HIV, Internal Medicine FAQ - Page 36

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Understanding Post-Exposure Prophylaxis (PEP) Testing and Symptoms

Post-PEP Testing Hello Dr. Liao, I engaged in sexual activities on March 17, which included approximately 30 seconds of unprotected oral sex and about 1 to 3 minutes of protected vaginal intercourse. There were around 10 thrusts, but the condom was not fitted properly. When I wit...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the topic of body temperature fluctuations and sweating after fever, here is the response: A: 1. If prophylactic treatment (PEP) was initiated within 66 hours and completed a 4-week course on April 16, you should be able to feel reassured. 2. Since the w...

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Understanding Post-Exposure Prophylaxis (PEP) Testing and Results

Post-PEP Testing Hello Dr. Hong, I engaged in sexual activity on March 17, which included approximately 30 seconds of unprotected oral sex and about 1 to 3 minutes of protected vaginal intercourse. During the intercourse, the condom did not fit well, and upon withdrawal, only the...


Dr. Hong Yuanbin Reply:
Hello, based on your description, you have completed PEP and subsequent tests have returned negative. Unless you have had further relevant exposure, the likelihood of contracting HIV is indeed very low. As for the symptoms you later described, such as fever, night sweats, and dia...

[Read More] Understanding Post-Exposure Prophylaxis (PEP) Testing and Results


Do I Need Another STD Test After Safe Sex with a Stranger?

Regarding sexually transmitted diseases (STDs)..? Hello, Doctor Liao. I would like to ask you about an incident that occurred on November 20 of last year, where I had sexual relations with a stranger. I used a condom during intercourse, but did not use one during oral sex. I regr...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding concerns about sexually transmitted infections, here is the response: 1. The incubation period should refer to the window period; for HIV, the longest is three to six months, so if you were tested a year ago, you should be fine. 2. However, there may st...

[Read More] Do I Need Another STD Test After Safe Sex with a Stranger?


Deep Kissing and HIV Risks: What You Need to Know

Deep kissing and HIV? Recently, I had a deep kiss with a woman I just met, and at that time, I had a sore in my mouth (which is healing). I have been taking immunosuppressive medication for a long time. Should I be concerned about contracting HIV or other infectious diseases, and...


Dr. Hong Yuanbin Reply:
Hello, unless the other person's mouth is bleeding and the blood comes into contact with your wound, there is a possibility of infection. If it is just saliva contact, the risk of infection is very low. However, if you are feeling unwell or still have concerns, you can go to...

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Understanding Bloodborne Infection Risks in Acupuncture Practices

Hepatitis B/C, HIV, syphilis, bloodborne infections from acupuncture? Hello, doctor. I have a question regarding an incident at an acupuncture clinic. After the acupuncture needles were removed, there was some bleeding. The physician mistakenly used a cotton ball that had been us...


Dr. Hong Yuanbin Reply:
Hello, regarding your questions: First, if your wound has come into contact with another person's blood, there is indeed a risk of bloodborne infection. Second, if the other person is confirmed to be negative for Hepatitis B/C and HIV, then you would not be at risk of in...

[Read More] Understanding Bloodborne Infection Risks in Acupuncture Practices


Risk of HIV Infection from Condom Slippage During Intercourse

If a condom slips off during intercourse and remains inside, and the penis comes into contact with vaginal secretions, is there a risk of HIV infection? Hello doctor, I just had a sexual encounter where there was no oral sex, and I used a condom for vaginal intercourse. However, ...


Dr. Hong Yuanbin Reply:
Hello, there is a certain risk of infection with any contact, so it is recommended to continue regular blood tests for monitoring. Thank you for your question.

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Can Mosquito Blood Transmit HIV? Addressing Your Concerns

Mosquito blood, excessive worry? Hello Dr. Liao, a few days ago (in early April), I killed a mosquito that was bleeding a lot while using the restroom. After rinsing my hand, I accidentally touched the urethral opening. Is there a possibility of contracting HIV from this? I know ...


Dr. Liao Zhongxin Reply:
Dear readers: A: It should not be a concern as long as personal hygiene is maintained; you can refer to the CDC's information at http://www.cdc.gov.tw/professional/page.aspx?treeid=7B56E6F932B49B90&nowtreeid=D03CCE3DF521E46A. There are three main routes of HIV transmissi...

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Understanding HIV Risks: Key Insights for Gay Men After Unprotected Sex

HIV Risk Hello doctor, I am a gay man. In early February, I had unprotected intercourse with someone, and I immediately withdrew after ejaculation. Does this reduce the risk of HIV infection, or is it still the same? I've been feeling a bit unwell these past few days; my gum...


Dr. Hong Yuanbin Reply:
Hello, any unsafe sexual behavior carries a risk of HIV infection, and testing is necessary to confirm whether an infection has occurred. The symptoms you described are common manifestations of various infections, making it difficult to determine if HIV is present based solely on...

[Read More] Understanding HIV Risks: Key Insights for Gay Men After Unprotected Sex


Can You Get HIV from Using a Found Earbud? Understanding the Risks

Headphones and HIV/AIDS Recently, I found a brand new pair of earbuds at the playground (left on a bench). There were no bloodstains on them, and they looked completely normal. After about thirty minutes, out of curiosity, I tried them on. I asked everyone present, and no one cla...


Dr. Hong Yuanbin Reply:
Hello, HIV is typically transmitted through blood and sexual contact. If there is no blood exposure, the risk of infection is very low. If you are still concerned, you can visit a healthcare facility for testing or seek anonymous screening. Thank you for your question.

[Read More] Can You Get HIV from Using a Found Earbud? Understanding the Risks


Understanding Anti-HIV Testing: Key Insights and Recommendations

Anti-HIV testing issues? Hello Dr. Hong, Due to certain needs, I recently went to the municipal hospital to have my blood tested for Anti-HIV after an HIV window period of 84 days. I understand that the Anti-HIV test is an HIV antibody test, and the final test result was <0....


Dr. Hong Yuanbin Reply:
Hello, the ELISA test is used for initial screening for HIV. If the result is positive, a confirmatory Western blot test is performed. If the result is negative, regular follow-up is recommended. Currently, the predominant strains in most countries are HIV-1 and HIV-2, with HIV-2...

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Understanding Anti-HIV Testing: Follow-Up Questions and Concerns

Supplementary Questions on Anti-HIV Testing Hello Dr. Hong, thank you very much for your response. Currently, it seems that most public health information advocates for screening for Anti-HIV antibodies after a window period of 84 days (12 weeks), and if the test result is negati...


Dr. Hong Yuanbin Reply:
Hello, if there was only a single low-risk exposure and the test result remains negative after the window period, there is no need for further follow-up. However, if there were multiple exposures, if it was a high-risk situation, or if there are still concerns about infection, it...

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Understanding HIV Testing: Rapid Tests vs. Blood Draws Explained

HIV rapid test and blood draw? Hello, doctor. I had unprotected sexual intercourse at the beginning of September last year. Although I know there is a low risk of transmission, I still felt very anxious and had trouble sleeping. Around late December, I went to a health center for...


Dr. Liao Zhongxin Reply:
Dear readers: If you are still concerned, you may consider having another check-up around six months later; if everything is still normal at that time, you can feel reassured. Thank you!

[Read More] Understanding HIV Testing: Rapid Tests vs. Blood Draws Explained


Understanding HIV and Syphilis Testing: When to Get Retested

HIV and Syphilis Screening You had sexual contact with an online acquaintance on December 29 of last year, during which you performed oral sex but did not allow him to ejaculate in your mouth. This year, you underwent syphilis RPR/TPPA and HIV combi tests on February 3 and April ...


Dr. Hong Yuanbin Reply:
Hello, it is recommended to follow up for at least 6 months after exposure. If it is a high-risk situation, the follow-up may need to be extended to one year. Therefore, it is advised to have a follow-up in June of this year. Thank you for your inquiry.

[Read More] Understanding HIV and Syphilis Testing: When to Get Retested


Understanding the HIV Window Period: Testing and Implications Explained

HIV window period Hello, according to the data from the Centers for Disease Control, the HIV window period is 6 to 12 weeks. Is 12 weeks equivalent to 84 days? Does this mean that if the window period has passed 84 days and the test result is negative, it indicates no infection? ...


Dr. Hong Yuanbin Reply:
The so-called "window period" refers to the estimated time from the entry of a virus into the human body to the onset of symptoms, based on research in the general population. Theoretically, if the window period has passed without infection, the likelihood of contractin...

[Read More] Understanding the HIV Window Period: Testing and Implications Explained


Does Syphilis Affect HIV Testing Window Period?

Factors Affecting the Detection Window Period Hello, if someone is infected with syphilis, will it affect the window period for HIV testing? Can a negative result from an HIV combo blood test at 84 days rule out HIV infection? Thank you.


Dr. Hong Yuanbin Reply:
Hello, being infected with syphilis does not significantly affect the window period for HIV testing. As for the HIV combo blood test at 84 days, the chance of being infected with HIV is relatively very low, but it cannot completely rule out the possibility of HIV infection. Thank...

[Read More] Does Syphilis Affect HIV Testing Window Period?


Understanding Post-Exposure Prophylaxis: Your Questions Answered

Post-exposure prophylaxis (PEP) Hello Doctor, I apologize for bothering you during your busy schedule. In early October, I had unprotected oral sex and protected vaginal intercourse. The next day, I underwent nPEP treatment. After 6 weeks and 3 months, both tests were negative. T...


Dr. Hong Yuanbin Reply:
Hello, based on your description, the likelihood of contracting HIV is indeed very low. If there are no related symptoms or concerns about repeated exposure, it may not be necessary to follow up for six months. Thank you for your question.

[Read More] Understanding Post-Exposure Prophylaxis: Your Questions Answered


Is Orchitis a Symptom of HIV? Understanding the Connection

Is orchitis a symptom of HIV? I went to Japan in mid-December last year and had sexual intercourse with a sex worker, during which we used condoms. However, I performed oral sex on her, and at that time, I had a small cut on my lip measuring 0.1 x 0.1 cm. After returning to Taiwa...


Dr. Liao Zhongxin Reply:
Dear readers: 1. Based on the above description, you may refer to the article: http://sdact.tand.org.tw/issue/issue_info.asp?issue_id=1602. All sexually transmitted infections can be transmitted through unsafe sexual practices (without using condoms). It is recommended to consult...

[Read More] Is Orchitis a Symptom of HIV? Understanding the Connection


Understanding CD4 Counts for Dental Procedures in HIV Patients

Regarding the immune index? Hello, doctor. I would like to ask about the immune index CD4. If a patient has HIV, their immune system is expected to be weaker than that of a healthy person. What is the appropriate CD4 count for tooth extraction? Does the level of CD4 affect the he...


Dr. Liao Zhongxin Reply:
Dear readers: 1. You can refer to the article from CommonHealth magazine at http://www.commonhealth.com.tw/article/article.action?nid=65413 <Do These 5 Things to Prevent Tooth Extraction from Becoming a Disaster> 2. From the article, it is understood that as long as you coo...

[Read More] Understanding CD4 Counts for Dental Procedures in HIV Patients


Understanding HIV Transmission Risks in Sports and Everyday Situations

Several questions regarding HIV transmission? 1. Hello, doctor. I have a few questions. First, are there any documented cases in medical history where HIV was transmitted through playing basketball? Since basketball is a contact sport, there can be minor injuries during the game,...


Dr. Xiao Yongxun Reply:
Dear Inquirer: 1. The HIV virus is primarily transmitted through blood or serum; however, for successful transmission to occur, the virus must be intact and present in sufficient quantities. Additionally, the infected individual's wound must come into contact with the viru...

[Read More] Understanding HIV Transmission Risks in Sports and Everyday Situations


Can I Rule Out Infection After Multiple Negative Tests?

Will there be a turnaround? Doctor, I had a high-risk exposure on October 7th. I took an RTPCR test on October 18th and November 9th, and I also had P24 antigen and antibody tests done at 10 days, 33 days, 4 weeks, 6 weeks, 8 weeks, and 10 weeks, all of which were negative. I hav...


Dr. Xiao Yongxun Reply:
Dear Mr. Akai: 1. Your question was already addressed on December 4, 2017. In addition to considering HIV, there are many other potential diagnoses that need to be clarified regarding your symptoms of fever, lymphadenopathy, and diarrhea in order to provide appropriate treatmen...

[Read More] Can I Rule Out Infection After Multiple Negative Tests?


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