[Question #12796] too much fear of hiv

5 months ago

Bu hizmet için çok teşekkür ederim. 1 yıl önce yasal bir transla korunaklı oral seks ve aynı evde başka bir kadınla prezervatifle kısa süreli normal seks yaptım. İlişkinin sonunda koruyucuyla ilgili bir sorun olmuyor. Prezervatifsiz asla seks yapmamak. İlişkiden bir hafta sonra koruyucu kapanmadığı bölgede bir şişlik görüldü ve bu 3 hafta boyunca devam etti. Bir gün banyoda sivilce gibi aktı ve kayboldu. Bunun bir fotoğrafını bir üroloğa gönderdim ve HSV veya basit folikülit olabileceğini söyledi. Başka hiçbir belirti yaşamadım.

1. Bu ilişkiden HIV kapma riskim nedir? Prezervatifsiz ilişki olmadı ve sağlıklıydı.

2. HSV'm varsa, bu HIV riskini arttırır mı?

3.1 yıl oldu. HIV testi gerekli mi? İyi ki varsınız, çok teşekkür ederim.

Edward W. Hook M.D.

5 months ago

Welcome to the Forum. Please submit your questions in English. EWH---

5 months ago

Thank you very much for this service. 1 year ago I had protected oral sex with a trans for money and short-term normal sex with a guard with another woman in the same house. There is no problem with the guard at the end of the relationship. Never having sex without a condom. A week after the relationship, a swelling appeared in the area where the guard did not close and this continued for 3 weeks. One day it flowed like a pimple in the bathroom and disappeared. I sent a photo of it to a urologist and he said it could be HSV or simple folliculitis. I have no other symptoms.

1. What is my risk of getting HIV from this relationship? I did not have sex without a condom and it was healthy.

2. If I have HSV, does this guarantee HIV risk?

3. It has been 1 year. Is an HIV test necessary? Thank goodness you exist, thank you very much

Edward W. Hook M.D.

5 months ago

Thanks for your questions. I'll be glad to comment. You do not know that your partners have HIV and most people, even commercial sex workers, do not have HIV. Further, single exposures to infected persons are typically very low risk. Receipt of oral sex, protected or not is a virtually no risk activity and performance of oral sex on an infected partner is virtually no risk as well with a conservatively estimated risk of infection of less than 1 infection for every 10,000 exposures. The symptoms you describe certainly do not raise a concern for HIV. In answer to your specific questions:

1. What is my risk of getting HIV from this relationship? I did not have sex without a condom and it was healthy.

See above. Your risk is close to zero. I would not be worried.

2. If I have HSV, does this guarantee HIV risk?

Absolutely not.

3. It has been 1 year. Is an HIV test necessary? Thank goodness you exist, thank you very much.

Testing for HIV is always a personal decision. You mention your fear of HIV. Testing can be very helpful in eliminating fear of infection. If you test, I anticipate that the results will show that you are not infected, a finding which should relieve your fears.

I hope this perspective is helpful. You have two follow-ups if any of this response is unclear or if there are further questions. EWH

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5 months ago

You answered very quickly. Thank you very much. Sorry for the translation errors.

Actually, I got my answers.

I am married and this HIV fear has really messed with my psychology.

My last repetition is this:

Oral sex was with a condom. Vaginal sex with another woman in the same house was also with a condom. Both were very short. They gave the condom and we did not change the condom during the transition from oral to vaginal.

The condom was intact at the end of intercourse.

Is there an HIV risk despite all this? I cannot get tested because of my anxiety disorder. Is it right not to get tested?

Edward W. Hook M.D.

5 months ago

Thanks for the repeat questions. My answer is unchanged. There is virtually no risk of HIV from the condom protected exposures you describe for e the reason I have mentioned.

As far as testing is concerned, I continue to suggest you test. Of course it is not required but testing would not change whether or not you have HIV but it can PROVE that you are not infected. That will be very helpful to your anxiety.

This response completes this thread. EWH

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