Anonymous
Hello,

I received an unprotected oral sex 3 months ago(on October 10th.)from an female masseur. I got my test 52 days(on December 1st.) after the exposure in the Aids-help Check Point in my city(I'm from Germany) and it was negative. This test was a 3. Generation Rapid Test( whole blood ) and the test material was bioMérieux VIKIA® HIV 1 / 2. bioMérieux is a company from French.
So my questions are:
1.Is unprotected passive oral sex a high-risk exposure? A test is necessary? My oral sex lasted about 10-12 Min.(I am not sure how many times pauses were there) and I didn't find any blood or wound in my penis after the oral sex(I took a shower after the oral sex and I didn't feel any pain in my penis, can I say no pain means no wound? ).I visited some forums from Germany and USA like Medhelp and Med 1. They said that unprotected passive oral sex isn't a high-risk exposure but the risk is not zero. At last they said they don't recommend a test. I want to ask that in my situation is a test necessary?In Medhelp there are many HIV experts and they all say that a test is unnecessary. I know this question is very stupid because I already had one test, but I still want to know the answer.

2.How conclusive is a whole blood 3. Generation Rapid Test after 52 days? I had a Immune System Response Test last year in August and all the test indicators(CD 3 cells, CD 4 cells and CD 8 cells ) were in normal range, which means I don't have any immune system problem. I am 24 years old and not an alcoholic, I don't use drugs.In Med 1 HIV forum from Germany they say that no immune system problem, no drugs, not an alcoholic and no recently Organ Transplantation is a 3. Generation rapid test after 8 weeks conclusive. Do you accept opinions?

3.Should I get a second test? Or can I just forget this and move on? This test on December 1. was only for this oral sex. For all the exposures before this oral sex I have already tested 3 months after exposure and all negative.

I know many questions are stupid. I had HIV Phobia once so I will never do something like unprotected vaginal sex. But I thought that oral sex safe so I have done this...

Thank you very much!
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Anonymous
Hi there and thank you for reaching out to AIDS Vancouver with your questions! We're happy to help.

Since you have asked multiple questions, I will address your concerns one by one.

1) No, your situation is not considered a high-risk exposure. Receiving oral sex is considered to be a Negligible Risk activity. This means that while it is theoretically possible to acquire HIV in this situation, there has never been a confirmed report. In terms of testing, that is completely your decision as to whether or not you think your activity would warrant a test. That being said, if this is causing you a lot of distress, then the only way to know for sure is to get tested.

2) Here in Canada, all tests are considered conclusive 3 months (12 weeks) after your most recent exposure.

3) Whether or not you should get tested again is up to you. Like I mentioned above, your risk is negligible. If you are looking for conclusive results, Canadian guidelines recommend testing again at 3 months.

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

Regards,

Sierra, Helpline Volunteer

AIDS Vancouver Helpline/Online

Monday-Friday 9am-5pm (PST)

1 844 INFO-HIV (Toll free Canada & U.S.)

helpline@aidsvancouver.org

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