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How Soon Can HIV Infection Be Detected After Exposure?
Hello everyone, hello doctors,
I know that what I am going to write is something you have probably heard about, but I am still to worried from what happened to me and I really need some professionals to answer to my doubts.
But I have first to write some forewords.
First of all, I have to confess that I am an Italian 25 years old boy so my English will not be perfect, but I hope I will be clear enough. I am currently living in Paris where I am working a trainee in an architecture studio. Although my choice to move abroad I am a chronic anxious person under a psychiatric therapy.
On the 14th April I went to a gay club. I was drunk and I did oral unprotected sex with 5 different strangers. I was sober enough to remember exactly what I did and there was no ejaculation in my mouth. That night I wasn’t sure about the risks that oral unprotected sex involves, till the day after I woke up somehow worried about what I did. I did some researches on Internet and I realised the real risk I was running and I quickly went to a hospital where I received a PEP treatment for 4 days. The exact drugs were truvada norvir prezista. The fourth day I met a specialist which provided me a therapy for other 25 days (29 in total).
And here comes the first answer: How much am I in risk of contracting the HIV? I know that the risk of oral sex is really low. Can I be sure to have really minimised it after my PEP therapy?
Unfortunately my story hasn’t finished yet. The 13th May (ironically my last day of PEP) I had a very bad accident in Paris. while I was walking and minding my own business, I have been hit by an anarchist, who broke my nose gave my other wounds. I bled a lot. And After that Accident I decided to come back to my home town, where I received a surgery for my nose on Wednesday 17th May.
So the second question: Do you think that the accident I received and the surgery could have somehow compromised the efficiency of my PEP therapy?
Last but not least: is there any HIV test which can give me a quick answer?
I am really feeling anxious, depressed and lost about my lately experiences and the wait till August to know if I am HIV positive or not is really struggling me.
Thank you in advance for your help
I know that what I am going to write is something you have probably heard about, but I am still to worried from what happened to me and I really need some professionals to answer to my doubts.
But I have first to write some forewords.
First of all, I have to confess that I am an Italian 25 years old boy so my English will not be perfect, but I hope I will be clear enough. I am currently living in Paris where I am working a trainee in an architecture studio. Although my choice to move abroad I am a chronic anxious person under a psychiatric therapy.
On the 14th April I went to a gay club. I was drunk and I did oral unprotected sex with 5 different strangers. I was sober enough to remember exactly what I did and there was no ejaculation in my mouth. That night I wasn’t sure about the risks that oral unprotected sex involves, till the day after I woke up somehow worried about what I did. I did some researches on Internet and I realised the real risk I was running and I quickly went to a hospital where I received a PEP treatment for 4 days. The exact drugs were truvada norvir prezista. The fourth day I met a specialist which provided me a therapy for other 25 days (29 in total).
And here comes the first answer: How much am I in risk of contracting the HIV? I know that the risk of oral sex is really low. Can I be sure to have really minimised it after my PEP therapy?
Unfortunately my story hasn’t finished yet. The 13th May (ironically my last day of PEP) I had a very bad accident in Paris. while I was walking and minding my own business, I have been hit by an anarchist, who broke my nose gave my other wounds. I bled a lot. And After that Accident I decided to come back to my home town, where I received a surgery for my nose on Wednesday 17th May.
So the second question: Do you think that the accident I received and the surgery could have somehow compromised the efficiency of my PEP therapy?
Last but not least: is there any HIV test which can give me a quick answer?
I am really feeling anxious, depressed and lost about my lately experiences and the wait till August to know if I am HIV positive or not is really struggling me.
Thank you in advance for your help
Mon, 12 Jun 2017
Hello,
First of all I'd like to tell you that oral sex comes under minimal risk for transmission of HIV. Since you were giving oral intercourse so the risk is very low because saliva is not a good medium for survival of HIV virus. If you had no active bleeding lesions in throat or oral cavity then the risk further reduces. So, far zero or very minimum cases have been found who got HIV by oral sex. So you can remain relaxed.
You have taken PEP for 4 weeks and this also reduces any risk of getting HIV. In my opinion there was no need to start PEP but since you were in gay club so they started PEP. I don't think you will develop HIV. You got surgery and accident after the PEP so this didn't affect the potency of PEP. There were no effects of surgery on potency and efficiency of PEP.
You got exposure on April 14 and around 8 weeks passed after exposure. You can go for HIV rapid test (antigen antibody duo). The test has almost 95% sensitivity at around 4 weeks. At 8 weeks the sensitivity is around 98%. So you can go for this test. As per guidelines if HIV duo comes negative at 12 weeks then no further testing is advised.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Seikhoo Bishnoi
First of all I'd like to tell you that oral sex comes under minimal risk for transmission of HIV. Since you were giving oral intercourse so the risk is very low because saliva is not a good medium for survival of HIV virus. If you had no active bleeding lesions in throat or oral cavity then the risk further reduces. So, far zero or very minimum cases have been found who got HIV by oral sex. So you can remain relaxed.
You have taken PEP for 4 weeks and this also reduces any risk of getting HIV. In my opinion there was no need to start PEP but since you were in gay club so they started PEP. I don't think you will develop HIV. You got surgery and accident after the PEP so this didn't affect the potency of PEP. There were no effects of surgery on potency and efficiency of PEP.
You got exposure on April 14 and around 8 weeks passed after exposure. You can go for HIV rapid test (antigen antibody duo). The test has almost 95% sensitivity at around 4 weeks. At 8 weeks the sensitivity is around 98%. So you can go for this test. As per guidelines if HIV duo comes negative at 12 weeks then no further testing is advised.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Seikhoo Bishnoi
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