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Dear Dr Bob, Please Humor Me
Jun 18, 2011

Hi-- I know you've spent years answering paranoid questions about possible HIV infection--and I am amazed by your patience... I will certainly test..but like so many others, feel the need to post my question and hopefully hear you say--the odds of infection are very, very slim..

Over the past few months, I've been a very "bad" boy-- The following were my encounters of note: *Late April, I performed oral sex and some light fingering on an African-American 20 year old female prosituting herself on an amateur level via craigslist--she performed some oral on me too.. As far as I know, I had no cuts-- though I did shave my face an hour or so before going down on her--and like everyone-- I nick myself from time to time-don't know if I did that time. She, of course, insists she believes herself to be negative--and uses condoms, she says when she has intercourse. Claims no drugs.

A man I know nothing about performed oral sex on me. I ejaculated in his mouth.. I think he may have brielfy deep throated me, not sure. Asked his status beforehand, he claimed negative.

Another man who is married and claimed to be disease-free, perofrmed oral sex on me--some deep throating-- i did not ejaculate on him-- He fingered my ass a little.. I know of no cuts or sores...

At a swinger's party, I had protected/condom vaginal sex with a married woman who was swinging-- I also performed unprotected oral on her--and she did the same a little bit to me

I received a handjob from a prostitute and licked her clit gently for about 5 seconds.

So I did not have any unprotected vaginal or anal sex... I'm especially nervous about the odds of HIV from licking the afr-american amateur prostittue's vagina--and being sucked off by two men--and ass fingered a bit by another [no bleeding that I know of]-- These are pretty low risk for HIV though--right ? HOwever, foolish they may have been..

Most recent episode was 6-8 weeks ago...I'm taking elisa and an early screening PCR (letters correct?) test next week... If* I had a seroconversion- it would've been a coupel of weeks ago-- I felt generally ill for 2-3 weeks.. but main symptom was EXTREMELY dry mouth especially at night...head congestion... some runny nose/nasal drip... but this also coincided with itchy eyes...some wheezing...and what I normally would know as seasonal allergies-- though they seemed long-lasting and severe [then again I was traveling to new climates alot too]... Please reassure me that statistically, you honestly believe my odds of being HIV r infected R microscopic!?!? I am generally healthy-- in good shape-- I do have HSV-1--and get cold sores about once a year on my face-but did not have any present at any of these encounters. Thanks for all you do, Todd

Response from Dr. Frascino

Hello, Todd.

An Afro-American amateur hooker, a random dude, a married dude, a married woman swinger and a prostitute???? Dude, you've been busier than Anthony Wiener's wiener over the past few months! That's quite a variety of bedmates. Are you doing some sort of research project? Todd, despite the impressive spectrum of partners, your HIV-acquisition risk remains very low. The statistical odds are all in your favor that you have not acquired HIV from these sexperiences.

Regarding testing, an HIV-antibody test three months after your last potential exposure remains the gold standard.

Good luck.

Dr. Bob



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