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sicksarf
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worried sick....
#270215 - 01/16/13 11:20 AM
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i had sex with a gay masseuse escort about a month ago. he was the third one i had ever been with, and i had assumed that he would use a condom like the others before. to my utter shock, he had already lubed up, flipped me over and proceeded to penetrate me bareback right after the massage. i resisted as i could not take the pain and wasn't comfortable with him doing it without a condom and told him to stop. he attempted to penetrate again but finally obliged and we eventually climaxed through frottage. there was no bleeding or tears on my anus so i did not worry too much then.
it has been about 7 weeks but i keep getting this panic attack the moment i get a sneeze or watery stools. i've not experienced any fever or nausea so far. should i still be worrying so much?
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crabman
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While he didn't penetrate for long or far, it does sound with the pain that there must have been some. That is a risk for HIV.
At 7 weeks you would have already been through seroconversion. Most people that become infected test positive by 6 weeks. I would suggest you get a test.
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ashler1977
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Quote:
it has been about 7 weeks but i keep getting this panic attack the moment i get a sneeze or watery stools. i've not experienced any fever or nausea so far. should i still be worrying so much?
a person must test because of a risk, regardless of the symptoms. if you had unprotected anal sex, there was a risk, and you must test for HIV. as crabman says, a test 6 weeks post incident will be very accurate, but it must be confirmed with a test +3 months post incident. since this was a brief, and single exposure, we expect you to come out of this OK.
in general, a sexually active adult should be tested for HIV and other STIs at least once per year.
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Oral sex and HIV transmission http://goo.gl/x2kV1
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sicksarf
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i have gone for the test 44 days after exposure and the test came out negative.
i am actually still freaking out because i am on a course of immunosuppressant and am worried about false negatives and much worse, i had sex with my wife one week after the encounter and she has missed her period. two pregnancy test have turned up negative. do infected females miss their periods as a symptom??
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ashler1977
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Quote:
i have gone for the test 44 days after exposure and the test came out negative.
i am actually still freaking out because i am on a course of immunosuppressant and am worried about false negatives and much worse, i had sex with my wife one week after the encounter and she has missed her period. two pregnancy test have turned up negative. do infected females miss their periods as a symptom??
no, 'missing a period' is not an HIV symptom.
please protect your wife by using condoms and/or abstain from sex until your window period passes. and no, the only thing that could alter a result would be ARVs (HIV antiretroviral drugs) not "immunosuppressant" drugs.
since your test was negative at 6 weeks it's very likely you're negative, but you must confirm this result with a 3 months test.
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Oral sex and HIV transmission http://goo.gl/x2kV1
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sicksarf
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thanks for your prompt replies ashler. you have no idea how much your words have put me at ease.
i brought her to the doctor for a blood test today and have to wait a few days for the results, and i'm literally shaking and crying inside if it turns out she gets infected because of my indiscretions. i certainly will carry out those preventive measures to protect her, and work on my addictions. thank you so much again.
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ashler1977
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since you tested negative at +6 weeks from exposure it would be really really rare that you would test positive later. keep that in mind 
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Oral sex and HIV transmission http://goo.gl/x2kV1
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sicksarf
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yes, i will still go for the confirmation test at the 3 month mark.
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kicker
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Hate to tell you ashler but wrong, wrong, and wrong yet again. Immunosuppressants do affect the window period for HIV testing. Yet another example of the bad, useless, and inaccurate information you like to spread around here.
Though we don't know why you stick around we do know that immunosuppressants can delay seroconversion. They are given to people who have had a organ transplant and to people with certain genetic autoimmune illnesses. Both of which fall into the 1% that need to start testing at three months and again at six. Simple steroids such as prednisone don't fall under this nor does any steroid.
Since we don't know what exact medication or what it's for it's better to tell this person who mentioned immunosuppressive drugs that testing with an OTC or finger prick test isn't their best option. The cheapest yes but not the best. Here is where you would suggest a pcr test. (Not all the other times you have suggested over the top "classic blood" draws.)
A RNA pcr test will spot HIV before an antibody test would with certain types of immunosuppressants. That is this persons best option.
I am not asking what meds they are on and for what reason because its none of my business and this is something they need to discuss with their dr. Not a lab tech or someone online.
So as far as the original poster not out of the woods yet. Go see your dr explain to them you had penatrative sex with a person of unknown status and that you have no idea if they ejaculated or not. (Trust me when I say some guys cum the moment they insert without all the hoopla of doing anything. Especially if there was a lot of anticipation before hand which would be the case this time cause of the massage before hand.)
To the original poster again, don't care what drugs you are on or why this is something to talk to your prescribing dr about. He/she will have the best knowledge as to whether or not you fall into the longer testing period.
Oh and last I checked homosexuality isn't an addiction or a mental disorder. Though lying to your wife and cheating on her has been shown to be caused by mental disorders and just being a douche bag in general.
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ashler1977
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Quote:
Hate to tell you ashler but wrong, wrong, and wrong yet again. Immunosuppressants do affect the window period for HIV testing. Yet another example of the bad, useless, and inaccurate information you like to spread around here
did you have a bad day, kicker? I think someone else is spreading bad, useless, and inaccurate information here: There's nothing certain about the window period and Immunosuppressants. see below:
http://www.thebody.com/Forums/AIDS/Resistance/Q137492.html?ic=2003
http://www.thebody.com/Forums/AIDS/Labs/Q6471.html?ic=2003
http://www.thebody.com/Forums/AIDS/SideEffects/Q185874.html
"The type of immune suppression that may prevent the development of antibodies to HIV (and thus lead to a false negative test result) is prolonged and due to systemic illness affecting the immune system or some potent systemic immunosuppressant". I don't think this is the case of the original poster.
however, it's well known that people who had an exposure and followed a 1-month treatment with ARVs (PEP) should test 3 months after the last dose of PEP (which would extend the window period to 4 months from exposure)
if you have any doubts, ask your doctor.
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Oral sex and HIV transmission http://goo.gl/x2kV1
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kicker
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Nope Ashlee not a bad day just don't particularly like your crap. Since you like to quote read your quote again.
"The type of immune suppression that may prevent the development of antibodies to HIV (and thus lead to a false negative test result) is prolonged and due to systemic illness affecting the immune system or some potent systemic immunosuppressant". I don't think this is the case of the original poster. "
That last sentence you don't think couldn't be more spot on. Did you ask what the immunosuppressants are for or how long he has been taking them. What? You didn't? Well then your guessing uneducated. Isn't you that prescribes being way overly cautious? Can't have it both ways. Can't be overly cautious with very low risk oral sex and fling something that could be potentially a extreme risk like anal sex out the window especially when you DON'T KNOW.
I think you should check with your dr for mental defects. I'm sure they are there. You've proven it over and over again. Every time you post people here that actually know something and don't rely on message boards and finding vague papers that are cherry picked to fit your ideas, have issue with it. Why?
Because you spread false information whether on purpose or worse yet cause you're not educated enough to understand but want to pretend you do. I think it's more a combo of both. Stupidity and fear.
You know it's been a while since your last test don't you think you should run out and get one? Leave the forum for those that don't fear HIV and have accurate knowledge and don't make guesses based on unknown factors.
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sicksarf
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i have no idea about the history between the two of you and i honestly could not care less.
at this point, all i'm concerned about is whether my wife's late period is related to this and just want to know whether possible hiv infection can be eliminated from the long laundry list of reasons. it would make me infinitely happier that i had to face this alone rather than drag her into this.
judge all you want on my infidelity but please reread my post again before going into attack mode. i certainly did not say homosexuality, mine or otherwise, was an addiction or mental disorder. i was talking about my own addictions to risky sexual encounters with escorts which i definitely want to address and stop. if you have a genuine beef with ashler, take it up with a mod or admin instead of taking out your aggression on people who are freaked out of their minds dealing with hiv for the first time in their lives and wish to know more.
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crabman
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People that are in the process of chemotherapy for Cancer or taking other drugs to suppress the immune system, such as for organ transplants or a chronic health issue should test out to 6 months. They are the only group that still needs the additional window time frame.
As Kicker stated, a PCR is probably a better course of action in your case, but you need to discuss all this with your doctor and determine what is best for you.
Missing periods can happen for several reasons, none of them related to HIV. It is not a symptom.
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ashler1977
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Quote:
if you have a genuine beef with ashler, take it up with a mod or admin instead of taking out your aggression on people who are freaked out of their minds dealing with hiv for the first time in their lives and wish to know more
Some people tend to be particularly aggressive on forums (even without being attacked), that seems to be the case of that other user. I am reporting him with the moderator.
As for your question, you can be reassured that 'missing the period' is not an HIV symptom. To be precise, HIV has no specific symptoms, and that's why testing is necessary.
Good luck.
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Oral sex and HIV transmission http://goo.gl/x2kV1
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crabman
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Ashler,
The links you supplied actually do more to support Kicker’s position than yours. I sometimes wonder if you really read the links you post as support to your positions.
In the other post, the thread you posted from AIDSMEDS hardly was a full endorsement of your belief that oral sex is a serious risk. Seems it was more an argument, between only HIV positive individuals, about theoretical risk vs. real world risk.
As for the links you posted in this thread.
http://www.thebody.com/Forums/AIDS/Resistance/Q137492.html?ic=2003
Discusses only one particular drug. Nothing in this posts indicates that use of immunosuppressive drugs do not need to be taken into consideration when testing.
http://www.thebody.com/Forums/AIDS/Labs/Q6471.html?ic=2003 -
“We know that drugs like prednisone, azathiaprine, cyclosporine, among others, will affect the function of T cells and B cells. Both kinds of cells are required to mount an immune response to HIV.”
This response clearly indicates that certain immune suppression drugs have an effect on testing results, which is contrary to your stated position which is that only PEP will cause a false negative.
http://www.thebody.com/Forums/AIDS/SideEffects/Q185874.html -
The LW was using a cream for a short course of therapy. What he was told was that this really isn’t the type of immune suppressing drug that needs to worried about when testing for HIV.
The reply certainly did not say that ALL immune suppression drugs don’t alter the test results. Just that the use of this topical cream is not a concern.
Now for a couple of other links discussing this topic.
http://www.thebody.com/Forums/AIDS/SafeSex/Q205821.html
“Demonstrating that a specific immunosuppressive drug at a specific dose for a specific disease within a specific patient affects the production of anti-HIV antibodies to a level sufficient to alter the result of a specific HIV-antibody test that relies on detectable levels of a specific antibody in the blood is obviously extremely difficult to document, due to the number of confounding variables. Is it possible? Yes. Even your guy states it's "theoretical." I believe it's more than theoretical; however, it's very difficult to ‘document’.”
Certainly much more difficult to document than a 10 year study of serodiscordant couples and unprotected oral sex.
http://www.uphs.upenn.edu/bugdrug/antibiotic_manual/HIVtesting.htm
“Patients who don't make antibody, due to immunosuppression or intrinsic humoral immune defects, may have negative assays.”
Again it has been long recognized that in certain instances medications of this type may have an impact on the results of an antibody test.
...and this one which basically says this particular drug shows it inhibits HIV, thus then the antibody response.
http://www.pnas.org/content/89/17/8351.short
You might want to also check out all the article links at the bottom of this article.
Edited by crabman (01/20/13 12:37 PM)
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