[Question #7788] HIV Risk with oral sex fingering condom slippage
52 months ago
|
Hi Drs,
I had a recent encounter with a man. We had oral sex unprotected, he ejaculated but not in my mouth. He fingered me and it was dark so I don't know if pre cum could have been on his fingers and we had vaginal intercourse with a condom. He did not ejaculate during vaginal sex. However, the condom was sliding off when he pulled out of me. It did not come off completely. 4 or 5 days later I got a yeast infection... would this be too soon to be related to a new HIV infection? About a week and a half after the event I got a stiff neck then days later I had a horrible bout with diarrhea but not normal diarrhea. It was like irritable bowel syndrome. As soon as I ate food or sometimes in the middle of eating my stomach would start bubbling really bad and I'd have to go to the bathroom right away. That lasted for about 3 or 4 days. Then after that stopped about 1 or 2 days later I got a really bad sore throat which lasted for about 2 days. Does any of this sounds like classic ars symptoms? The timeline seems to add up but the symptoms were not really all together. I never got a fever. Would you recommend testing for any of the events I mentioned. Thank you.
![]() |
H. Hunter Handsfield, MD
52 months ago
|
Welcome to the forum.
This was a very low risk exposure, especially if you're in North America or Western Europe. Statistically, it is unlikely your partner has HIV; oral sex is very low risk; vaginal sex is considered effectively protected when the penis slides out of the condom which remains in the vagina; and fingering is no risk, regardless of sexual fluids on fingers. And your yeast infection and other symptoms are not especially concerning for ARS. Yeast infections are not associated with ARS (or only very rarely), but only with advanced HIV infection, usually years in duration; and as you already suspect, 5 days is much too soon for onset of ARS symptoms.
All things considered, I think there is no chance at all you have HIV. Nevertheless, in response to your closing question, I do recommend you be tested for HIV. Not because I really believe you're at risk -- only because most persons worried enough to come to this or similar forums probably are more reassured by negative test results than by professional opinion, no matter how expert. (We don't take it personally!) But it's up to you. If somehow I were in your situation (or if you were someone close to me), I would not be tested or recommend it. If you go ahead with testing, stay mellow until then. There's really no realistic chance if will be positive.
Alternatively, speak with your partner to confirm he's not infected; or perhaps the two of you could go for testing together. (Maybe you'll find he's as worried as you are!) There would be no need for wating: if both test negative at this time, you'll both know you could not have infected the other.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
---
52 months ago
|
Thank you for responding so quickly. So to be clear, I should not be worried about the yeast infection, stiff neck, irritable bowel or sore throat based on the exposure? I get tested annually. I'm just trying to determine whether this event yields itself to another test or not. Sounds like I'm at a low risk but not NO risk situation but I should just test on my regular schedule?
![]() |
H. Hunter Handsfield, MD
52 months ago
|
You should be "worried" only to the extent that you're having unpleasant symptoms -- but not on account of HIV, no worries at all on that score. I'm glad to hear you get tested annually for HIV (and presumably for common STDs like gonorrhea, chlamydia and syphilis); the exposure described and these symptoms need not accelerate that schedule. Your next yearly test is fine.
I hope and trust your yeast infection has been appropriately treated; and it would be reasonable to check with your doctor if your intestinal and or musculoskeletal (neck) symptoms persist and/or bothersome. But not on account of HIV.
---
52 months ago
|
Thank you very much!
![]() |
H. Hunter Handsfield, MD
52 months ago
|
Thanks for the thanks. I'm glad to have helped.---