[Question #6478] Hive!!!!!!! Or something else??

17 months ago
Hi all . I'm very paranoid at the moement of catching something after have protected sex with prostitute. She gave me protected oral at first because she said that my penis had to be hard before  any vaginal penetration. After that i had vaginal intercourse with the same condom ( i know its stupid of me) i didn't see any break though. After ejecaulation in her vagina, i checked the condom and i didnt see any slippage or breakage. That was my last sexual encounter which was on 27 of june 2009. A week after that, i noticed  red bumb on  my penis which was not panilful nor itching. At first i thought it was a genital wart. But after a while i started to have burning pain on my panis specially on the tip of penis. I then started to think that it was herpes. however, the red bumb was there for more than 2 weeks though i can see it became dry and formed scab. After that  i went to the walk in clinic in Cardiff. Following examination and taking history, the doctor told me that he is 99% that this is not herpes nor wart. He took a swap of the lesion and did all tests for STDs which was 3 weeks after exposure. All test came back negative including the swap. But he did not do blood test for herpes because they dont do it in that clinic as they think that is not reliable. The doctor diagonose my lesion as folliculitis. 

Anyway, though i wasnt very convinced with the diagnosis but i was releaved for the negative tests. However, a week after that, i started to have fasciculation on different parts of my body but mainly in my left leg. I also had strange burning pain on different parts on my leg. I also had penile pain with burning sensation of the tip. I also had water droplets sensation in my legs.. I went to my GP the strange symptoms of " water droplets and burning sesation, and he diagnosed it as peripheral neuropathy. I  strated to freak out because i heard that PN is a sign of ARS.  Today, i had diarrhea and nausea and stomach upset, which is also a sign of ARS :( 

so to summarise my symptoms: 

1-red painless bump with rash on me panis one week after exposure (  the lesion is still there though is 6 weeks now from exposure) 

2- penile pain with burning sensation 3 weeks after exposure 

3- 4 weeks after exposure i statred to have wierd burning sensation on diffrent areas like buttocks, thighs, legs, feet with water sensation and fasculation specially on the left side and maily the left leg. 

4- 6 weeks from exposure: stomach upset and diarrhea and nausea 


Guys, please help me.. whats going on ????? is it HIV ?? is it herpes ????  what the possibility of me cathing HIV with these symptoms. Please i want an answer. The stress and anxiety is killing me
Edward W. Hook M.D.
Edward W. Hook M.D.
17 months ago

Welcome to the Forum. I'll do my best to help.  first a bit of clarification - I presume you mean that the interaction took palace on 27 June 2019, not 2009. 

Second, nothing that you describe suggests either herpes, HIV, or any other STI to me.  I also agree with your doctor in not getting the herpes blood test.  Your doctor is correct, this test is unreliable. 

The testing that you had three weeks after your very low risk exposure (condoms work!) is definitive evidence that you do not have STIs like gonorrhea or chlamydia and the swab test for herpes you had makes this diagnosis unlikely as well. Three weeks however is a little early for definitive testing for syphilis or HIV and, given your concerns, my advice would be to test again for HIV and syphilis, not because I think you have one of these infections (I do not) but in the hopes that the negative tests you will get will relieve some of your anxiety. 

Finally, none of the symptoms you describe are at all suggestive of any STI, including HIV.  Your current symptoms may be coincidental or they may reflect heightened sensitivity related to your anxiety. 

I hope this perspective and advice is helpful to you.  Please don't worry.  EWH

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17 months ago
Thank you dr HOOK for you answer
actually what written above was  my first message I wrote in 2009 in medhelp. I did HIV test and other Stds all came back negative. However, since 2009 till this day I was noticing different kind of lesions on my penis ...discoloration, pigmentatios, somtimes red glans...burning sensation that would last a second or so ...I notice once small cut underside my penis...my penis feels dry somtimes to the point that I don’t get aroused when I touch it because of decreased sensation....I have some annular patches ...and from time to time I feel strange neurological symptoms all over my body but more intesnely and frequently in my underwear area (penis+buttocks) burning+water sensation+tinging+pinching that would last for a second in random locations . I didn’t have typical herpes lesions as described in books...but those neurological sensations which I have is similar to the prodrome symptoms many herpes patients have. And what makes me more anxious is that these symptoms triggered when I get sick or catch a flue or gastroenteritis which is very typical of herpes.... I did herpes blood test igg in 2015, 2017,2019 ...I did them 5 times all of them came back negative... the last test was:
Hav1: 0.49
Hav2:0.10
What do you think? Im losing my mind 
10 years since my last risky exposure and still have these symptoms from time to time
I really want to get married but Im worried 
Edward W. Hook M.D.
Edward W. Hook M.D.
17 months ago

Thanks for the additional information and for setting me straight on the dates.  The follow-up information only serves to confirm my confidence that this is not an STI.  Your tests prove that your do not have herpes (you were lucky that you did not have a falsely positive test) and none of the symptoms you describe suggest HIV or any other STI, including atypical HSV.  I would suggest you seek the advice of a dermatologist to sort of the case of the skin lesions you describe.  FYI, in books on genital dermatology which go on and on, only a small minority of the processes described are STIs. The remainder are other, non-STI dermatological problems.

This is not an STI!! 

Also, FYI, you have one additional follow-up question and then the thread will be closed. 

I hope this perspective is helpful. EWH

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17 months ago
Thank you again Dr Hook for your prompt answer.
I really appreciate that you are taking the time to answer my questions...you cannot Imagine how much I feel anxious everytime I get thise neuorological sensations in my private area when stresses/having flu
I forgot to tell you that my glans sometimes always become red and I feel my urethra looks like partially inflammed somtimes as my urine stream is not straight...not related to herpes??? You didn’t mention the prodromal symptoms I have during illness? Do you recommend doing western blot? I live in. Kuwait its very far from the US ... I was thinking of taking a 22 hours flight just to take blot test!!

Last question...do you think I can get married with no risk of infecting my future wife?
Edward W. Hook M.D.
Edward W. Hook M.D.
17 months ago

Once again, none of your perceived symptoms suggest herpes or any other STI.  This includes the so-called prodromal symptoms you refer to (they are not really prodromal since they do not lead to anything).  You do not need a Western blot- you need to look for other reasons for your symptoms. they are not due to any STI!

Yes, you can certainly get married without a concern that the encounter you described led to any STI.

This completes this thread which will now be closed.  There should be no reason to return to the Forum- you do not have an STI.  EWH

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