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Can HIV Be Contracted Through Cunnilingus And Protected Intercourse?

Posted on Mon, 22 Jun 2015

Question: Hello , i had protected intercoure 2 weeks back with fsw, but i perfomred cunnilings 7-8 times with out protection, i did not see and blood or cut on vagaina , condom was intacted after intercourse .
1)should i get tested ,
2)will HIV PCR RNA will be conculsive after 2 weeks or shall i wait for duo after 28 days ,. does HIV PCR RNA give false positive
Pls advise

Answered by Dr. Matin Ahmad Khan (1 hour later)

Brief Answer:
Answers are below

Detailed Answer:
Thanks for your question.I am Dr Matin and will be answering your question.Pl find your answers :
1.The risk of HIV in your scenario --Penetrative Oral sex(Cunnilingus) is very unlikely and your other sex (presumably vaginal) was fully protected (condom neither getting torn or slipped), so HIV test is not warranted here..
2.No it will not be conclusive after 2 weeks , any HIV test @3 months exposure can only be conclusive , but they does not apply in your case as you don[t need them.
Hope this helps.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Matin Ahmad Khan (20 minutes later)

I am very worried as I had small mouth ulcer inside the upper lip. Which I believe was not in contact while giving cunnilingus. I have read that hiv duo is conclusive after 28 days.

Answered by Dr. Matin Ahmad Khan (9 hours later)

Brief Answer:
no risk of HIV

Detailed Answer:
Thanks for a follow up question. Still my answer is that there is no risk ,but if you feel so worried then just to buy peace of mind , you can go for any HIV test as per protocol i.e one at the baseline and second at 3 months of exposure.

No I am afraid ,you have some incorrect information HIV PCR test at 28 days it picks up only 95% of positive cases (sensitivity)

Hope this helps.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Matin Ahmad Khan (2 days later)

thanks doctor , you advise has calmed me down and i am anxiety free, just wanted some information as net is flooded with so many things , wheRE they say 4 gen test reduce time say for example RNA PCR (14 DAYS )and HIV DUO (as per UK 28 days its conclusive , so some say that after 8 weeks all tests are conclusive , so can you just throw a light as what test one should order for early detection of HIV and at what duration (window) , THANKS FOR YOU REPLY

Answered by Dr. Matin Ahmad Khan (33 minutes later)

Brief Answer:
Thanks

Detailed Answer:
Thanks for your response.These tests may decrease the window period but the conclusiveness remains the same , the final test has to be done @3months.
My advice do not get into these days , and follow the standard protocol of the country.
Hope this helps.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T