Help.. situation killing me.....
Thank you for using AIDS Vancouver as your source of HIV/AIDS related information. Unprotected sex is considered a high risk activity for HIV transmission. Even if it was only for a few seconds, there is still a potential for exposure. However, it is important to note that it is activities and not people that are high risk for HIV transmission. In fact, Commercial Sex Workers (CSWs) often get tested more regularly than the general population & are also more likely to use protection properly because they want to protect themselves from you, just as much as you would like to protect yourself from them.
1)It is hard for me to say what the chances are of HIV transmission for the incident you have described because there are a number of factors to consider. First of all, for HIV transmission to occur, your partner must be HIV+. This is quite an assumption to make, especially if she specifically denied it, and provided a test to confirm her negative status. However, if she was in fact HIV+, whether or not she is on medication and/or her viral load is also an important factor to consider as they could increase or decrease the risk involved with unprotected sex. The US Centre for Disease Control have statistics that suggests that when a negative male has vaginal sex with a positive female, there is a risk factor of 5 out of 10,000 exposures. In addition, it sounds like she was using water based lubricants (which decrease the risk of condom failure) and also ensured that you used a new condom when activities between you resumed.
2) Usually someone who has recently acquired HIV will get a strong flu-like illness 2-6 weeks after infection, which will last several days. However, because HIV symptoms can mirror other viral infections, testing is the only way to really know. The flu you have experienced could be explained by other things so if you are questioning your HIV status, you may wish to consider testing at this time.
3) While HIV symptoms vary from person to person, it is not likely that the tingling in your foot is related to HIV. However, you may want to seek the advice of a physisian you trust regarding this.
4) A PCR RNA test (or NAAT test) is not the standard protocol for HIV testing in Canada. It is usually used to screen babies of HIV+ mothers or to screen blood and organ donations. However, if you are able to obtain this test, it is close to 100% accurate 2-3 weeks post-exposure. Further testing would likely not yield a different result, however, standard testing protocol suggests that an individual take an EIA test after 12 weeks post exposure in order to obtain a conclusive result.
5) The 4th generation EIA test looks for both antibodies and the P24 protein. This P24 protein is only detectable immediately after infection, while antibodies start to build up 4-12 weeks after exposure. Most specialists consider this DUO test to be conclusive at 6 weeks, however international testing guidelines still recommend a test at 12 weeks in order to yeild conclusive results.
Please feel free to contact us if you have any further questions.
The AIDS Vancouver Helpline is a volunteer-driven information, referral and support service related to HIV and sexual health. Volunteers are trained in active listening, HIV and sexual health information, and local resources and services. Volunteers are not doctors, nurses, or other licensed professionals. Volunteers do not give advice, and strive to provide service-users with adequate information and appropriate referrals.
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