Hi Doctors, I had two encounters with CSW in februrary. One was in a high end stripclub in florida and the other with a high end escort in Europe. In florida I had protected oral and protected vaginal sex. At the end the penis softened but I believe the condom covered the head all the time. The vaginal sex was very brief (1 minute or less). She mentioned she was clean. In Europe I had protected oral, protected vaginal and also performed oral sex on her. The day later I started having very dry lips. This sensation has lasted until now. She also mentioned she was clean. Last week I was diagnosed with contact cheilitis by a dermatologist. Also for the past several weeks I have been having facial pain, especially in my cheekbones, and also headaches although they feel more like pain above the ear and in muscle covering the head. These pains come and go. Additionally in the past months I have noticed several ingrown hairs in my buttocks and turn into pus filled “pimples”. Finally, for the last two weeks my stomach always seem full and uncomfortable and Ive had some abdominal pain.

Questions:

·       Could the cheilitis be caused by an std?

·       Could I have latent/chronic hiv? Do my symtpoms sound like it?

·       What are the symptoms of latent chronic hiv in the first year/ first six months?

·       What are the chances/odds that I got an std from these encounters? Hiv in particular?

·       Should I get tested?

·       Could I have latent/chronic hiv? Do my symtpoms sound like it?

No Nothing that you describe is in any way suggestive of HIV. 

·       What are the symptoms of latent chronic hiv in the first year/ first six months?

HIV of less than a year's duration is not "chronic" as it takes years for the infection to make obvious changes to most infected person's health.  Persons with HIV of less than a year duration are almost always asymptomatic

·       What are the chances/odds that I got an std from these encounters? Hiv in particular?

Very very low

·       Should I get tested?

Nothing you have described suggests a pressing need for testing for STIs including HIV.  We do recommend regular (annual) testing of sexually active persons with multiple sex partners as a screening procedure as part of routine sexual health.  Testing is easy to do and accurate.  In your case, while there is no immediate need for testing, it might help your concerns and relieve worry.  It is, obviously, your decision as to whether to test or not.