Doc last question please
Jun 13, 2011
I'll copy paste my prior question and your answer first: Massage and rub (will send 50$ donation on 15th june) May 27, 2011
Hi Dr. Bob. I hope you can answer this question. I picked up a girl on a club were most of them are sex workers. She told me she has 2 sons, one who is sick so she said thats the reason she was trying to earn money this way (I think its true because the son kept ringing her phone. My plan was to just get a massage. So I brought her home. She gave me a full massage, both of us naked. I licked her tits and other parts (not cunnilinguis)nor rimming. She touched and kind of pressed my ass for a while too (not fingering per se, more like digital playing. I Also touched her asshole for a bit and masturbated myself. She masturbated me as well and was on top of me. She tried to stick my penis into her but i didnt let her. However my penis might have had contact with the outside of her vagina and maybe fluids. Im worried my urethra may have come in contact with fluids. However, no oral sex nor kissing nor any kind of coitus. The sad thing is i had just woohooed 2 days before that encounter so Im beating myself up. She did ask if I had condoms (which I did not) and I guess that could be a good sign, but when we were in the heat odf the moment she tried to stick my penis into her but it didn',t go in, was only "brushed". She also masturbated me and me too. I didnt stick anything into her, maybe a quick one second tongue contact (tongue to tongue).Please tell me there is no risk if that is in order. Would testing warranted in this instance other than to put my mind at ease? Thank you very much. After she left and I woke up depression hit me with a vengeance. I'm feeling do dedolate right now. I'll be making a 50$ donation on the 16th june (5 days after my B-day) When I get payed. I have her number though... what if I manage to get her tested, though that would be up to her of course? Or would that be unnecessary? Seriously doc do you see any matter for concern here? I really need your reassurance to go on with my life please take a minute or 2 to answer. It would mean very much to me. You've helped me a couple times andI'll never forget that. Please allow me to get my life back. Again One last question, the average for getting infected with man to woman vaginal penetration is 1 in 1500 right? Since there was not proper penetration I suppose my risk is minimal to almost non existent...Am I right? Thanks for helping us cope with our demons. What I've told you is very accurate. Can a prognosis be made regarding the facts I told you? Thanks a lot. Frosty.
Response from Dr. Frascino Hello, Frosty.
You feel "do dedolate"??? OK, if you say so.
Your HIV-acquisition risk is negligible at best. I see no cause for concern or HIV-antibody testing (aside from gaining peace of mind).
Relax, Frosty. Continue to play safe and you'll stay safe.
Thanks for your support of The Robert James Frascino AIDS Foundation (www.concertedeffort.org). It's warmly appreciated. In return I'm sending my good-luck karma that you are now and will forever be HIV free.
Good luck. Be well.
Now to my question and I hope you answer, it's all I need to keep on going:
I managed to get the prostitute tested 3 days later. She got simultaneously a P24 test (I know you don't encourage this but I did it anyway) plus a regular AB 4th generation test, both negative. I consulted a couple doctors, it is incredible the ignorance they have regarding HIV (I went to an urologist, not an infectologist, in fact I went to 2 urologists, the first one told me he knew nothing about PEP, and reffered me to another doctor (infecologist) but he did not work that day. So I went to another urologist who did know PEP existed at least but didn't know much about thew window period. I think I know more about HIV than many doctors. However I respect the fact that when they don't know about something they tell you and send you or ask someone who knows. So the second one did called a colleague who knew better and concluded it's a thing of the past and I shouldn't worry anymore. Do you agree? Please answer doc, I've submitted this question a couple times during the last 3 weeks. It's all I need to ease my mind. Thanks in advance and as promised, 50$ donation is coming after the 15th. By the way my bday is the 11th and I'd like to have a good time free of worries if possible. Best to you. To make it even simpler, you told me no risk but only take a test for peace of mind. That was before I tested the prostitute. Given what I told you would you agree I'm safe? Thanks a lot and please answer to qualm my fear. Donation coming this week as promised. Frost.
Response from Dr. Frascino
That your rub-a-dub-dub gal-pal tested HIV-antibody and p24-antigen negative is excellent news. By the way, it's not that I don't encourage p24 antigen testing. Rather, I just wanted to point out the limitations of that testing assay and how it should be appropriately utilized. (See information in the link below.)Your already very low HIV-acquisition risk is now further reduced to the extremely remote possibility that your hooker has been only very recently infected and is not yet producing detectable levels of specific anti-HIV antibodies or p24 antigen (which shows up even earlier than anti-HIV antibodies). I agree with the advice you eventually received indicating you shouldn't worry. I reiterate that the only reason to get HIV tested is for psychological peace of mind. It is not medically warranted (essentially no risk and your gal-pal tested negative).
Thanks for your support of The Robert James Frascino AIDS Foundation (www.concertedeffort.org). It's warmly appreciated.
Finally, happy birthday! As it turns out my birthday was yesterday, June 12, so I'll say happy birthday to us!
Stop worrying and start WOO-HOO-ing!
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