Anonymous
Unprotected sex for seconds & blowjob , with girl unknown status from africa , i had after 75 days -AB COBAS test- and it was Negative , i still have skin rash (arms and forehead) and lymph nodes in neck ( right side ) and red small dots on upper hips , any advices please?
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Anonymous
Hello,

Thank you for contacting the AIDS Vancouver Helpline.

First, I would like to congratulate you for taking the initiative for your health and well-being and getting yourself tested. HIV testing is the only way to know for sure if you have HIV and a negative test at 75 days is a very good sign.

For HIV transmission to occur, you need to have 3 factors. These factors are listed in the table below and I will refer back to this chart while answering your questions.

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
Receiving oral sex only has one of the factors necessary for HIV transmission and therefore, is considered a negligible risk. This means that while there is a risk due to the exchange of bodily fluids, there has never been a confirmed report of infection happening in this manner. As you can see on the table above, unprotected vaginal sex is considered a high risk activity because it has all of the factors present for HIV transmission to occur.

HIV has no clinically definable symptoms. This means that HIV symptoms vary from person to person with a common symptoms of newly infected individuals being flu-like symptoms. However, having flu like symptoms or a skin rash does not mean you have HIV. As stated above, the only way to know for sure if you have HIV is to get tested. If your symptoms continue to bother you, it may be beneficial to speak to a doctor to determine a likely cause and receive treatment if necessary.

While it is a wonderful thing that you have been tested, the BC Center for Disease Control suggests that all HIV testing be done at 84 days after your last high risk exposure for conclusive results. It is recommended that you return for testing at this time.

AIDS Vancouver recommends that all sexually active people be tested on a regular basis for all STI's, including HIV. Please feel free to contact us if you have any more questions or check this[ website](http://smartsexresource.com/) for further information.

Best Wishes,

Mary

AIDS Vancouver Helpline Volunteer
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= RISK OF HIV TRANSMISSION