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What Are The Chances Of HIV After An Oral Sex Encounter?

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Posted on Wed, 14 Jan 2015
Question: Hi there I am a 22 year old straight female. Between 2008 and 2011 I had 5 partners I had unprotected sex with. I took an oraquick oral swab test in September of 2012 which came out negative. I had a random encounter where I had oral to a guy I met at a night club in April of 2013 but I dont take that too seriously considering oral sex is low risk for HIV. After that I started seeing my new boyfriend April of 2014 and I noticed In late May into early XXXXXXX of 2014 I seemed to have developed a gray spot on my gums and gum pain with receding gums and some ulceration. I obviously have developed gingivitis out of no where which I believe is to be trench mouth (acute necrotizing ulcerative gingivitis). Because my gums hurt from time to time and ive looked up pictures on google and it looks similiar. I broke up with my then boyfriend late July 2014. In late November I developed dry mouth, dry eyes, dry itchy skin flakey skin, white coated tongue and extreme fatigue for a few weeks and some diarrhea and sometimes constipation. Now weeks later I have ear rumbling and ear aches and stiff neck and gum pain probably due to the trench mouth. I have been so stressed I have not been able to sleep or focus I just keep crying thinking I am infected. On December 8th almost 5 months after my last exposure I took an oraquick swab test and the result was negative. I wanted to be on the safe side so I took another test 1 week later and it was also negative. Between the gingival problems and my body going haywire I do not know if i should trust this test. How accurate is oraquick months after a exposure? I also read somewhere that in late stage HIV that antibodies may not show up on rapid tests. I am starting to think maybe I could of had HIV for years and the first test from 2012 could be wrong. Could I be in late stage HIV and not know it? Could I be confident that I am HIV negative? I am scheduled for a blood test tomorrow and I am extremely nervous I do not know what to expect. Are my symptoms HIV/AIDs specific? I read horror stories where the same thing happened to people after testing negative with oraquick at 5 and 6 months they tested positive on blood tests. I also read a story where a girl had acute necrotizing gingivitis months after sleeping with her HIV positive boyfriend and she ended up testing positive as well. Im at a loss I am going in for blood work tomorrow and I am terrified.
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Answered by Dr. Sankaranantham Murugan (27 minutes later)
Brief Answer:
Negative Oraquick ruled out the possibility of HIV.

Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
Oral sex carries a low risk for HIV, whereas sex with multiple partners has a increased risk. Negative Oraquick twice, that too, 5 months after the last high risk activity highly reliable and very much ruled out the possibility of HIV infection in you. Your symptoms not necessarily related to HIV at all. Consult a dentist and get well soon.
HIV has its manifestations only after 5-7 years and becomes advanced after 10-12 years if not diagnosed and got treated. With the treatment nowadays no one goes for AIDS terminal stage and likely to die on non-AIDS cause. Only in terminal stages there is a least possibility of absence of antibodies in HIV disease and you could not be definitely reach a stage of HIV. The symptoms of terminal stage with AIDS defining diseases are extremely different. So you need not worry and your blood test would confirm that you are free from HIV. Try to have safe sex in future.
Dr S.Murugan
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sankaranantham Murugan

HIV AIDS Specialist

Practicing since :1974

Answered : 3110 Questions

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What Are The Chances Of HIV After An Oral Sex Encounter?

Brief Answer: Negative Oraquick ruled out the possibility of HIV. Detailed Answer: Hi, Welcome to HCM. Thanks for posting your query. Oral sex carries a low risk for HIV, whereas sex with multiple partners has a increased risk. Negative Oraquick twice, that too, 5 months after the last high risk activity highly reliable and very much ruled out the possibility of HIV infection in you. Your symptoms not necessarily related to HIV at all. Consult a dentist and get well soon. HIV has its manifestations only after 5-7 years and becomes advanced after 10-12 years if not diagnosed and got treated. With the treatment nowadays no one goes for AIDS terminal stage and likely to die on non-AIDS cause. Only in terminal stages there is a least possibility of absence of antibodies in HIV disease and you could not be definitely reach a stage of HIV. The symptoms of terminal stage with AIDS defining diseases are extremely different. So you need not worry and your blood test would confirm that you are free from HIV. Try to have safe sex in future. Dr S.Murugan