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WANTING TO HAVE BABY PLEASE HELP. ABCESS KISS
Feb 15, 2008

Hi Dr. I would greatly appreciate your help. Back in nov of 2007 I kissed a girl of unknown status. I have an abcess on my gums which will puss and bleed at times (along with all my teeth having receeding gums) I deep kissed the girl and when the weekend passed we both got cold sores (which i have gotten before). Was there a risk of getting hiv through the kiss.I'm just thinking if she had blood in her mouth and it got in my abcess or receeding gums. At 83 days post exposure i was negative on elisa and pcr dna. however my tcell count is very low around 400 which i talked to a two hematologists about, but they didn't seem too concerned. I say this being that since HIV attacks t cells to replicate if mine are low maybe i would seroconvert more than 3 or six months or that i am still "undetectable" because the virus doesn't have enough t cells to replicate to a detectable level. Then i used a public (while drunk) restroom and there was a piece of tape (that looks like it was on someones finger and looked like it had blood on) near the sink, i used the sink without thinking and i had the fresh finger cut from the rapid hiv test still open from the day before. Could I have contracted hiv this way?? I'm just thinking if there was blood on the faucet or soap dispenser and i touched it and it got in my cut??...is this possible? My girlfriend and I wanted to get tested so we could ease our minds...how confident should i be at this point? should I consider the kissing or bathroom incident another exposure risk and wait 6 or more months, or even at teh 90 day mark (a few more days) then again at 6 months.?? We would like to have a Baby now (hence no protection) and I'm not sure how I should feel at this point.should i be confident im negative??or go back at 6 months from bathroom incident?? or kissing incident??.please please help.

Response from Dr. Frascino

Hello,

Your HIV risks are negligible at best. Your negative day-83 ELISA is close to the recommended three-month window date. The nondetectable HIV PCR DNA, while not a test recommended for HIV screening, further confirms your negative status. Why were T-cell counts even ordered? That test was not indicated and now you're concerned about a result from a test that was not appropriate to order in the first place. I agree with the hematologists. HIV is not your problem. No way. No how. (The HIV PCR DNA and T-cell count should never have been ordered in my opinion.) The HIV-transmission risk from the potential blood on the faucet and soap dispenser is so remote that it's essentially nonexistent.

My advice is simple:

1. Get to a dentist and have the abscess and receding-gums problems attended to!

2. No further HIV testing is warranted.

3. Let the baby making process begin!

Be well. Stay well.

Dr. Bob



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