Anonymous
Sorry if this is hard to follow but I appreciate any feedback:

These are my exposures 7 weeks ago:

-Received a blow job from another male
-during mutual masturbation with another male, his hand may have had cum/pre-cum on it and it rubbed along a tiny cut on my hand

Exposure 1 week ago:
-I kissed another male for a few seconds after he performed oral on another male (I may have had opening in my gums from recent dental work done)

I tested negative 2 weeks ago (5 weeks after first exposure).

Symptoms-
-3 weeks from first exposure found two dry itchy/flaky patches on my upper back/shoulder area
-Over yesterday and today I've developed 2 irritated/dry feeling areas on my face (on opposite sides of my mouth but lower toward my chin line) that are full of pustules- some pop easily and others painfully
-The past month I've had overall dry skin and some pustules randomly found on my arms
-A slight drop in energy level

Should I be concerned this could be HIV?
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Anonymous
Hi,

Thanks for contacting AIDS Vancouver Helpline. I will try and answer your question as best I can.

First off receiving a blow job is a negligible risk activity. This an activity which does not have the potential for HIV transmission because while in theory it can pose a risk, however, there has never been a confirmed report.

Mutual masturbation has no risk, as well as HIV transmission. Cuts, scrapes and minor abrasions only provide a theoretical risk, meaning we have never seen a case of HIV transmission occur this way. Cuts such as these are considered superficial and bleeding outward. Thus no access to the bloodstream.

Kissing has no risk for transferring HIV. Saliva is not a fluid known to transmit HIV. It has been estimated that a person would have to drink more than a gallon of saliva to be only a theoretical risk for HIV infection. Saliva actually has an enzyme that inhibits HIV. As well as saliva and oral fluids do not contain enough of the virus to cause a potential for transmission.

You tested 5 weeks for the first post exposure. I am unclear which test you took but most people develop detectable anti-bodies 21-25 days post exposure. HIV test results are 95% detectable of infections at 4-6 weeks. The World Health Organization considers all test results conclusive at 12 weeks. It is great that you got tested but if you want conclusive tests, a test done at 12 weeks post exposure from the last activity would give you those results.


There is no way to know for sure whether you have HIV through your symptoms, as they can mirrors other viral infections. The best way to know for sure is to get tested at a health clinic that specializes in STIs. As far as your symptoms it would be best to consult a doctor who can help and discuss with you what is happening.

Thanks for contacting AIDS Vancouver Helpline, if you would like further information you can check our website at [www.aidsvancouver.org ](www.aidsvancouver.org) or give us a phone call at 604-696-4666.

Best Wishes,

Renee

AIDS Vancouver Helpline Volunteer
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