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Coming out of closet, but need help, HIV risk! Will make donation.

Apr 22, 2011

Hi Dr. Bob,

This was my first non-heterosexual experience and I don;t want it to be my last, but I'm scared.

I wrote to you a few days a go, but I know how many questions you must get asked. Please, I'm begging just for a moment of your time.

I had an experience with a transsexual (with penis) sex worker in Asia.

I performed oral sex on the penis(I'm almost certain protected, but can we assume unprotected for argument's sake?)for only a few seconds, with no ejaculation, and I was lightly fingered anally (not much penetration, but I did have an anal fissure). I also had a sore throat w tiny bit of blood in mucus and a week old burn in roof of my mouth (does this affect risk?)

I had three HIV DUOS at 4 weeks, 6.5 weeks, and 13.5 weeks - all NEGATIVE.

My concerns are: 1) Was there any risk of HIV or Hep C from these activities? I saw no blood on her/him, but what if the transexual had genetic material on his/her fingers when s/he fingered me? Any risk there?

2) Can Hep C really delay seroconversion past 3 months? Am I at risk of delayed seroconversion realistacally in this situation? I saw no blood or semen.

3) DO you think my results are definitive?

Thank you. God bless. I am more than happy to make a donation whether you have time to answer or not.

Sincerely, Very Worried

Response from Dr. Frascino

Hello Very Worried,

1. No risk.

2. See link to post below regarding hepatitis C. You are not at risk for delayed seroconversion.

3. Yes.

Thanks for your support of The Robert James Frascino AIDS Foundation ( It's warmly appreciated.

Your extreme worry about being HIV infected is most likely related to guilt. Obsessing about HIV is easier than dealing with more difficult issues, like sexual orientation. I would suggest you seek counseling to help with your coming out process, to address your irrational fears of HIV, and to treat your anxiety. Things can and will get better. Sex is supposed to be (and can be) fun, not anxiety provoking!

Continue to play safe and you'll stay safe, OK?

Good luck. Be well. WOO-HOO!

Dr. Bob

Severe Hypochondria on HIV/aids and ashamed of past mistake
Scared of late seroconversion

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