[Question #5197] Hiv and std scare relapsed because of irresponsible behavior
77 months ago
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Hi,
I recently had insertive sex 10 dayswith Chinese CSW for $160. It is protected oral and vaginal. But she used unsealed condom. And, she is on top of me, she did not stop for 2 minutes after I ejected. I checked the condom there is no visible tear or breakage. I kept it upright, tip to bottom not leaking. # This is is my first sexual activity after one year when I got tested for HIV 1/2 Ag/ab negative one year ago at 98th day#
1) I got uti symptoms from third day itself. And it got over (No penile discharge)
2) I got groin pain on 6 day. I feel the sensation of the pain quite often but not persistent. I checked lymphnodes I don't see any to visible eyes
3) I saw a rash on penile shaft foreskin red spots on 7th day it went off
4) I saw two red bumps on penile shaft foreskin on 10 th day. Not too big to small. Not itch or painful, I am unable to figure out if there is any blisters
My concerns
A) What is the risk level of my exposure.
B) How do you put my case. Could I be exposed to STD. Or my sytmpoms show possible Std symptoms.
C) Any testing is recommended .
D ) I scheduled hiv rna test[Aptima hiv rna ,Group M (A-G). Group N and O] on 14 th day. Will that be enough or further testing is required
E) Since it is a Chinese escort. Is there a chance I might get hiv subtypes that cannot be tested.
F) can red spot and bumps can be non std related. If the are std related do they come and go.
#I will get back in touch with you once I get back my results. But please answer my questions so I can schedule proper test#
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Edward W. Hook M.D.
77 months ago
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Welcome to our Forum. I'll be glad to comment. The exposure that you describe was low risk for HIV and other STIs. In general most CSWs do not have STIs or HIV and even when they do, most exposures to infected sex partners do not lead to infection. Use of a condom throughout sex that does not break reduces your risk for infection dramatically, making the exposure you describe virtually no risk for STI. Your description of your recent observations suggests that you are watching for signs and symptoms very closely- this practice may lead to detection of normal changes that would have been overlooked normally. Nothing you have suggested suggests an STI. In answer to your specific questions:
A) What is the risk level of my exposure.
This was an essentially no risk exposure. In my opinion, testing is not medically required although it may provide you with peace of mind.
B) How do you put my case. Could I be exposed to STD. Or my symptoms show possible Std symptoms.
Please see above. your symptoms are not suggestive of STIs.
C) Any testing is recommended
See above. No medical indication for testing.
D ) I scheduled hiv rna test[Aptima hiv rna ,Group M (A-G). Group N and O] on 14 th day. Will that be enough or further testing is required.
I have said that testing is not required however, if you choose to test, I am confident that the tests will be negative, providing further evidence that you were not infected with HIV from the exposure that you describe.
E) Since it is a Chinese escort. Is there a chance I might get hiv subtypes that cannot be tested.
No.
F) can red spot and bumps can be non std related. If the are std related do they come and go.
Yes, they could be normal. STD-related rashes would not come and go.
I hope these responses are helpful to you. EWH