AIDS/hiv

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Expert: - 10/10/2011


Question
hello sir
me homosexual, and ano receptive man
i am engaged in sex with my 5 known partners since last 4 years
they are faithful(as i believe)
i suck their penis without condom and get fucked with condom only, each and every time
since these 4 years duration, i got tested for HIV 3 times, all reports were negative
but on 15th september 2011, i got fucked without condom from the most reliable partner, ya he didnt discharg his cum in my ass
but after 12 days i developed evening rise low grade fever for 2 days, and then high grade for a day, so consulted M.D. doctor, he examined me and diagnosed sever granular tonsillitis, and my hemogram shows WBC > 11,500
after taking antibiotics fever subsides within 2 days, also tonsils subsides to normal
after completion of course of antibiotics for 5 days, i have been facing low grade fever at evening time since 3-4 days
i didnt have skin rashes, no other problem, but ya, i have body ache, headache, muscular pain, no vomiting
i have some headache and low grade fever stll continue
i want to know, am i infected from HIV?
and initially when person infected which symptoms occur and how long it will persists?
please reply sir, as early as possible
thanks

Answer
Hello Man,

Let me first point out a few facts:

1. A number of studies have demonstrated that oral sex is not necessarily safe sex. Receptive oral sex or "giving a blow job" (in your case it refers to the sentence, "i suck their penis") is considered more risky because of the potential that more HIV-infected fluid will enter the body. When someone is giving a blow job, not only is there the potential exposure to semen and precome, there is also the potential exposure to blood from a penile cut, sore, or abrasion, or even from an irritated piercing.

2. Anal sex is a higher risk activity than vaginal intercourse because the thin tissues of the anus and rectum can be easily damaged.

3. "Faithful" is a very complex term, as you know. One can have multiple partners and tell each one of them that they are faithful to them.

4. Condom use to prevent HIV and STI transmission: Proper and consistent use, using it from the beginning to the end of sex act. For anal receptive individuals, the risk is higher if enough lubrication is not there ... this may lead to condom break and thus potential risk of HIV and STI transmission.

5. You had receptive anal sex without condom with the most reliable partner of you. So, you are in a good position.

My suggestions are:
1. Since, he is your "most reliable partner", request him (with whom you had sex without condom) to get tested for HIV. If he is HIV negative, nothing to worry about.
2. If he is positive, consult a clinical expert for further guidance.
3. Also, you can get tested for STIs.

The following link may seem interesting to you:
http://www.avert.org/oral-sex.htm

Sorry for my delayed response.

Best wishes and regards,
Gorkey

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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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