Hi Rick, I am hoping that you will response to my question because this
situation is driving me crazy. I had protected sex with a prostitute for
30 seconds until it finally dawned on me that I was not doing the right
thing. 5 seconds after I ejaculated, I put on my underwear and went to
the bathroom to do the cleaning. I checked the condom and it was still
on and safe. However, what scared me was that vaginal fluids (residue)
that was left on the condom might have been possibly transferred to my
underwear and again back to my penis when I eventually pulled my pants
up. I made sure that I washed my penis in the meanwhile. (I also had
shaved my penis area couple days before the incident). Anyway, I took
home tests at 16 and 28 weeks and both came out to be Negative. Do you
think that I am still at risk? And, Do you think that I should also be
tested for HIV2 since the test only was for HIV1? Where are the places
someone can get tested for both? I want to be sure that I don't have any
type of HIV. Please help me. Thanks for your time and keep up the good
Hi. Thank you for your questions.
If a person tests negative for HIV-1, and it's been more than 6 months after
a possible exposure to the virus, the tests are more than 99% accurate, as
good as any test in medicine could ever be. If you tested negative at 28
weeks (7 months), this would indicate, with more than 99% accuracy, that you
are not infected with HIV-1.
As far as HIV-2 is concerned, this virus is only rarely found outside of
Western Africa. This is a separate virus from HIV-1 (not a strain of HIV-1).
Both HIV-1 and HIV-2 cause the same disease, and are transmitted the same
way. The only people who would be at risk for HIV-2 would be West Africans,
and sex/needle sharing partners of West Africans. In the United States, as
of June 30, 1995, there were only 62 reported cases of HIV-2 infection. This
compares to the estimated 650,000-900,000 cases of HIV-1 in the USA. The
vast majority of these 62 cases were in West Africans, or persons having sex
or sharing needles with West Africans. The only routine testing for HIV-2 is
in the blood supply. However, DO NOT DONATE BLOOD TO BE TESTED FOR HIV-2!
If you have been at risk for HIV-2 (as described above), discuss this with
your physician, who can then order an HIV-2 test, if it's necessary. Because
HIV-2 is so rare outside of Western Africa, most testing clinics do not do
HIV-2 testing. Home tests are also limited to HIV-1 testing only. But a
physician can specially order the test if the need is there. However, if
you didn't have a West African connection, you would not be considered at
risk for HIV-2.
If you have any further questions please e-mail me at "firstname.lastname@example.org" or call me at 1-800-842-AIDS.