[Question #13359] STD exposure unprotected oraland protected vaginal and handjob
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1 months ago
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Dear Doctor,
I feel very ashamed that I did so regretful thing. I still did not believe how I was so stupid to do this. In Angola on 12 and 13th of July I had contact with to hotel sex workers. Two diffrent one in diffrent day. I received unrpotected oral sex, short vaginal intercourse with condom and handjob without condom. Condom was not broken but remoevd before handjob. Same situation in both occasions. Since then I was checking my penis looking for some symptoms and about two weeks later I have experinced something like balantitis symptoms. I have to admit that I was excesivlly inspecting my penis and washed with liquid soap my glans. When I stoped to used sope symptoms of balanitis didn't totaly gone but conditio significiently improved. I would add that since 11th July I'm taking 100mg Doxy as Malaria prophylaxis. Would you be able to assess risk of STD and advise what symptoms I suppose to look? I won't be able to test myself erlier then in next week. I appologize for my english as it is not my first lenguage and I'm extremly anxious. Furthermore I am so disapointed of myself.
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Edward W. Hook M.D.
1 months ago
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Welcome to the Forum. Thanks for your questions and your implied confidence in our service. The exposures you describe was relatively low risk for STIs. The doxycycline you took may have had several effects including virtually eliminating any risk for syphilis or chlamydia and reducing your risk for gonorrhea. It may also have predisposed you to fungal balanitis. Receipt of masturbation is a no risk activity and receipt or oral sex as well as condom protected vaginal sex are low risk for most STIs and virtually no risk for HIV as long as the condom was worn throughout the exposure and, like yours, did not break. It is unlikely that you have any STI from these exposures but testing is reasonable. When you are able to test, I would suggest blood tests for HIV and syphilis as well as a urine test for gonorrhea and chlamydia. If the balanitis is still present it should be examined by a trained clinician. As I've already said, the risk that you are infected is low but it sounds like testing is reasonable and will provide reassuring results. I anticipate that the tests, all of which will be conclusive at this time, will show that you were not infected.
I hope this information is helpful. If anything is unclear, please use your up to two follow-ups for clarification. EWH
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1 months ago
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Dear Doctor,
I am very appreciated for yoy reply. I can confirm that the condom was used and intact during vaginal course but not used for oral sex and masturbation after penetration. I have filled condom with water afterwards and I didn't notice any obvious leakage. I understand that you can not say for 100% but considering your experience, from your profesional opinion how effective 100mg Doxy would be in prevention of Syphilis? I now it is not according to guidlines but what are your thoughts. I have to admit that HIV and Sypilis are my main concerns. Can you advise how accurate HIV and Syphilis self/home test from pharmacy would be after 7 weeks from exposure? Of course I'll do full blood work in lab but Im just want to go to pharmacy straight from the airport.
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Edward W. Hook M.D.
1 months ago
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The doxycycline you took would reduce the already low risk of syphilis to close to zero.
Results of syphilis and HIV tests ar 7 weeks will be conclusive. When performed according to instructions, home tests are nearly as reliable as tests performed in a clinic laboratory. I anticipate that no matter what test you take, they will show that you were not infected.
One follow up remaining. EWH
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1 months ago
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Thank you Doctor,
I feel like I am in the darkest place in my life now and so
scared that might be even darker after test. I could ask hundred more questions
but first of all I am afraid of answers and I know that you can’t rule out
anything. I’ll stick to the question regarding tests. I did the research and it
seems like only 3rd generation test are available at pharmacy and 4th
generation in labs. The available test in pharmacy is checknow abott and insti
test. Would you be able to say when those tests will be conclusive ? after 12th
weeks? Of course HIV is my the biggest scare. I have never done something so
stupid in my live. The only hope is that was expensive hotel and womens basically
were looking for expats. I know it doesn’t change anything but I just trying to
look for some hope. Also the longest exposure was I believe was during
masturbation. And when you say low risk and reasonable to test in my mind I
read this as quite high risk and must test. Sorry I am loosing my mind. Thank
you doctor for you reply. I know I well
deserve this fear and if I could turn back time…
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Edward W. Hook M.D.
1 months ago
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I think you are overreacting. Your assessment of “ high risk” is inaccurate. I presume the research you mention was on the internet which is often misleading. There is a far less than 1% chance you have HIV.
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Third generation tests are conclusive at 8 weeks and 4th generation tests are entirely conclusive at 6 weeks. There is virtually no chance that you have HIV.
This thread is now complete and will be closed shortly. Please take a deep breath and relax. EWH
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1 months ago
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Thank you Doctor. I'll try to calm down. Appoloigize and I am appreciated you answers.
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Edward W. Hook M.D.
1 months ago
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Your welcome. Please don’t worry. EWH---