[Question #10794] worried

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19 months ago

From around mid 2019 to October 2021 I used to visit a “work from (family) home” sex worker (I am located in Malta, in the EU).My exposures were always limited to receipt of protected oral sex, French kissing and frottage/grinding (one of us always had underwear on). I always refrained from unprotected oral, and vaginal or anal, even protected, as I am married. Indeed, the only person I have ever had vaginal sex with is my wife (protected for contraception purposes). 

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19 months ago
(part 2) Since March 2023 I have been suffering regularly from URTIs, and a couple of tonsillitis episodes. I have explained these exposures to my GP. In most cases I was prescribed antibiotics, and, during November, I had to take 5 courses of antibiotics (ending up with Dalacin) in order to resolve tonsillitis  This was followed by laryngitis (was prescribed predisnone for almost a week, then some sinus pain and now a cold. My GP attributes these issues to the fact that we have two school age kids, and the fact that my tonsils are hypertrophied. Mid December I had an episode of oral trush on the tongue (which GP attributed to antibiotic use), which went away on its own, but now seem to be recurring.  
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19 months ago
 was  recently tested for oral gonorrhea and chlamydia, via a swab – both negative. 
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19 months ago
My last HIV test (home blood prick) was in early 2019  - negative. 
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Edward W. Hook M.D.
19 months ago
Welcome to the Forum.  Thanks for your detailed description.  While I do not see a specific question here, my sense is that you are worried that your recurrent respiratory tract infections might reflect some process, possibly HIV acquired through the encounters you describe.  I am confident that the activities you describe are not due to HIV or any other STI and are readily explained by other factors such as your children or, in the case of the thrush, antibiotic use.  I would have no concerns about STIs from the exposures you describe.  Your negative throat tests for gonorrhea and chlamydia simply reinforce m my sense that you are not at risk for any STI.  I see no medical or scientific reason for concern or for testing.  Of course, if you have lingering concerns, then testing is easy, accurate and might be reassuring.  

I hope that this assessment is helpful.  Please don't worry.  EWH
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19 months ago
Yes, my concern is that i somehow contracted HiV, possibly via kissing, and that these frequent respiratory  infections are a sign of an immune system starting to weaken as some literature available on the internet mentions URTIs as happening when the immune system
starts to weaken. Naturally the oral trush drives my anxiety even further 
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Edward W. Hook M.D.
19 months ago
As I said, there is no medical or scientific reason for concern through the sorts of exposures, you mentioned. Given your concerns, the path of least resistance is to test. I have every confidence the test will be negative, allowing you to move forward without concern. I emphasize, the reason I recommend testing is not because of any concern that you have HIV, but in an effort to Help your anxiety. EWH---
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19 months ago
Thanks … I know saliva is said to have low levels of HiV , but would this still be the case if she had a high viral load, say if she was as AIDS stage?
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Edward W. Hook M.D.
19 months ago
Irrespective of viral load, the bite in your cheek, etc.  there are no proven cases of HIV acquired from Frendch kissing, frottage, receipt of oral sex, etc.  As I said above, I suspect there is nothing that I can say to may you stop thinking "but what if I'm the first..."  For that reason, once again, I suggest you just get tested.  The results will do more than anything I can apparently say.

As you know, we provide up to 3 responses to each client's questions and this is my 3rd response.  There will be no further replies but if you want to get tested and post your results to help others who have similar anxieties, I can leave the thread open.  EWH
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19 months ago
Thanks for your prompt replies.
In a recent reply you said that “Persons who do make antibodies find out early in life- they have recurring infections…”. Could these be recurrent URTIs or are you referring to something else?

Thanks again for your patience. 
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Edward W. Hook M.D.
19 months ago
As you know, we provide up to three responses to each clients questions. Please don’t go down a rabbit hole. I am referring to life-threatening infections not every day upper respiratory tract infections. 

Please accept that you were not infected. If you cannot do that test. End of thread. EWH.
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