hii there..i had oral sex unprotected,im a man and received oral from Female sex workers about one minutes I ejaculation and and I got home...im very scared...in 2 days im had a symptoms...nausea and tire.If symptoms appear as soon as it?can i test in 2 weeks with 4th generation/duo test??What fear i make all symptoms out ?If there is little blood in her mouth is saliva can kill the virus itself ??but I don't see the blood.thank you.
Hello and thank you for using the AIDS Vancouver Helpline as your source of HIV/AIDS related information.
Before addressing your question, I would just like to say that who you have a sexual encounter with (regardless of age, gender, occupation, ethnicity, sexual preference, etc) does not matter, rather the activities you engage in determine the risk of an HIV transmission (unprotected anal/vaginal intercourse).
First off, receiving oral sex is considered a negligible risk. This means we can theoretically make a case for transmission to occur in this fashion, but there has never there been a reported case of transmission happening in this way. And as you mentioned, saliva contains an enzyme which in fact inhibits HIV from entering and living in the mouth although it does not “kill” the virus. Also, saliva is generally not a fluid that can pass HIV so to be exposed, her HIV+ fluids (blood or vaginal fluids) would need direct access to your blood stream. This is extremely unlikely when receiving oral sex.
When considering this activity alone, testing is not essential due to it being a negligible risk, however seeing that you are sexually active, testing is always a valuable practice to consider as it is the only way to find out one’s HIV status. You have mentioned that you are experiencing symptoms such as nausea and tiredness after your possible exposure, however, even if HIV was recently acquired, symptoms usually present themselves 2-6 weeks after an infection, sometimes not at all, and tend to mirror the symptoms of other viral infections such as the flu. Therefore we discourage people from attempting to rely on their symptoms to diagnose an HIV infection. Rather, receiving an HIV test is the only way an infection can most accurately be determined. I do encourage you though to seek help from a medical or health care professional you trust if the symptoms you experience continue to persist or you feel the need to diagnose and correctly address them.
In regards to a 4th Generation EIA/ DUO test, this test detects both the antibodies (the chemicals produced by your body in response to an HIV infection) and the P24 antigens (a protein produced by the virus itself). Because P24 protein antigens are detectable immediately after infection, this test is reliable quite early on. In fact, most medical professionals agree that this test is conclusive at 6 weeks but international testing guidelines state that results are only considered conclusive at or after 12 weeks (84 days). However, the result you get prior to the 12 week mark is a good indicator of your status and in most circumstances will not change.
Hopefully you find this information helpful.
If you have any further questions and/or concerns, please feel free to call/email us.
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