Brief Answer:
HIV antibody testing / p24 antigen testing

Detailed Answer:
Hello

I am Dr.Omer and i am here to help you with your query

First of all you do-not know the HIV status of female sex provider ( commercial ) so do-not consider yourself HIV positive.

YES HIV does spread by oral route or giving oral sex if the female or male is infected with high viral load and his/her saliva comes in contact , as in your case the female is commercial sex provider this puts you in high risk category.The chances are increased if you saw blood in her saliva with abrasions on penis skin as it becomes more absorptive.

The fastest way to check Acute HIV is HIV-antibody testing (IgM , IgG ) by ELISA .IgM comes positive at 3-5 days post exposure and IgG comes positive at 11 post exposure day with RT-PCR for p24 antogen at 18 day post exposure.

These two tests are usually positive 3-7 weeks post exposure but i will recommend doing these tests in 2 weeks duration post exposure , observe yourself for fever , abdominal pain , headache and nodes enlargement in neck.

In the end i would say that HIV testing in most individuals comes negative its the anxiety and fear in the patient that they have 100% got the virus.

Hope this explains your query in detail feel free to ask any further queries.

Take care

---

Brief Answer:
2-4 weeks then the ELISA test

Detailed Answer:
Hello again

Thankyou for understanding.

Yes you are right its a mis-conception that two months are required , the actual duration for Elisa testing is 3-7 weeks meaning after two months but the new commercially made elisa STRIPS CAN DETECT BY 2-4 WEEKS.But the doctors make sure to wait for atleast a month as a negative test in first month can convert to positive test the other month.You can check the local guide lines of labaratory for minimum duration for Elisa testing.

Hope this explains your query.

Take care

---

Brief Answer:
Final Recommendation RT-PCR Quantitative

Detailed Answer:
Hello again

When any person gets HIV , initially there is only virus but no antibodies.Antibodies start to develop in a week after HIV infection.The tests for HIV by ELisa antibody testing gives alot of false positive and false negative tests.Since Elisa tests are cheap most countries follow this.

PCR for hiv is known as RT-PCR.This pcr will show us how many virus particles (viral load) are present in the patient but has low false positive results.The recommended approach in Costa Mesa is by RT-PCR for HIV.

I would strongly recommend RT-PCR for HIV as the results will be available in 3 days.A follow up RT-PCR quantitative will be required after 3 months and by comparing the two tests will easily clear you from this disease forever.

Hope the alleviates your stress , feel free to ask any further queries.

Take care.

I assure you that you had protected sex using condem and that causes HIV transmission almost ZERO.Even if she used saliva with or without blood still puts you low risk at getting this disease.But prostitute sex with condemn is also taken as risky behavior in XXXXXXX

---