methods there is.Negative results at 80 and 100 days post-exposure, are conclusive and you do not have HIV. Your HIV test results would have no effect if you catch Hepatitis (A,B or C) nor would it have an effect on Sexually Transmitted Infections.

There are 4 reasons retesting at six months would be necessary:

1. Antiretroviral treatment for Hepatitis C
2. Treatments (chemotherapy) for certain caners
3. PEP treatment for HIV, and
4. Other immenodeficiency diseases, such as Crohn's disease.

Your last question on risks is as follows:

1. Protected Intercourse is a low risk.
2. Unprotected Oral Sex: Receiving is a negligible risk and giving is a low risk.
3. Sucking breasts is no risk unless there is breast milk present, then the risk is negligible.
4. Masturbation is no risk.

I'm sorry, but we have no information on percentage of chance.

I trust I have addressed your concerns, however, should further information be required, feel free to contact us again.

Jonathan,

AIDS Vancouver Helpline Volunteer

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