Dear Dr Hook / Dr Handsfield, I have another enquiry regarding insertive oral. On 9th March i received an unprotected BJ from a CSW in Bangkok. it took nearly 10 minutes to finish with some masturbation which may have caused some micro trauma. about a week later, i felt slightly unwell: dizzy and mildly feverish for a couple of days. More alarmingly i felt a stinging pain in the right side of my penis. 3 days later, it was red and weeping at the sulcus area of the foreskin remnant (i'm circumcized) and in 2 days it had also started on the other side of the penis just beind the head. i figured it was some kind of balanitis due to a fungal overgrowth. I guessed it was probably related to the BJ the week before. it's a tricky area to treat as it is closed most of the time and moisture builds up. it seems to be healing almost a week after applying clotrimazole / betamethasone. in your opinion, could this be due to the sexual activity? i've started having some fears of hiv, due to also having developed a small mouth ulcer on the lower back of my gum, and now i have aching thighs for a few days now and what seems to be an upset stomach (mild gastritis). I remember you stressed how low the risk of this activity is, although i'm just so worried about this bundle of strange symptoms. i know from prior experience that some of these symptoms can maybe be put down to stress, but the initial infection suggests some kind of lowered immunity.

Welcome back to the Forum.  It's difficult to say what your current illness might be although I'm confident that it does not sound like HIV which I know you worry about.  As you know from our past exchanges, you can prove this by getting a 4th generation HIV test at this time- if your symptoms were due to HIV, the test would be positive.  ---

Dr Hook,

The response of your possible balanitis seems to confirm that this was a fungal process.  Whether or not it was related to the encounter you described remains unclear- the timing is off ( immediate onset would be more consistent with it originating from your exposure).  Most persons with fungal balanitis do not have HIV and there is no reason to think that you do.---

Dear Dr Hook. I read on chatGPT that ulcers can appear at the entry site of hiv ie the foreskin. My “ulcers” appeared around a week accompanied by a mild fever and body aches for few days about a week after the bj and although it went away with the application of the clotrimazole. The small mouth ulcer that appeared a few days later then subsided after a week and now for the last week or so (just over 2 weeks post exposure) , I have have flushing feeling, pulsation tinnitus , aches in the groin and armpit and fatigue. I’m very very pessimistic about being hiv infected. I think I may have inadvertently opened micro tears in the foreskin by masturbating during the bj as the sores were exactly where my fingers may have gripped. The other odd symptom is Sebhoreic dermatitis on the rim of my ear , which I normally don’t get. Strangely it’s gone away on the rest of my face.

I’m sorry for the ill-presented last response. It’s not easy to write fluently on a mobile device.

Final Answer. Please do not return with further anxiety-driven questions based on internet misinformation.---