Hello Docs. I am in Lagos,Nigeria.I asked a question regarding oral sex few days ago but i just remembered I forgot to include some details. I will highlight these new details in bold. About 4 days ago I had oral sex with 4 prostitutes. Sex with two of them separately on wednesday and sex with another separate two on friday. I sucked their vagina and their anus with my tongue and mouth and got anal and vaginal fluids into my mouth which i swallowed. I also stuck a finger deep into one of their anus and then sucked it clean with my mouth.  I also sucked one of the prostitiutes  fingers with my mouth. One of the prostitutes actually defecated in my mouth and i swallowed some of the poop and spat out some. We also kissed deeply and they spat into my mouth which I swallowed. Now I am scared. I have been having passage of loose watery stool since then. Please what is the risk of me contracting HIV from these exposures. I know previously you said it was low risk or zero risk and that testing is optional. Please what do you mean by testing is optional. With these additional information i have included please (1) What is my risk of contracting HIV (2) if you were in my shoes will you go for HIV testing (3) if you were in my shoes will you continue unprotected sex with your wife. I'm so worried and I need some encouragement and the most frustrating part is that I have to wait for a whole 6 weeks if i decide to test for HIV. The wait is killing me, please i need some encouragement from you experts. I dont know what to do, its like this is becoming an obsession. Its always on my mind, when i sleep, when i am awake etc its really making me depressed. I keep thinking what if that low risk of contracting HIV from this exposure becomes manifest and i become infected. Please help me, I need your help. Thanks so much.

Welcome back to the forum and thanks for you continued confidence in our services. However, I don't quite understand why you found it necessary, since you ask nothing that was not answered -- directly or indirectly -- in our exchange a few days ago. I understood most of the details you describe about the sexual events; the additional information here does not change anything. Please go back and carefully re-read my replies last time, especially the detailed one following your opening question.

 

My main advice last time remains unchanged:  There is almost no chance you acquired HIV or any other STD, but testing might help you stop worrying. The only thing I will add now is that your loose/watery stools could well be from a gastrointestinal infection you acquired by analingus and/or swallowing feces. But not HIV or any STD. If your diarrhea doesn't clear up in a few days, or if you develop cramps, fever, or pass blood, see a doctor promptly.

 

To your specific questions:

 

1) Almost no risk of HIV; see your last thread.

 

2,3) If I were in your situation, I would not feel a need to be tested for HIV and I would continue unprotected sex with my wife.

 

Finally, if you decide to get tested for HIV, you do not need to wait 6 weeks. That's the time required for 100% conclusive results, but testing at 4 weeks is 98-99% reliable and the result should be very reassuring.

 

Really, do your best to settle down. Get the diarrhea checked out if it persists or you develop the other symptoms I have mentioned. But HIV really is extremely unlikely; nobody has EVER been known to catch HIV from the types of exposure you describe.

 

HHH, MD

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Thank you so much Doctor. Your response is very reassuring. I appreciate you and all the work you have done in STD research and infectious diseases. You have indeed contributed greatly to Medicine and I'm sure Hippocrates will be proud of you. We are proud of you. Well done.

Thanks for the thanks. That's why we're here!---