Assesment of HIV/STD risk from this encounter.
 

A month ago, to much of my regret, I’ve approached a street prostitute, Jalan Suka to be exact, (Doctor says they are not regulated for STD screening) for service. A quick breakdown of what had happen and what didn’t happen.

No intercourse had happened (i.e. oral, vaginal, anal), I went in with the intention of just masturbating. The only contact are as followed:

1)she sucked my nipple

2)My urethra may have came into contact with her outer vagina (possibly vaginal fluid) when my penis (uncircumcised) went limp after ejaculating. Would vaginal fluid mix with my semen at the tip of my penis and would that be a way of transmission for HIV? Or would the short 2-3s exposure of vaginal fluid to my urethra be a risk?

3)She touched my face after washing her vagina off.

4)it was a leather mattress, I’m afraid unknown fluid might be on it and came into contact with my back or butt cheeks.

I had a 4th Generation HIV Rapid test done on 35 days after the exposure. It came back negative. I hope you understand, due to my relentless anxiety, I’m having to fear over this encounter. I have no prior experience in any sexual encounter as well.

Re: Assesment of HIV/STD risk from this encounter.
 

dont be paraniod.....4Gen test after 28 days by a qualified healthcare professional is pretty much accurate and conclusive.

Re: Assesment of HIV/STD risk from this encounter.
 

That is so bad bro, now you have HIV for life, why did you do that. Im sorry bro its the end of your sex life

Re: Assesment of HIV/STD risk from this encounter.
 

The possibility of catching HIV from the encounter that you have described is extremely unlikely so if the test says you're clear it means that you are clear.

Are there any difference between a 4th Generation Rapid Test and a 4th Generation Lab test in terms of accuracy? I’ve read that Rapid test are least reliable.

I’m uncertain whether you’re joking or using sarcasm. Nevertheless, I was uninformed about certain situations and would like to learn more now and prevent further exposure (though I am certain I will not ever be approaching services like this). I don’t see how your comment would educate the uninformed, and expanding STD prevention methods and knowledge.

Thank you for the reply, due to my inexperience and first time encountering this situation, I was highly traumatised, I tried to gain more knowledge from the internet though it’s very general in terms of the situation. Any specific STD I should be concerned about as well? I’m going for a full checkup and was wondering what particular should I ask for from the doctor.

Re: Assesment of HIV/STD risk from this encounter.
 

from what i know.... they are equally good..

btw..where did u do the test?

Re: Assesment of HIV/STD risk from this encounter.
 

I would just carry on life as if nothing had happened. You're suffering from unwarranted anxiety given the situation you described.

It's like imagining that you have a brain tumor every time you get a headache. Of course it is possible but it is highly unlikely.

Re: Assesment of HIV/STD risk from this encounter.
 

found this reply from our in house doctor :)

Re: Assesment of HIV/STD risk from this encounter.
 

Thank you for the advice, I'm asking for other STDs in regards to learning that some can spread through skin to skin contact without intercourse happening. I would like to know the possibilities so I can go for checkup and ask for specific checkup to avoid passing it on to someone I care about!

Re: Assesment of HIV/STD risk from this encounter.
 

That's glad to hear, as whenever I search up Rapid Test, they don't have specific answers for 4th Generation Rapid Test. I've got my bloodtest done at Anteh Dispensary, since their open time slots are more flexible.

Re: Assesment of HIV/STD risk from this encounter.
 

What is the point of knowing all this stats?
Chances for you to get any HIV is extremely remote and i dont know why you go for HIV testing.
And most of us here already have herpes(STD) even before turning to adulthood :D:D:D

Re: Assesment of HIV/STD risk from this encounter.
 

The two common STDs that are spread via skin to skin contact are Herpes and genital warts.

These STDs are so common that almost everybody who is sexually active will catch either one or both of these infections no matter how hard you try to be absolutely safe.

Even virgins can be infected with Herpes as it can be transmitted via kissing and oral sex.

Approx 85% of the adult population are infected with either Herpes 1 or Herpes 2 or both.

So the bottom line is to live your life as you wish and if deal with any infection should it occur.

The only way to avoid STDs is to go up a mountain somewhere and become a hermit. This lifestyle does not suit most people. :)

STD includes a wide range of infections, even if it’s remote for HIV, there are chances of contracting other STDs as well. I don’t see the harm in learning more and taking the necessary precaution as well as to prevent the spread of STDs. I believe the cause of anxiety and risk to exposure of STDs is due to lack of experience/knowledge, and in hopes, a more explained answer would educated and prevent future exposure.

Thank you for the wealth of information as well as the advice. My main goal is to prevent any long-term damage by testing and (if found to have contracted STDs) getting treatment early.

Re: Assesment of HIV/STD risk from this encounter.
 

If you are sexually active just go for regular screening every 6 months.

It does not matter who you are having sex with there is always a risk even if it is with your girlfriend or wife.

Tbh I’m not sexually active at all. That was my first experience, and I highly doubt there would be any in soon as I don’t feel comfortable going to the establishment. I will do the appropriate testing for peace of mind as well as to get better knowledge of my body’s history and medical statistics. Hope everything turn out well.

If anyone else would like to chime in, I’ll be Glad to read through some more opinions!

Re: Assesment of HIV/STD risk from this encounter.
 

I am sure everything will be alright and you will be just fine :)

Re: Assesment of HIV/STD risk from this encounter.
 

Don't worry bro, I also went through the same bout of paranoia and anxiety you are going through now. I got myself tested and everything was alright. To be honest, like what the other bros here said - your anxiety will kill you before any form of STD. Moreover, from what you wrote - intercourse did not happen and your test came out negative. So, don't have to worry so much. To be honest, during the period of waiting for my results early this year I did a lot of reading on STD and when it came back negative I was relieved. 3 months later I start to cheong with protection.

Thank you for your well wishes. My test on 5th week and 6 week came back negative. I’ll have a test on the 3 month mark to insure that it’s conclusive.

Just curious and wanted to ask, how did your testing procedure went? Like how many days after exposure did you went for testing and how many times did you test?

Re: Assesment of HIV/STD risk from this encounter.
 

I didn't give a shit after a 4th gen test came out negative.

I wouldn't waste money to do another test. Only adds to the anxiety.

Re: Assesment of HIV/STD risk from this encounter.
 

It depends on when you do the 4th Generation test though, a negative 4th Generation at 3 month mark is a better confirmation than a negative 4th Generation year at week 5.

Isnt 4th gen hiv test suppose to be conclusive after 28days mark? Cause based on BAHSH statement on HIV window period in 2014, A further test at 8 weeks post-exposure need only be considered following an event assessed as carrying a high risk of infection.

But what I dun get is point of care vs lab testing is point of care result also considered conclusive? If the blood sample used on the rapid test kit is venous blood?

Re: Assesment of HIV/STD risk from this encounter.
 

It's technically 95% accurate with 4th gen test pass the 4th week. Before 4th gen test arrived, they had to do the first test at the 3rd month and then second repeated test at the 6th month for confirmation. If you want to be totally sure, you can take the a 2nd (tell the doctor) follow up 6 months later. That one is 100%. But as far as I am aware, even if you draw blood for lab testing, they will still use the rapid test kit. The blood is mostly for other forms of STD confirmation if you want to be detailed.

Also FYI for anyone with anxiety worry cause I went through the same. You can do all the test at DSC Clinic on the same day, and get an answer within an hour from the rapid test kit. The nurse will also check you for symptoms if you wanna do other test, and you can still do them even if you have no symptoms, but that need to wait a week ~ 2 weeks for result via SMS. If you do at polyclinic, you need to wait follow up a week later when you go down again and they only do HIV test, no other STD check. Price is about the same, no real point going to Polyclinic from my experience.

Re: Assesment of HIV/STD risk from this encounter.
 

It’s been almost 6 months since what had occured. My thoughts comes back to, do I need to check at the 6 months mark?

21st June (Exposure) > 28th July (4th Gen Rapid Test Negative) > 4th August (ab+ag p24 Negative)

I think you better do the test every month just to cure your anxiety