Yes so let me start my story, I live In Miami and about about 5 days ago I had protected anal sex with a male(transvestite),l that is 39 years old, we both gave each other oral no ejaculation, and I also licked his asshole for about 20 seconds, I ended up ejaculating while still inside  but inside the condom, I was only the top not the bottom, and I asked before hand if they were clean, which they said yes, but they could easily lie. (They were also the one to put lube on the condom on 2,3 different occasions before I went inside again) after I went to the bathroom and looked at the condom, and saw no obvious breakage, but saw something slimmy on the til, which I don’r remember seeing before , and there were 3 ,4 different slight red spots on the condom, apart from each other, i’m assuming it’s slight blood, I couldn’t make out if it were inside or outside the condom, I just wanted to take it off and wash my penis and hands immediately., it is now 5 days post and I started getting a sore throat(even see some white spots on tonsil, and my two side lymph nodes are clearly swollen, and My head is a bit hot, I feel I am beginning ars symptoms (even tho I know that’s not the best way to determine if you have hiv)

Doctor I left out one thing, and I hope this doesn’t count as a follow up, 32 days prior to these symptoms I also had protected sex with this partner, oral done, but I only did top with a condom. 

Welcome back to the Forum.  I am stuck by how similar both this encounter and your questions are to the exchange you had with Dr. Handsfield about a month ago.  The answers will be very similar.  I’ll start by just copying the first part of Dr. Handsfield’s reply to you and then go straight to your questions:

 

“You correctly understand that anal sex in men who have sex with men (MSM) is the highest sexual risk for HIV. That's because a far higher percentage of MSM than heterosexuals have HIV (in the US and western Europe), and because anal sex is inherently riskier than vaginal sex. However, the HIV risk is a lot higher for the receptive than the insertive partner; the average risk for you wasn't much higher than vaginal sex, if either partner had the virus. But more important, HIV cannot be transmitted through an intact condom -- and it sounds like you had no other risky events. (Oral sex is nearly free of HIV risk.) Once you made a decision to have such a sexual experience, you did it with maximal safety (congratulations for that wise decision!).”

 

Now your current questions:

 

1. What is the chances I acquired hiv from this event? I feel so stupid for not seeking out pep

   Your chances are low.  Condom protected sex is safe sex and there is no known HIV risk from rimming.  Rather that going for PEP, as this is a repeating theme, you might consider seeking PrEP to reduce your risk for HIV.  I would suggest you discuss this with your own doctor or a public health HIV specialist.  There are many in the Miami area.

 

2)What is the chances I acquired hsv2 from what I described above?

Also very low for the same reasons.   You used a condom.  You do not have lesions.  Acquisition of oral HSV-2 is very, very rare.

 

3) What are the chances I am in the beginning stages of ars symptoms?

Same answer.

 

4) Is there a possibility of getting hepatitis C from licking a butthole, if I get fesces or blood in my mouth?

Hepatitis C is acquired through needlesticks and only very, very rarely through sex.  Your condom use would virtually eliminate risk for hepatitis C from receptive rectal intercourse which is the main way hepatitis C is acquired sexually.   Ingestion of feces of blood is not a known risk for hepatitis C

 

5)could the condom have been tampered with by the lube? Like maybe it made a hole or a few small holes on it?

When condoms break, they break wide open leaving no doubt that they failed.  I would not worry about condom failure or be paranoid that the lubricant used for your encounter was tampered with.

 

6) could the blood have gone inside the condom? Maybe when he was on top, it slid up a bit?

No.  As before, you are worrying about non-issues. Your condom remained intact, the blood was on the outside. 

 

7. do you believe that this could be ars 31,32 days post exposure? I am freaking out my neck lymph nodes have never been this swollen, they are pretty tender(and I have had scares before) never felt the lymph nodes  like this.

For the ARS to occur more than a month after an exposure, particularly after your earlier low risk exposure is very unlikely.  If you are concerned, an HIV test at this time would be positive if you were experiencing the ARS.  I would expect that, if you choose to test, your test will be negative. 

 

I hope that these replies are helpful.  Consider PrEP.   EWH

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Thank you for the quick response, yes Doctor I had spoken to Dr Hhh and was pretty relieved by his responses for the past two weeks I didn’t even think about this anymore, until yesterday when I started developing a sore throat which has gotten worst today, and I have a lot of white stuff on my tonsils, I do remember havin tonsilits once about 4 months ago, and it felt like this maybe I have it again, just the timing, and the fact that my lymph nodes weren’t this tender that last time is what has me scared , they are super super tender, hoping it’s jjust tonsilitis again, as I heard it can cause swollen lymph nodes and fever( which are identical to 3 maing hiv symptoms) but for my follow up I did want to ask you guys some specific questions as well? Maybe not just 100% to these incidents but something that I am curious about since I will continue to be sexually active (with condoms of course) 

I missed this question thought it went thru

I suspect your sore throat is coincidence, nothing more.  It is that time of year. Further, white exudate in the throat is not typical of recently acquired HIV.  In answer to your other questions:

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Thank you so much doctor i Am completely over this incident, but as my final follow up, I guess I will tell you of an incident that just happened(and I will take your advice of prep very soon, if I continue my actions) but I had sex with another tranny/ male 2 hours ago, same situation, it was protected, and I didn’t even do oral on them(out of fear) but I received oral. That is not as much my worry but for the first time in my life, they ate my asshole, and also fingered me a few times(at least 6 times) and every time, they touched either their penis before hand(mosy probably had pre cum since they were turned on, or they spit on their hand before hand, I know for a fact I can get pap tomorrow before 5 pm eastern( that would be whithin 36 hours of the incident.

7) also after I took off the condom (possibly exposing myself)I didn’t immediately wash my hands after, as I hadn’t finished, and played with myself until I came, is that a risk? 

Final answers.  What you describe- receipt of oral sex, receipt of analingus, and anal masturbation are all sex acts for which there is no known risk for HIV as no one participating in these acts has been proven to get HIV from them.  That your partner touched their own penis and may have used ejaculate, pre-ejaculate, or saliva as lubricant does not change this assessment.---