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Dr. Anil Kumar
Dr. Anil Kumar, General Physician
Category: Health
Satisfied Customers: 6614
Experience:  M.D. with over 30 years of experience in practice.
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Hello Doctor 22 days ago, I received unprotected

Resolved Question:

Hello Doctor
22 days ago, I received unprotected fellatio from an Asian CSW for 3-5 minutes. I didn't notice any blood or anything unusual during this. So far I haven't had any symptoms at all. I'm aware of all the bacterial infections possible, although low risk. What worries me is the viral ones- herpes I feel I was lucky enough to dodge as no symptoms so far. What worries me is hepatitis, in particular hep C. I'm vaccinated for hep B (surface anti b > 100 in 2009). I understand HIV risk is also almost zero. I must say I am worried about HepC. Please advice me on whether I need to get tested for hepatitis C. Many thanks
Submitted: 11 months ago.
Category: Health
Expert:  Dr. Anil Kumar replied 11 months ago.
Hello,

There are no known cases of HCV being transmitted through oral sex on a man (fellatio). However, it is theoretically possible that the virus could be transmitted this way if a person has mouth sores, bleeding gums, or a throat infection.
As you describe if there is no blood to blood contact as you describe chances of transmission are less likely.
Window period for Hepatitis C is 2 weeks to 6 months.
So you should get a test now and repeat the test after 6 months.
Customer: replied 11 months ago.

You mean I should get the hepC antibody test now? Because I can't find a place which would do a HepC RNA around where I live.

Expert:  Dr. Anil Kumar replied 11 months ago.
Usually by PCR test it is detected early at about 2 weeks from exposure.
But by antibody test it may take 6-10 weeks for formation of antibodies.
So if you want to go for a ELISA test you should wait for 10 weeks.
Repeat test at 6 months post exposure is advised.
Dr. Anil Kumar, General Physician
Category: Health
Satisfied Customers: 6614
Experience: M.D. with over 30 years of experience in practice.
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