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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Early Signs And Symptoms Of HIV?

Dear Doctor,

I am from the Philippines,30yr old male.have a wife 2 kid.1 is 7yr and other is 4mon.old who still nurses at my wife.My question is this.Couple day ago i had sex with a prostitue.1st she gave me an oral till I ejaculated inside her mouth.That was with out condoms.I also did put my finger inside her vagina for a couple of min.My finger has no cuts,but have a little abrasions with I think is already dry.It the kind of the skin peel near the nails.She has no blood wath so ever.Then we had a protected sex she was on top of me.The after that I wash my body and even checked the condom if it has no leak by putting water.Please do tell me what are my chance and some advice in living with my family.I can abstain with my wife.I will have to wait 3 mons. to have an accurate hiv test her in the philippines.thank you so much.If its not to much to ask pls email me a lot of advice on how I can protect my family if they are living with me.
Mon, 22 Sep 2014
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General & Family Physician 's  Response
Hello
Oral sex and ejaculation unprotected sex:
Oral sex is a much less efficient mode of transmission of HIV. A number of studies have reported that the incidence of transmission of infection by oral sex among couples discordant for HIV is extremely low;indeed one study reported NO case among 239 men whose only risk was oral intercourse where 28 % knew that their partner was an HIV infected .


Fingering as you mentioned that there was not a cut or wound but dry abrasion was there . Transmission of HIV through intact skin has not been documented ( in your case scab was formed and skin was intact , so no chance of getting HIV infection by you.Peeling of skin near skin is not at risk.
Also protected sex with intact condom , no chance of getting HIV infection by you.
Although you are absolutely HIV infection free .
I recommend you wait for 3 months and get in P24 rapid nucleic acid amplification test for HIV infection confirmation ( however even after 2 weeks of initial infection antibodies to HIV begin to appear but get in elisa test also.After this test get in sex relation with your wife ,till wait ,this is also good for you and family.
Hope this will help you.
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What Are The Early Signs And Symptoms Of HIV?

Hello Oral sex and ejaculation unprotected sex: Oral sex is a much less efficient mode of transmission of HIV. A number of studies have reported that the incidence of transmission of infection by oral sex among couples discordant for HIV is extremely low;indeed one study reported NO case among 239 men whose only risk was oral intercourse where 28 % knew that their partner was an HIV infected . Fingering as you mentioned that there was not a cut or wound but dry abrasion was there . Transmission of HIV through intact skin has not been documented ( in your case scab was formed and skin was intact , so no chance of getting HIV infection by you.Peeling of skin near skin is not at risk. Also protected sex with intact condom , no chance of getting HIV infection by you. Although you are absolutely HIV infection free . I recommend you wait for 3 months and get in P24 rapid nucleic acid amplification test for HIV infection confirmation ( however even after 2 weeks of initial infection antibodies to HIV begin to appear but get in elisa test also.After this test get in sex relation with your wife ,till wait ,this is also good for you and family. Hope this will help you.