[Question #7966] I am devastated part 1

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50 months ago
Dear Doctors,

I hope you can help me.
I have always been a very careful person regarding STD. Every new boyfriend that I had, I asked him to have the HIV test before we had sex without condoms. Without a prior test I never had unprotected sex.
2.5 years ago, I was going through hard times in my life and I met a man who initally was pretending he was a good person and very much in love with me. He was from another country, so I also asked him to do a HIV test, which he did and it was negative ( I hope he did not lie about it). He showed me the paper of the exam on a pdf file, but of course also that could me manufactured and falsificated.

Anyways in december 2018 we had unprotected sex. In the same month he turned out to be a complete jerk, a narcissist and I had to left him. I did two HIV 4th generation  tests after that and they both were negative ( the last was after 2 months after exposure)
But in march 2019 I had a PAP LSIL or low grade displasia with HPV +, which I never had before. The gynecologist say we will just follow it. The next PAP made 6 months after that was PAP B and the last made 18 month after was PAP A.  My gynecologist said it was not important to test me again for HPV if the PAP is A.

A couple of months after the end of the relationship the narcissist come back, saying he loved me and he wanted to fix things. As a very stupid person I believed him and in june 2019 we had vaginal sex with a condom. After a couple of days he totally dissapeared and I had a terrible cystitis after that, which I treated with antibiotics and I took also azytromicin 1 g in case there would be Clamydia.
I completely freaked out because I discovered what a bad person this was and I got completely scared that he gave me something worse than HPV.
So I took a 4th generation Ab/Ag HIV test 14 days post exposure and it was negative. Then I took another 4th generation HIV test 8 weeks after the sex and it was also negative. I did not take anymore test because I was too scared and it c
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Edward W. Hook M.D.
50 months ago
Welcome to our forum and thanks for your questions. I’ll be glad to comment. I’m sorry to hear that’s your previous partner proved to be so problematic. I can Assure you however that the results of your eight week HIV test are reliable and conclusive.  You can be confident that you did not acquire HIV from this partner and that your 8 week test results prove this. There is no reason for additional testing. Believe your test results and do your best to put this unhappy episode behind you.

For your information, the risk of developing cystitis following vaginal intercourse is well described. This can happen with or without use of a condom and is not considered an STD. Instead, what appears to happen is that vaginal bacteria from the woman work their way into the urethra and the bladder during Sexual intercourse. The risk of cystitis can be reduced somewhat by urination following intercourse.

Please don’t worry about the HPV infection detected during your Pap smear. It sounds like you are gynecologist is taking appropriate steps to follow it. The vast majority of HPV infections are self-limited and evidence of infection resolve with the passage of time. Follow up of the sort you describe is the right course of action. 

I hope this information is helpful to you. EWH 
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50 months ago
Dear Dr Hook.

Thank you for your answers.
I permitted myself to ask a little more question becuase I purchased 2 questions ( 2 fees), and I thought every purchased  question can have some replies.

If that is not true I apologise.

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Edward W. Hook M.D.
50 months ago
You may continue to ask questions as part of this thread but the other thread has been closed.  You have two follow-ups remaining as part of this thread.  EWH---