[Question #77] anxiety

39 months ago
Hi, the last couple weeks have become a nightmare to cope with. I know I should've never goggled my symptoms but I did and now I'm losing my mind.  Last year I went on a vacation with some friends in Sossua DR. i had sex with a few locals which now I regret everything that I did. I used protection with all of them except for one where the condom slipped but it was still inside of her. At the time I noticed I had a broken blood vessel near the tip of my penis (there was black purplish spot disappeared in a couple of days never gave me any irritation). I'm worried because I never wore a condom when receiving a BJ.  I never had any fever since I came back except for coughing and nose congestion. I still get them now which I'm thinking its allergies or from smoking. A couple of months ago I noticed a few spots on my arm. I went to the dermatologist turned out to be flat warts. Last week i noticed some white dots all over my upper lip which resemble fordyce spots. I'm seeing a doctor next week but in the mean time  i cant stop feeling worried.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
39 months ago
Welcome to the forum. I'll try to help.

YOu don't say wheither you are concerned about the risk of STDs in general or about a specific infection, such as HIV. Either way, I think you recognize that your problem is emotional and psychological, not medical.

First, you had low risk exposures. Oral sex is safe sex. It isn't totally free of STD risk, but much lower than vaginal or anal sex. All STDs are low risk by oral an some are zero, including HIV. Second, you do not report any symptoms that suggest any STD. There are no STDs that would cause a "broken blood vessel", "purplish spot", or any skin problem that comes and goes; and none cuase coughting or nasal congestion, or "spots on the arm". 

Since you are worried, I would have advised seeing a doctor and happy to see you're already planning to do so. If the doctor agrees, you could be tested for common STDs, but don't overdo it. The only tests you should consider are blood tests for syphilis and HIV and a urine test for gonorrhea and chlamydia. Do not waste your money and time on expensive testing for STDs you had absolutely no chance of catching.

In the meantime, I would encourage you to follow your own implied advice, to stop searching the internet, since you are selectively seeing information that inflames your fears. Also stop all self examination.

Really, there's no signficant risk here. Stat mellow while you wait for your exam and testing.

I hope these comments have helped. Best wishes--  HHH, MD



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39 months ago
Sorry, let me clarify a little bit. I had a broken blood vessel on my tip or i think it was since it resembled the characteristics of what it would look like. i continued to have sex without letting it fully healed since it didn't bother or hurt. would that increase the risk of an hiv transmission? Thank you
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
39 months ago
No, that wouldn't increase HIV transmission risk, especially from oral sex. Saliva kills HIV, and exposure to someone's mouth (oral sex, kissing, etc) never transmits the virus.---
38 months ago
Hey doc. 
Finally got the courage to go in to get the std test done. My doctor prescribed blood work for all them and a urine test. Anyway I should be hearing back in a couple of days. I completely forgot but I remember I had a brief unprotected vaginal penetration with a girl I met at my local bar.Today, I noticed a white dot under my foreskin, doesn't hurt or anything  just has kicked anxiety/fear to a new level that I acquired hiv. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
38 months ago
Congratulations for getting tested. You won't regret it. HIV is not a possible explanation for "a white dot under my foreskin". Based on all you have said so far, including unprotected vaginal sex, and including the fact that you have no symptoms of any STD, you can expect all your tests to be negative. I hope you were tested only for the ones I suggested above. If also tested for chronic infections like herpes, syphilis, HIV, or hepatitis B, any positive results would go back to some prior exposure(s), not the recent one.

You have one more follow-up comment/question coming, after which this thread will be closed. So I suggest no further discussion until your test results have returned, if you want to let me know the results. in the meantime, stay mellow. You really are at little or no risk from the events described.
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38 months ago
Hey doc,  the nurse called me today with my results everything came back negative. Thank you so much for you help.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
38 months ago
No surprise of course, but congratulations. And thanks for the thanks -- I'm glad to have helped. Take care and stay safe.---