Hello Doctor 

I had a protected vaginal sex with a woman I met online. We kissed and she performed an unprotected oral sex on me. During the intercourse I changed the condom 3 times because we would take a short break and she would perform more oral sex on me each time I took off the old condom, and then I will put a new condom on and continue the sex. After we finished I found out that she has a very active sex life so that kinda got me worried. 2 weeks after the intercourse I got sick from what it looks like a common cold. Symptoms like Fatigue with runny nose, coughing, sneezing, diarrhea and night sweat. So I am panicking a lot right now and I’m so worried. 

I made sure to use the condom correctly but now I'm worried that a mistake was made without me noticing. 

What are my chances of contracting HIV from the event described above? Deep kissing, unprotected oral and protected vaginal with 3 different condoms.

Should I be worried because I got sick 2 weeks after the exposure? 

What other stds I'm at risk besides HIV?

I’m thinking about taking the oraquick in home HIV test but it has only been 17 days from the exposure so I know it’s still early to do the test. 

Please let me know what to do because I’m very worried and panicking 

1.  Please remember, most individuals do not have STI’s and even with unprotected sexual encounters, most single exposures to infected persons do not lead to infection.  You are use of a condom for your vaginal sexual encounters reduces your risk for STI’s, including HIV to virtually zero.

2.  Transmission of STI’s through kissing, including deep kissing, is virtually nonexistent and should not concern you.

3.  Following receipt of unprotected oral sex, there is virtually no risk whatsoever of HIV acquisition and the risk of acquisition of other STI’s is low. Gonorrhea can occasionally be acquired through receipt of oral sex if your partner has oral Gonorrhea.

4.  The symptoms you described do not raise any concern about HIV or other STI’s. Cough, sneezing and a runny nose are not symptoms of any STI. The symptoms are more compatible with a every day upper respiratory infection (a cold).

5.  You are correct that there would be relatively little value to having an aura quick test at 17 days following exposure. A negative Oraquick test would provide information proving that your cold symptoms are not due to HIV but little else. At 30 days one of the widely available fourth generation combination HIV antigen/antibody tests will provide nearly complete assurance that you did not acquire HIV from the exposure you describe.  The only other testing that you might consider is to have a urine test performed for detection of gonorrhea and chlamydia. Given your absence of penile symptoms, the possibility that you have acquired one of those STI’s from the encounter you describe is very, very low but it might provide you reassurance if you feel you need it.

I hope the information I provided is helpful. EWH 

You always make things clear and give me some comfort with your answers. I’m so sorry I keep asking almost the same questions and your answers are always helpful but that’s how I am.  I panic too much. And I think and worry too much after every time I have a sexual encounter with another female. 

Thank you again for your comforting reply