Hi

Male, 30ies, Sweden.

Received a blowjob from a Swedish woman in July 2021. I have a history of anxiety and being worried so I tested for gon+chlam (urine lab test after about 10 days) and after 41 days blood lab test for Hiv, Syph and Hep B. All tests negative. Was a bit worried about 41 days being to soon so I retook hiv test at 112 days, negative again. Both 4gen tests.

I should be happy with that, right? Anyhow, I seem to attribute any health "issue" to firstly Hiv and lately syphilis. I has had no chancre on my penis, no swollen nodes that I know of etc. Lately though I have had folliculities (?) on my hips, but I guess that could be from taking up running. Sometimes a small redness at corner of mouth but it doesnt look like angular chilities I guess, it usually goes away in a day or so. Also quite itchy ears, scalp etc but no dandruff

Qs

1. Am I home free or should I retest for anything?

Could add that she is married but allowed to see other men = very active sex life. Claims she test regularly and that condoms are mostly used. We still talk from time to time and I guess that if she had anything it would have been known by now.

Responding to the core question, posed in the title you chose:  Definitely move on and do not retest.

Oral to penis transmission is fairly common for gonorrhea, but this is rare (if it occurs at all) for chlamydia. And HIV has never been scientifically documented to have been transmitted mouth to penis. (CDC has published an estimate, based on reports of how often infected persons believed they were exposed by oral sex, that the risk might be around 1 chance in 20,000 if the oral partner has HIV. That's equivalent to receiving BJs by infected partners once daily for 55 years before transmission might be likely.) Further, your symptoms are not at all suggestive of HIV or any other STI. Finally, the tests you had are 100% conclusive. On top of all that, your description of your partner's sexual lifestyle suggests there is little chance she had an active STI, and no chance she had HIV, at the time of the sexual event.

Do your best to stop worrying about this! You're home free.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

Thanks doctor. You answered pretty much as I expected, and I mean that as a compliment. Its nice and reassuring to read your words.

A follow up, since I am allowed.

Q; the syphilis-test I had was an RPR-test (taken at 41 days). I dont know if that changes your advice? I dont know a lot about Syph and testing.

Thanks in advance