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Question
Dear Terry
After an exposure with a sex worker which was a medium risk exposure as far as i am considered. I was using condom, but i touched the condom 3-4 times during insertion and hen didn't washed my hands and smoked. Also I touched her vagina with my finger accidentally during little foreplay. I had some symptoms on the 3rd day like rashes, cold and slight temperature, burning in thighs...rashes and burning in thighs are still present after 10 weeks of my exposure. I tested 3 times (ELISA for HIV1/2) first after 3 weeks, 2nd after 4 weeks and the third after 10 weeks. All negative. Shall i go for further testing. Please do advise

Answer
Dear Bobby:

Peace.  On review of your symptoms I suggest strongly that you meet with a physician and describe your symptoms.  The combination of your test results and described risks argue against HIV infection (i.e.,I don't think you need repeated HIV testing after 10 week results are negative) but there is something going on that would be worthy of a full workup.  

Best to you and yours,

Terry

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Terry B

Expertise

Help in assessing personal and professional risk of HIV transmission; tips in teaching about HIV/AIDS; cultural competency for teaching about HIV/AIDS in Catholic settings; considerations in US and overseas HIV/AIDS programs and education for health and other professionals. Specific questions about treatment should be referred to your health provider; opinions and information offered are not meant to replace medical advice

Experience

Seven years with academic medical center and national AIDS education and training center, seven subsequent years with focus on international HIV/AIDS in East and South Africa. Former clinician, bioethics preceptor at an academic medical center and presenter in wide range of fora including international AIDS conference.

Organizations
Disabled American Veterans American Public Health Association MENSA AA

Publications
Human Variety, EC Sociological Society Proceedings of the International AIDS Conference, Durban, South Africa "HIV and Primary Care"

Education/Credentials
BS Psychology MPH Master of Public Health PhD studies underway

Awards and Honors
Naval School of Health Sciences, Hospital Corps with Highest Honors, Neuropsychiatry with Honors and High Distinction

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