[Question #4367] HIV risk and symtoms

28 months ago
Dear Dr,

I am a 29 yr old gay male. I last tested in January this year for HIV and was negative. My exposures after that were getting rimed and fingered , getting a blowjob . I also gave oral sex but with a condom. I had a sore throat and sme fever after the exposures in May. I now am experiencing Jocks itch since a few months. I took medication from the dr and its much better now. Recently i also noticed a red spot on the corner of my lips and the both coners of my lips hurt a bit. Looks like angular chellitis. I have never had anal sex as such. 
CCould these conditions be related to HIV or the exposures I had this year. I am very worried. Pleease advise.


Thanks
Edward W. Hook M.D.
Edward W. Hook M.D.
28 months ago
Welcome to our Forum and thanks for your question.  I'll be glad to answer.  FYI, you are getting this reply a bit more quickly than is normal for the Forum as I happened to come on line shortly after your question arrived.  More typically answers take several answers.

If the activites you describe above are the only sexual contacts you have had since your test in January, you do not have to worry.  None of the activities put you at meaningful risk for HIV and thus additional testing is not needed.  There is no risk for HIV from activities such as kissing, touching, participation in mutual masturbation including fingering or from receipt of oral sex (a blow job).  No one has ever been documented to acquire HIV through any of these activities and you are not going to be the first.  Similarly, there is no risk for HIV from performing condom-protected oral sex on another person, even if that person has HIV.  Without a condom, the risk for infection, if the person is HIV-infected is less than 1 infection per 10,000 sex acts and with a condom the risk is far les than 1 in a  million. 

Angular chelitis is no a sign of HIV, nor is jock itch or a routine sore throat.  I see no reason for concern and no reason for testing.  EWH
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28 months ago
Hi dr ,

Thanks fr your quick respose.  I have not had anal sex till date. I was a few drinks down for one time wen inhad oral sex with a male with a condom and i also called him yestrtday and he said hes tested a month back and is negative.

I read on the internet that jocks itch and angular chellitis are due to a weak immune system caused by hiv .

Also i have developed both conditions together. Couls this be due to some std or something serious ?

I worry that just because im gay i may end up getting hiv someday. Plz advise

Thanks
Edward W. Hook M.D.
Edward W. Hook M.D.
28 months ago
The internet is a poor source of information and the statement you make about angular chelitis and jock itch being signs of a weak immune system is just plain wrong.  I urge you to avoid the internet for sexual health related information - statements there (I will not call it information because so much of it is wrong) are often out or date, taken out of context or just plain wrong. 

Nothing in your note suggests any reason for concern or additional testing. Continue to practice safe sex, use condoms, get checked periodically and in your case, consider accessing PrEP for HIV prevention and you should be fine/ EWH
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28 months ago
Hi Dr ,

Thanks for your reply. Just had two last questions.

1. Does PreP have any side effects? Also is it to be taken lifelong? What if I stop taking it at some point, would it cause am sdverse reaction?

2. The jocks itch dosent seem to go away comoletely since a long time inspirebif medication and creams. Although it is much better. Also i now have slight chellitis around my lip. Would these be connected ? I have never had such issues ever before.


Thanks



Edward W. Hook M.D.
Edward W. Hook M.D.
28 months ago
1. In general PrEP is well tolerated and has few side effects although everyone is of course difficult.  PrEP is a relatively new intervention and so few people have taken it for longer than a few years but those who have tended to tolerate it quite well.  If you were to stop taking PrEP there should be no adverse events other than that your risk for HIV would return to baseline.

2.  No angular chelitis and jock itch are not linked.  When persons begin to worry, they tend to notice things they would not notic otherwise.  This may be happening to you.

This is my 3rd response to your questions.  As per forum guidelines, this will be my final response and this thread will be closed shortly.    I hope the information I have provided is helpful.  Please don't worry.  EWH
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