Hello Doctors Handsfield and Hook,

First, thank you for offering your expertise through this service. I’m reaching out to ask for an assessment of my STI and, most specifically, HIV risk from some recent activities. On October 6th I met up with a girl from a dating app, and after a good discussion and several drinks retired to her apartment where we engaged in some activities, specifically her performing a blowjob on me, timing me quite aggressively, and me rimming her for about 10 seconds. About three weeks later, I went for a very intense run where I ran two miles in 13:30 (not bragging). Before I went to sleep I noticed that one of my lymph nodes near my groin had swelled up, which actually happened once before this summer after an intense run. The next morning I woke up with a fever of about 100.4 and a whole body ache which entirely dissipated by noon. I also had the one painful lymph node. My big concern with this girl is that she is a former heroin user (she said it’s been 4 years since she last used) and that she has has many sex partners this year. I went to City MD (I live in Brooklyn) and some with a doctor there, who told me that unless she was bleeding from the mouth I had no HIV risk from this incident. My other concern is that u have personal skin tags that occasionally bleed a tiny bit when wiping after using he bathroom, and that may have been the case before I met up with this girl.

However, I proceeded to start dating another girl, who I had protected sex with three times. One night, though, When i was very drunk, i performed cunnilingus on her for a duration I frankly can’t recall. My big worry here is that I have recently diagnosed gum disease, and I do not know the state of possible oral STIs I may have. I went to Catholic high school and did not receive any sec education, and until recently I didn’t even know you could get STIs in your mouth. More shockingly, perhaps, is that no clinic has ever offered me an oral test, and I’ve gone down in many women and some men in the Pat four years. About a week later, after hooping up with another girl who rimmed and went down on me, i woke up with what i believe was a hangover. I got very drunk two nights in a row because it was my friends bday, and after I hooked up with this girl I again woke up with whole body aches and a fever of about 100, which dissipated over the course of the day (by nighttime I’d say). I then, freaked out, contacted the girl u performed cunnilingus on. She was very understanding of my concerns, and told me that she had been tested earlier this year, was negative for everything, and had not had unprotected sex since with very few sex partners.

I normally wouldn’t be so freaked out, but I had kept seeing many references to HIV out in the world in the weeks leading up to the cunnilingus encounter. I try not to be a superstitious person,  but i would be lying if all these references I saw didn’t give me pause

So my questions are:

1. What do you think my HIV and other STI risk was from these activities, given the histories of my partners and my oral and anal health?
2. Do any of my symptoms sound indicative of ARS?
3. Would a rapid test be accurate now regarding any of these instances?

Thank you.