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AIDS/HIV Transmission with Ulcers

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Question
Hi i am a gay guy i had an orgy with three men one of them deep kissed me and i knew he is positive and the other who is negative i had him cum in my mouth but didnt swallow his siemens or may be a little. After that i discovered i have an ulcer in my upper mouth that is bleeding slightly. I am terrified can i get HIV like that. I have deep kissed the positive guy with my ulcer for two minuites. I have no idea if he was bleeding in his mouth or not. I am scared to death. Another thing this happened 4 days ago i dont have a rash but have some sort of small pimples 4 or 5 on my forehead can this be an HIV positive symptom. I have called the HIV testing center but told me to wait two weeks and then they can do a rapid test from my gum to check on the virus, is this enough or should i do RNA test. I am terrified i cant leave home cant sleep cant do anything in my life. Please help me i have been crying and terribly worried about getting infected.

Answer
Dear Nino,

I am sorry for being late.

For the situation you have described, I think you need to get tested since there is HIV positive partner involved and you had ulcers in your mouth. There is a possibility of being infected in this scenario.

Antibody tests are inexpensive and very accurate. In this context, the HIV testing center was correct. Most people develop detectable HIV antibodies within 6 to 12 weeks of infection, although the average window period with HIV-1 antibody tests is 22 days for subtype B. The 'window period' is a term used to describe the period of time between HIV infection and the production of antibodies. During this time, an antibody test may give a ‘false negative’ result, which means the test will be negative, even though a person is infected with HIV. To avoid false negative results, antibody tests are recommended three months after potential exposure to HIV infection.

Take care of yourself.

Best regards,
Gorkey

AIDS

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Gorkey Gourab

Expertise

Social and behavioral issues related to HIV transmission, sexually transmitted infections, Human Rights issues, rights of marginalized populations, gender and sexuality, research design and analysis related social & behavioral issues, , computer assisted qualitative data analysis and data management (using ATLAS.ti, ANTHROPAC, NVivo 8)

Experience

Specialized in Medical Anthropology. Working on Social and behavioral studies related to HIV transmission as well as Human Rights issues. Specialization in gender, sexuality, masculinity, behavioral studies related to HIV transmission. Qualitative research, programmatic and M&E experience with MSM, hijra (TG), indigenous groups, female sex workers for more than 7 years.

Organizations
International Center for Diarrhoeal Disease Research, Bangladesh (icddr,b) as Manager - M&E (Qualitative) with Center for HIV and AIDS

Publications
International peer-reviewed journals & technical papers: (1) Khan, S. I., Hussain, M. I., Parveen, S., Bhuiyan, M. I., Gourab, G., & Bhuiya, A. (2009). Living on the extreme margin: Social exclusion of the hijra in Bangladesh. Journal of health, population and nutrition. (2) Khan, S. I., Hussain, M. I., Gourab, G., Parveen, S., Bhuiyan, M. I., & Sikder, J. (2008). Not to stigmatize but to humanize sexual lives of the transgender (hijra): condom chat in the AIDS era. Journal of LGBT Health Research (Special issue: issues on male sexual behaviors and HIV risk in South Asia). Working papers: (1) Khan, S. I., Gourab, G., Ahmed, T., Sarker, G. F., Chowdhury, F. K., Ghosh, S., et al. (2009). Understanding the operational dynamics and possible HIV interventions for residence-based female sex workers in two divisional cities in Bangladesh. Dhaka, Bangladesh: NASP, Save the Children USA and icddr,b. Presentations in scientific meetings and conferences: (1) Khan, S. I., Hussain, M. I., Gourab, G. & Azim, T. (2011, 16 March 2011). Use of a new approach to count and access diverse groups of hijra for scaling up HIV-preventions services in Bangladesh. Poster presented at the 13th Annual Scientific Conference (ASCON XIII), Dhaka. (2) Khan, S. I., Pasa, K., Gourab, G., & Islam, A. (2007). Indigenous populations of Bangladesh: Living with risks and vulnerabilities to STIs/HIV. 8th International Congress on AIDS in Asia and the Pacific (ICAAP). Colombo, Sri Lanka.

Education/Credentials
MSS (Anthropology), University of Rajshahi, Bangladesh

Awards and Honors
The Vanderbilt-UAB Fogarty International Center AIDS International Training and Research Program (AITRP)Scholarship for the training on HIV-AIDS related qualitative data analysis and manuscript writing (Center for Global Health, Vanderbilt University, Nashville, TN, USA)

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