[Question #3775] STD`s, HIV/AIDS

35 months ago
About 2 years ago, me and my girlfriend had oral sex (only once). I happen to have got an yeast infection from her followed by swollen lymph nodes on my throat. We are still together and talked among ourselves, she got tested for STD`s and HIV/ AIDS, all came to be negative, except that she has oral herpes. Am I in risk?. 

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
35 months ago
Welcome back to the forum. Thanks for your question.

If you have not done so, I recommend you have an HSV1 blood test yourself. I anticipate a positive result. Yeast rarely is transmitted by oral sex:  everybody has yeasts all over their bodies and in all body cavities, and when someone gets a new yeast infection, it is rarely because they caught it from anyone. And yeast would be very unlikely to cause lymph node inflammation in the affected region. Given your partner's known oral herpes (presumably a positive blood test for HSV1), I suspect she transmitted HSV1 to you by kissing (i.e. not yeast from performing cunnilingus on her) and that infection explained the symptoms you had at that time. Your symptoms were perfectly typical for an initial oral HSV infection. If so, a current HSV1 blood test probably will be positive.

If that's what happened, you are now immune to a new HSV1 infection.

You don't mention other potential sexual activity and partner(s). But if neither of you has had sex with anyone else in the past 2 years, and with your negative test results except HSV1, there is no reason to suspect either of you has any active STD. Sex between you (vaginal, anal, oral, or anything else that gives mutual pleasure) should be entirely safe, with or without condoms.

I hope this response is helpful. Let me know if anything isn't clear.

HHH, MD
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35 months ago
Thank You very much for your replay Dr. Handsfield. My girlfriend did engage in sexual activity before I met her,  she told me she had protected sex. Before I came into contact with her I was a virgin. We didn`t engage in actual sex till  now.  I do give her fisting once in a while. My concern is the HIV risk. I do read a lot of articles online about it and that might be the reason I get really concerned about. A one time oral sex wouldn`t make you get HIV Dr. Handsfield ?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
35 months ago
There is almost no chance has HIV, but in my quick look at your previous threads a year or so ago, I thought she had been tested. If so and negative, what are you worried about? If any doubt, or if she has had other sex partners in the meantime, she should be tested for HIV plus other common STDs (gonorrhea, chlamydia, and syphilis).

HIV has never once been known to be transmitted by oral sex mouth to penis, or by cunnilingus (oral-vaginal contact). And of course there is no risk for HIV if she isn't infected!
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35 months ago
I  was the last one she came in contact with.  She did not do a testing for HPV because she is below the legal age. Just concerned about HPV. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
35 months ago
I though you were concerned about HIV. Who cares about HPV? Nobody should be concerned or fearful about HPV. Everybody is infected at one time or another, and most infections cause no harm. HPV is a normal, expected, unavoidable consequence of being sexually active. No worries!---
35 months ago
I do still have the swollen lymph nodes on my throat and the yeast infection. Is it caused by the HSV-1 virus. If it is then would I be able to cure them?. 
35 months ago
I also did a throat swab (strep test) and it came to be negative. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
35 months ago
As I said in my initial reply, I doubt you ever had a yeast infection, which would not cause enlarged lymph nodes. I still suspect that episode was herpes due to HSV1, caught from kissing your partner. Are those symptoms continuing?  Two years later?  If so, it's an entirely different problem. But if you had inflamed lymph nodes at the time, they might still be slightly enlarged, but they should no longer be sore or tender.

There is no cure for HSV1, but it goes dormant and stops causing symptoms.

What symptoms make you think you might have a yeast infection?

This whole situation is too complicated to get definite answers on this forum. I strongly recommend you find a doctor or clinic who understands these things (e.g. an STD clinic, or an infection specialist). I'm sorry that I cannot be of further help.

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35 months ago
I did not have swollen  lymph nodes at that time, they slowly developed and they do not hurt at all. I have yeast infection on my lips. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
35 months ago
Of course I cannot examine you and cannot judge whether anything is actually wrong or, if so, what the cause might be. But most people who believe they have enlarged lymph nodes turn out to have nothing wrong:  either no abnormal swellings at all, or mild enlargements that don't mean anything. Only professional exam by a physician, sometimes with lab testing, can sort out the truth and I certainly cannot do so. Yeast rarely causes infection on the lips, so I also am skeptical about that. It sounds like all this is self diagnosed, which is highly unreliable. So I conclude this thread by repeating my advice that you find a doctor you trust then follow her advice about next steps. But in the meantime, I am guessing that nothing serious is wrong.

Good luck. I hope this discussion has been somewhat helpful. (Please do not start a new thread with questions about the same exposure and symptoms. There is nothing more we can add to the discussion above.)
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