Hello, had unprotected oral sex with a woman who also performed oral sex on me. been having symptoms since one week later. had a hiv 1/2 qualitative rna pcr test at 16 days which was negative. 4th gen test today and awaiting result. any input?

There are other DTIs like GC and HPV which can also be transmitted by oral sex besides HIV. Have your doc check for them too

You really needn't be worried. If your symptoms were due to HIV, your RNA blood test would have been positive. And probably you were not at risk anyway: HIV is rare in women in the US, so your partner probably doesn't have it. Even if she does, HIV is very rarely if ever transmitted oral to penis or by cunnilingus (oral-vaginal contact). Your AgAb (4th gen) blood test also will be negative.