apollo
  • male
  • 25 Years
  • 29/01/2025

Hey, so about 12 weeks ago, I had a lip kiss with a prostitute, and now I'm really worried about HIV. I'm thinking about getting tested and I've heard about the combo test and maybe a Western Blot or an HIV PCR RNA test. Can you tell me which is the best option for someone in my situation?

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Dr. Ranjith Suggests...

Consult a Infectious Disease specialist

Answered 25/07/2025

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  1. Understanding HIV Transmission Risk from Lip Kissing

    • HIV is primarily transmitted through blood, semen, vaginal fluids, and breast milk. The risk from lip kissing alone is extremely low unless there are open sores or bleeding gums.
  2. Overview of HIV Testing Options

    • Combo (4th Generation) Test: Detects both HIV antibodies and antigens, effective from 2-4 weeks post-exposure.
    • HIV PCR RNA Test: Detects the virus itself, useful from 9-11 days post-exposure.
    • Western Blot: Used to confirm HIV diagnosis after initial positive results.
  3. Recommended HIV Testing Timeline

    • For accurate results, the Combo test is recommended at 12 weeks post-exposure.
  4. Best HIV Test for Your Situation

    • The Combo (4th generation) test is generally preferred for screening at 12 weeks post-exposure due to its accuracy.
  5. Next Steps and Medical Advice

    • Consult a healthcare provider for testing and counseling. The risk from your described exposure is very low, but testing can provide peace of mind.

Recommended next steps

Consult a Infectious Disease specialist or Take a HIV PCR Test Test

Answered 20/08/2025

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I recently had a brief encounter with a sex worker and made sure to use a condom, but now Im really anxious about the risk of getting HIV. Ive been reading up a lot online, and to be honest, it's making me pretty scared and down. The thing is, the encounter was really short, like about 2 minutes, and I didnt feel much. While removing the condom, I think I mightve done it wrong by pulling it from the base up. When I checked afterward, my penis was dry and there wasnt any noticeable liquid on my hands. Im worriedcould I still be at risk for HIV?

The risk of HIV transmission in this scenario is low, especially since you used a condom. However, to further reduce the risk, you can consider taking Post-Exposure Prophylaxis (PEP) within 72 hours of the exposure. PEP involves taking a combination of antiretroviral drugs for 28 days. I recommend you consult a healthcare provider for a proper assessment and prescription of PEP.

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I'm feeling quite anxious about my test results. My neutrophils are at 84, and my erythrocyte sedimentation rate is 23mmhr. I've also got a pus cell count of 5-6 hpf. The results show Salmonella typhi O and H both at 1:160, while Salmonella paratyphi A and B are negative. It says negative for dengue and malaria. My RBC count is 5.61 millioncmm, platelet count is 2.13 lakhscmm, and haemoglobin is 16.2 gdl. My WBC is at 7000 cellscumm. The doctor suggested that I get admitted, but I'm really pressed for time and can't afford to do that right now. What should I do?

Hi from the reports it seems to be like typhoid fever. The decision of admission must be taken by you and your doctor after discussion of the condition

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Doctor 1Doctor 2

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I'm really concerned about something that happened a year ago. I had an encounter with a prostitute, and during sex, the condom ripped. Although I didn't fully penetrate her, my penis did come into contact with her vagina. She assured me there was no risk, but I'm still worried. I'm not sure if she had HIV, and if there's a chance I might have contracted it. Should I consider getting an HIV test?

Considering the potential exposure to HIV, it is advisable to get tested for HIV. You can take a combination of antiretroviral drugs such as Truvada (emtricitabinetenofovir) as post-exposure prophylaxis (PEP) within 72 hours of the exposure to reduce the risk of HIV transmission. It is also recommended to get tested for HIV using a fourth-generation HIV test, which can detect both HIV antibodies and antigens. Follow up with your healthcare provider for further evaluation and management.

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Doctor 1Doctor 2

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