Anonymous
2 months ago I received unprotected oral sex and frottage (rubbing of genital with condom) with a girl. She also bitten my lips till it was puncture but not bleeding. Few days later I brought her for blood test which got her hiv combo test negative but positive for both strains of herpes. Having symptoms like fatigue, muscle aches on the upper part of body and tender nodes (doctor couldn't identify it) which lasted until now.

Would like to ask about the reliability of the test I have done is indicative or conclusive? (Hiv combo at 2 months post exposure)

Let's say if she was still in window period which causes her result negative, her saliva should have high amount of virus right? Would the puncture on lips and contact of her saliva directly on my genital posed a higher risk of transmission?

Hope to get back from you. Million of appreciation.
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Anonymous
Hi there,

Thank you for choosing the AIDS Vancouver Helpline as your source of information.

Receiving unprotected oral sex is considered NEGLIGIBLE, as far as the risk of HIV transmission goes. This means that theoretically transmission could happen, but there has NEVER been a reported case of HIV transmission occurring this way. As far as the rubbing of genitals with a condom goes, there is NO risk of HIV transmission.

For a risk to exist, specific HIV positive fluids (vaginal/anal fluids, blood, semen) must come into direct contact with the blood stream of an HIV negative person. Two high risk activities where that is likely to occur are unprotected vaginal/anal intercourse and sharing of injection needles.

Biting of lips is similar to kissing; there is no risk of HIV transmission. Even if your lips were punctured, given that you were not bleeding, you were at no risk of acquiring HIV. Furthermore, the human saliva inhibits the growth of HIV. By default, as far as saliva is concerned and your question about saliva and transmission goes, you are not at risk. Human saliva is not a body fluid that transmits HIV from one person to another.

When it comes to your symptoms, the only comment we have is that there are no clinical symptoms associated with HIV. This means that no consistent physical symptoms have been observed among people with HIV. With that being said, some infected individuals do experience a strong flu-like illness 2-3 weeks post exposure, and this last for about 8-10 days. However, some infected individuals experience no symptoms at all.

The HIV COMBO/DUO test produces highly accurate results at 6 weeks post possible exposure. These results are more than 95% accurate. With that being said, the World Health Organization's guidelines for HIV testing indicate that tests are all conclusive at 12 weeks post possible exposure. Given that you got tested at approximately 8 weeks post possible exposure, it is very unlikely that your test results will change, if you were to get retested at 12 weeks.

None of the activities you have described puts you at a high risk of acquiring HIV. You may find the following site to be helpful: [Smart Sex Resource](http://smartsexresource.com/)

In health,

Moe, AIDS Vancouver Helpline Volunteer.
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