[Question #2309] STDs conclusive? ( 4 days short of 6 weeks)

44 months ago

Dr. Hunter/Hook,Thank you for your guidance and assurance that I am not infected. I would like to give you a brief overview of my exposure and symptoms.May 8th had unprotected oral (receiver) and protected vaginal sec with an escort. She had no visible sores on her lips or face.

May12th: sudden sharp pain in penis and pain while urination has started. Noticed tiny pimples ( not blisters) on penis head. Immediately went to urgent care and took Gonn/chlam/trich and herpes culture test and was given bactrim till I get my results. Came home and applied Neosporin and pimples went away in a day.

Pain started to go away slowly and after 3 days pain came down. Was having mild pain. Got my results, everything came back negative. Went to my PCP, he saw everything and said not herpes and said mostly NSU and was prescribed Doxy for week. Pain went away in 2 days after starting doxy but finished the course. Everything was back to normal like before.

After 2 weeks of finishing my course, I dry masturbated 8-9 times in 4 days. 4th day I masturbated differently, I forgot that I applied Neosporin and masturbated with 2 fingers (thumb and index) only sliding it on penis head. Got drunk later that dayl ( only beer). Next day I woke up with burning and mild pain in penis head while urination and started taking lot of fluids and had mild diahrrea for 2 days ( burning in butt crack while taking dump). First day burning was crazy even when I am not urinating and burning was mostly on penis head. Second and third day burning reduced a lot and pain also reduced significantly and diarrhea gone. Called my urologist, he said it might be due to inflammation of blood vessels in urethra and irritation. Asked me to take Levaquin 500mg for 1 week.  Before started taking levaquin I went for full panel STD test ( including herpes 1&2) which is 38 days after exposure (4 days short of 6 weeks). I started taking levaquin from today and feeling little better (occasional burning while urination- not every time). I got my herpes results which came back negative for both 1&2. And I am thinking my HIV 4th gen will also come negative. 

My questions:

  1. Will HIV be conclusive at 38 days? I know the guidelines have changed to 6 weeks (4th gen test)
  2. Given my exposure and symptoms do you think it is GHSV1 or 2? Do you recommend testing at 12 weeks? Or should I consider my self negative and move on.
  3. Are Gonn, chlam, Tric, hep a,b, c and syphillis conclusive at 38 days? I think I was vaccinated for hep a&b.
44 months ago
Sorry for the long post
44 months ago
Also sorry forgot to add. First time when I had painful urination which is 4 days after exposure, I also had pain in penis when passing gas. This time I just have burning urination and mild pain on left side of penis head and it's  not constant just occasional. And this time my urine is leaking after I am urinating like 1-2 drops are coming out when I reach my desk and sit down. So does it sound like inflammation of urethra? Also I went to urgent care and asked them for urine culture before started taking levaquin.
Edward W. Hook M.D.
Edward W. Hook M.D.
44 months ago

I'm sorry that you felt the need to return to our site.  As each of us has tried to indicate, you are really worrying far more about this exposure than is appropriate, given the low risk nature of the exposure and your negative tests to date.  This is your 4th new question in less than a month.  When clients have posted this much over such a short period, our experience that they would be far better served by seeking professional help for their inappropriate anxiety than by our answers or further testing.  With that, I'll address these questions but will warn you that you are reaching a point at which we will need to limit your access to the site.

 

  1. Will HIV be conclusive at 38 days? I know the guidelines have changed to 6 weeks (4th gen test)

At five weeks according to the most recent assessment of HIV test performance there is still a tiny chance that a combination HIV antigen/antibody test could miss a recently acquired infection.  That however suggests that you may have had an exposure which put you at risk.  That is not the case for you. There is virtually no risk from either condom protected sex when the condom is worn throughout the encounter and despite the theoretical possibility, there has never been a proven case of HIV acquisition resulting from oral sex.  Thus, for you, while probably not necessary at all, a 38 day test would be conclusive.

 

2.  Given my exposure and symptoms do you think it is GHSV1 or 2? Do you recommend testing at 12 weeks? Or should I consider my self negative and move on.

This is repetitive question. None of us on these forums believe that you acquired HSV of any sort from the exposure you describe.  I urge you to consider your self not infected and move forward without concern. 

 

3/ Are Gonn, chlam, Tric, hep a,b, c and syphillis conclusive at 38 days? I think I was vaccinated for hep a&b

Yes.

 

I hope these answers will let you move forward without concern. EWH


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44 months ago
Thanks doctor, I see no testing like you said and I will move forward. But I would like to understand the risks if I am involved in anything. I will never go to CSW again. This experience has taught me a lesson. But I am kind of sex addict and I do not have a girl friend and the only way I think I can satisfy my need is atleast going to a massage parlor where I can get hand job.
1. What are the risks of any STIs with hand to genital exposure? I see in this forum you and dr.hunter say you haven t seen any hand-genital STD transmission. But theoretically is it possible? Including HSV and HPV
2. I am going to be 27 in December. Can I still get HPV vaccine? I am sexually active and had 10-12 partners.  But never had any warts on my genitals maybe the virus is dormant. But if I get HPV vaccine now is it good?
3. Will any STD be transferred if I suck on women's breast ( in massage parlor) and kiss their neck or face (not lips)
4. If she fingers my anus ( just like a teasing not penetration), will I get any STDs?
5. Are there any conditions you know that can be transferred by this hand-genital contact be it STI or Non-STI?
6. If I lay on the massage table and the previous guy had some STIs then will I get them?



I am sorry if my language is too explicit or offensive. I would like to understand about STIs before I involve in any kind of sexual activity. This experience has taught me a great lesson. 
Thanks once again for your kind words and assurance. 
2. 
Edward W. Hook M.D.
Edward W. Hook M.D.
44 months ago

1. What are the risks of any STIs with hand to genital exposure? I see in this forum you and dr.hunter say you haven t seen any hand-genital STD transmission. But theoretically is it possible? Including HSV and HPV.
There is no appreciable risk for ANY STI from hand to genital contact.  This includes instances in which a person touches their own genitals and then the genitals of a partner. There are no instances either of us has seen or heard of when a person acquired and STI from receipt of masturbation.

2. I am going to be 27 in December. Can I still get HPV vaccine? I am sexually active and had 10-12 partners.  But never had any warts on my genitals maybe the virus is dormant. But if I get HPV vaccine now is it good?
Yes, there is no reason not to other than cost (at your age the HPV vaccine will not be covered by insurance).  It costs about $400-$500.

3. Will any STD be transferred if I suck on women's breast ( in massage parlor) and kiss their neck or face (not lips)
No, no STIs are acquired by kissing (including deep kissing) or sucking on a woman's breast.

4. If she fingers my anus ( just like a teasing not penetration), will I get any STDs?
Still no risk.

5. Are there any conditions you know that can be transferred by this hand-genital contact be it STI or Non-STI?
No

6. If I lay on the massage table and the previous guy had some STIs then will I get them?
No

I hope this helps.  EWH
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43 months ago
Hello doctor, 
Hope you are doing good. Till now I do not have any symptoms for hsv. However the only way I can get rid of this from my mind is to get tested at 12 weeks which will be on aug 1st ( I was taking counselling and one thing they mentioned is to actually know the truth to put your mind at ease. Behavioral avoidance). I was wondering if this thread can be left opened till aug 4th so that I can update you with my results)

What do you think the likely hood of being positive for hsv1 or 2? I got tested at 6 weeks which came back as negative.
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
I will try to leave this post open until the 2nd week in August.  If you test is positive (unlikely based on your earlier, ill advised test since you got lucky and were statistically more likely to either have a false positive test or find that you had the infection in the past), it will not be because of the encounter you have described.  EWH
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43 months ago
Hello doctor,
My 11 weeks mark will come on this  monday (24th). I was wondering if I can test for all STDs on Thursday (4 days short of 12 weeks)? Will my results be conclusive? Will 4 days make any difference? Or should I wait for complete 12 weeks? This waiting game is really bothering me. Any advice will be appreciated. Thanks 
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
Final  answer.  Yes, your results of test taken at 4 days short of 12 weeks will be conclusive and will prove, as we have already told you that you did not get an STI including HSV from the exposure you have described.  and with that, this thread will be closed.  EWH
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