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Hello Doctor Exposure Was On 30/8 /18 Vaginal Fluid On

Posted on Sat, 3 Nov 2018

Question: Hello doctor

Exposure was on 30/8 /18 vaginal fluid on tip of penis after fingering in gap of 8-10 sec

Hiv duo test at 27 day negative of mine
Cbc on 23 day wbc 9000
Neutrophil 6900
Lymphocytes 1800

Cbc on 19 day wbc 7800
Neutrophils 5800
Lymp 1600

Even the girl tested negative on duo test after on 7 day of my exposure with normal cbc

3 day before my exposure with my friend she had sex with guy unprotected later he tested positive after 1 week

Here is my question
1) will wbc go up or down in acute hiv
2) do i need to worry for hiv
3) protected sex only finger transmission of fluid

Answered by Dr. Sunil Jangid (1 hour later)

Brief Answer:
The risk of HIV is very unlikely.

Detailed Answer:
Dear XXXXXXX

Welcome to HCM.

If you had protected sex with touching of vaginal fluid on tip of penis than there is no risk of HIV. The WBC count variation is usual but not specific for HIV and the Duos test after 27 days of exposure is also negative then you need not to worry much as the risk is very unlikely in your case. Be relaxed and get back to me again for any further query.

Thank You

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Sunil Jangid (44 minutes later)

Dear sir,

Few follow up questions

1) whats happens to wbc neutrophils and lymphocytes will it go up or down in acute hiv if u dont have symptoms

2) will wbc and lymphocytes and platelet increase after production of antibody

As per my cbc i can assure i m free from this disease

Answered by Dr. Sunil Jangid (16 minutes later)

Brief Answer:
It is not related to HIV only.

Detailed Answer:
Dear XXXXXXX

Welcome back and thanks for follow-up.

High WBC count with variations in Lymphocytes as well as Neutrophils is not only related to HIV because it might be due to some other reason also so don't get feared about HIV. Just calm down, forget about the episode and live your life normally. For any further query feel free to ask me.

Thank You

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Sunil Jangid (1 hour later)

Thanks for your valuable reply sir,

Just let know sir will wbc go down or up in acute hiv its a request sir pls rpy

And what happens to wbc when antibody formed will it rise

Follow up: Dr. Sunil Jangid (44 minutes later)

Dear doc,

Please rpy ASAP. Sorry for giving you trouble again and again

Answered by Dr. Sunil Jangid (6 minutes later)

Brief Answer:
WBC changes will occur with any infection.

Detailed Answer:
Dear XXXXXXX

Welcome to HCM once again.

The variation in WBC count is common in any type of infection whether bacterial or viral including HIV so you are true that in acute HIV infection WBC will change. Allay the fear or anxiety of having HIV and don't think much because you are not at risk.

Thank You

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Sunil Jangid (5 hours later)

Change in a scence it will go down as told in many other sites

Answered by Dr. Sunil Jangid (1 hour later)

Brief Answer:
In my knowledge WBC will be on higher side in infection.

Detailed Answer:
Dear XXXXXXX

As per my experience and knowledge WBC will be usually on higher side in case of any infection but whatever the situation is you are not at risk of HIV so avoid thinking too much and live your life normally. If still you have any question feel free to ask me again.

Thank You

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Above answer was peer-reviewed by : Dr. Vaishalee Punj