[Question #3659] stds

36 months ago
hi I had sex with a woman vaginal using protection and we kissed and she also gave me oral sex unprotected , so I had a few week after a sore throat when to the doctor and he told me that I had "viral pharyngitis" gave azithromycin and I got better, but I still have like a needle itchy sensation on the back of my throath that WONT GO AWAY so I wanted to know what stds could I have contracted from my exposure and if they are normally show on the throath . I have also learn that pharyngitis can be cause by BACTERIA wich in this case I haven´t been properly prescribed because the doctor said it was viral not bacterial so im starting to doubt what is the cause ? as you can see from the category that I choosed "sexually transmitted infections" I DID NOT ask about HIV due to my exposure, is this correct ? I have no idea what is causing this needle itchy like feeling on my throat and it does not hurt when i swallow, it doesn´t give a headache not fever or any symptom for that matter but i feel it !!!!!! 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
36 months ago
Welcome to the forum. Thanks for your confidence in our services.

You have a minor cold virus, not HIV or any other STD. Prolonged persistence of an itchy or other abnormal feeling in the throat does not suggest HIV, and you had an entirely safe exposure with regard to HIV. And throat symptoms alone would never be the only symptoms of a new HIV infection. And the chance your partner had HIV was very low; and even lower that you could have caught it from her, if your description of the exposure is accurate. But if you remain concerned about HIV and would like confirmation you don't have it, have an antigen-antibody ("duo", "4th generation") HIV blood test, which is nearly 100% reliable any time 4+ weeks after exposure, and for sure 100% by 6+ weeks. 

Kissing is not a risk for any STD, and from your description of the exposure a few weeks ago, your mouth/throat were not otherwise sexually exposed. And STDs don't travel through the body to cause symptoms elsewhere -- that is, you cannot acquire an STD by penile exposure that would then cause sore throat. So I don't recommend testing. However, if you want still further reassurance, you could have a throat swab for gonorrhea testing. For sure no other STD is even a remote possibility.

My best guess is that you throat symptoms are just the result of anxiety over this sexual exposure, magnifying a trivial symptoms or even normal body sensations that otherwise you would ignore or not even notice. But see a doctor if it continues or you otherwise remain concerned.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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36 months ago
Doctor when I read you response I couldn´t helped but laugh at my self, other than kissing my mouth was never sexually exposed, as you well describe, but when paranoia kicks in everything has to do either with hiv or an std, "And STDs don't travel through the body to cause symptoms elsewhere " this phrase that you wrote was the cause of my laugther, because OFCOURSE if I got a BJ what the hell does that have to do with my throat !!!!!!!!! you mention a throath swab for gonorrhea, but this is not from the BJ rigth ? but rather is she had mouth gonorrhea, is what you meant rigth ? 
In other instance, regarding HIV I have one coment and one question 1-coment: on question #3655 (if you could please read it) the guy drescribes having been involved with over 300 ACTS OF RECIVING ORAL SEX(unprotected)  and from diferent kinds of woman ranging from bar pick ups, csw and massage girls, and never testing positive for nothing, and Im NOT valuing my situation on this persons life. Do you consider this person episodes LUCK or due to his exposure, this shouldn´t be a surprise ? 2- Question: I read that you dont longer work at the seattle hospital, but you must have treated hundreds of patients, did you ever came across someone reciving oral sex that resulted on beeing HIV + ? and one last thing doctor before saying goodbye in the remote chance that i test positive for gonorrhea from the throat swab, that wouldn´t mean that the chance of adquiaring HIV from the BJ would increase rigth ?  
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
36 months ago
Thanks for the clarifications.

I mentioned possible throat culture for gonorrhea strictly for reassurance. From the exposure described, there was no risk for it. If somehow this test were positive, it would not increase the chance of catching HIV from the exposure described (which was essentially zero risk).

Oral sex is safe sex, with low risk for all STDs and virtually zero risk for some, including HIV. It is sufficiently low risk that the other person's experience -- with no apparent STDs acquired after 300 BJs -- is typical. In other words, he was not especially lucky, just average.

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36 months ago
thank you doctor for your response, in all honesty I wouldn´t be so worry about this episode if it wasn´t for this itchy sensation that I have on my throath that won´t go away, I been reading around the web and aparently im not the only one with this long term sensation on the throath and many have post that they dont know what is the cause , some say reflux some say bacteria other say it migth be a virus , Im really worry, I dont have any other symptom really just this that keeps me up at nigth thinking is due to hiv .
On my las reply Dr I asked you  that you dont longer work at the seattle hospital, but you must have treated hundreds of patients, did you ever came across someone reciving oral sex that resulted on beeing HIV + ? 
And finally Dr Handsfield WOULD I BECOME HIV+ FROM RECIVING ORAL SEX ????
thank you sir for your patience, and if any one is reading this post and has been throu the same type of exposure and tested NEGATIVE please share here thanks
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
36 months ago
This sort of itchy sensation probably is not due to any infection, and it is not from your sexual event. HIV does not do this.

No, I have never had a patient who caught HIV from oral sex. I never even heard of one. It is not known to have ever happened, and you're not going to be the first. But you are free to have an HIV test if the negative result will reassure you better than my experience, expertise, and advice.

Other users do not comment on this forum:  only the questioner and the moderator.

That completes the two follow-up comments and replies included with each question and so concludes this thread. Do your best to understand and believe what I have said. If you have more doubts, carefully re-read all my replies above. I hope the discussion has been helpful.
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