[Question #9593] Symptom related ?
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31 months ago
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Hi Dr, on 11 january 2022 (24 days after condom slip encounter on 18 dec 2022) I feel something on my throat when I swallow saliva, really light but it's not pain and not gone when I eat or drink but come back again after done eating/drinking. It's been 9 days I still feel it and it's getting more noticeable little bit. My tonsils and uvula is normal, no swollen on my neck, feels like phlegm inside but when I split it out feels good but come back again. I also got neck stiff on right side but it's gone in 2 days. Is this related to HIV?
I want a confirmation from you, were you aware on my previously thread that I said "condom found outside when the girl withdrew from me"? Is it going to change my risk?
An update too, I was having debate with the girl, she seems not comfortable with the test and said I am thinking she is slut. So today I take her to donate blood, she agreed. When arrives blood bank officer said her Hemoglobin is 10, minimum is 12, so cannot draw blood. She was having period last week indeed. Is this HIV? I was checking her blood donate history in 2020 and April 2022, all pass and no note. She often goes to bar & resto at night with her friend.
I know my sex history is almost zero, I don't want to test too if they are negative, but this girl is not tested yet make me worry. Let me mention once more, I have 3 partners in my life, first one already tested neg, the second one not tested but fully condom and I saw the condom intact fully when she withdrew, and third girl recently, don't know why I worry to the two girls, the second and third. Do you think I need to take second girl to test too? She is OK and wait for me to pay for her test. I worry too about the second girl because she has small breast tumor, she is 24 now, probably HIV?
Please kindly advice,
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31 months ago
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Oh how to donate Dr. ? This forum already help me so much to ease my anxiety in 2018 and now, without this I keep thinking and cannot do my job, I really appreciate so much.
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H. Hunter Handsfield, MD
31 months ago
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*Sigh*
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We have already discussed the virtually zero risk of this sexual encounter. That doesn't change because your partner is slightly anemic. She should see her doctor to address why her hemoglobin is only 10, but by far the most common reason in women is iron deficiency. Could it be HIV? Almost certainly not: with a negative test in April 2022, she would have had to be infected in the last 10 months, which is not enough time to develop anemia due to HIV infection. As for your other partner, having a "breast tumor" does not suggest that she might have HIV. (Where did THAT idea come from???)
Feeling "something" in the throat, possible sputum (phlegm), and stiff neck also do not suggest HIV or any other STD.
Since you're nervous and your partner is refusing to be tested (other than by blood donation -- which is a bit crazy!), you should have an HIV test to reassure yourself. It has been a month since the sexual exposure you are most concerned about, so at this time a negative antigen-antibody (AgAb, "4th generation") HIV blood test will be 98-99% reliable; and it will be 100% proof your symptoms are not due to HIV. (It is not possible to have symptoms from HIV and still have a negative blood test.) This recommendation does NOT imply I believe there is any chance you will test positive: I do not. I suggest testing strictly for reassurance; it is obvious you will continue to worry about it regardless of my advice. You are way more worried and anxious than necessary or appropriate.
I would stop any and all efforts to get your partners tested. You obviously antagonized one of them, and it's never appropriate to ask in such a way, or so frequently, that it becomes a "debate". Your partner's response -- feeling you might consider her a slut -- probably was justified. Further requests are not inappropriate. If you're worried, testing should be on you, not them. It's nice when partners readily agree to such requests, but you have no moral authority to insist or to make repeated requests. Stop it and just get tested yourself.
I'll be happy to make one more comment if you get tested and would like to return to tell me the result. However, I will have no further comment or reply until then.
HHH, MD
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31 months ago
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Hi Dr. HHH thank you so much to answer. You told me to test is because I am not confident of "Not infected" or because I told you "Condom slip and found outside after she withdrew"? I was thinking it's probably already came off outside on my pubic during sex (woman on top) but did not realize it and continue to have sex? Probably my thinking is nonsense?
So last week "Period" cannot cause hemoglobin drop to 10?
But Dr. please let this thread open, I'll let you know my test result. But if finally they go to test too (willingness from them, because the second girl wants me to pay for her health checkup with HIV test too not by me forcing her) I'll let you know.
But Dr. HHH, truly I don't want to test if the reason behind it is just as therapy for my anxiety, and you told me to test is because ANXIETY problem ONLY right? Not because of my history in 2018, in 2020 second partner one time sex and this 2022 recent one time encounter, correct?
If I have two options,
1. Move on, have a chinese new year with BIG CAKES, and propose my real partner in this year. OR
2. Have a test because there is theoritical risk?
If you suggest me to take the second option, please let this open.
I want to say SORRY to you DR. HHH for my repetitive-anxious question, I am really passive in sex as you know in my previous thread, so I am guilty to my true girlfriend. Anyway, I am so relief talking to you, THANK YOU SO MUCH !
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H. Hunter Handsfield, MD
31 months ago
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And what exactly did you think I meant by "I'll be happy to make one more comment if you get tested and would like to return to tell me the result. However, I will have no further comment or reply until then"???
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Get tested yourself, whether or not your partner(s) get tested. This thread will be closed when you post YOUR test result, or in a week, whichever comes first.
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31 months ago
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Dear Dr. I was busy this last few days and I did not take any test nor her but I heard that she is going to donate blood (donation event) soon but 2 days ago I heard her HB still at 10.xx.
To let you know, my throat symptoms-something when swallow was already gone, recently appear again after I sneeze at wrong position when lying down and it hurts, now it's smooth again, ON/OFF, so I think not related, do you agree?
Considering I never had Blisters, discharge, urgent urinate, pain urinate, bumps, big painless sore, warts, no no, nothing, SO I decide to put this behind and move on without test after I REALIZE my anxiety NOT FIT reality of true risk.
If I were your son, is my decision safe and will you SUPPORT my decision because this year I will marry my fiance and ONLY stick to monogamouse sex, 100%.
For the last thing, excuse me to ask few things.
1. after the encounter, I did few times masturbation, at one time, about 3 weeks after the sex when I pumping my penis passionately, suddenly my penis feels a tingling-pain like electric shock, I panic and stop it and check the head, nothing. So pee and feels NORMAL. Tomorrow after then, when I touch my penis from outside my pants, I got a TINGLING like electric shock sensation. Just the first or second touch, when I keep touching, feels normal. When I wait for 5 minutes and touch it again, first touch feels like tingling Again, then normal, over and over again, and in 3 days it's gone. So I keep masturbate once every few days. Then, in 3-4 days ago, when I masturbate, suddenly I feel irritated "A LITTLE", turns out there is a small lesion scar (SESAME SEED size or smaller) just one, on my spongy urethra, its location almost near scrotum. No pain unless I squeeze it. *I hurt my penis sometimes.
Lesion looks like skin healing-granulation, I use my phone cam because TOO SMALL ! And yesterday it was dried-black granulation, so I tried to remove the skin, it's removed and today it looks inner skin healed 100% but outter skin not. (use my phone). Sound herpes to you DR. ? I never had any herpes symptoms in my life.
2. I have concern of blood transfusion in my city in INDONESIA. I heard they screen someone blood use 3 methods of antibody test, not NAAT nor PCR, how crazy? Do you think it's unsafe to receive blood transfusion at least in my city???
3. Would you suggest me to test for tricomonas? Like I said never had any STD signs in my life, what test you suggest?
DR. thank you so much thousand times for your time, I hope you don't mind to answer my questions. I already MOVE ON.
I wish you HAPPY LIFE and HEALTHY always !
Regards, from your Indonesia fan.
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H. Hunter Handsfield, MD
31 months ago
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Sigh. Once again you have ignored my advice and strongly stated request.
1. Tingling is not a symptom of any STI. Herpes lesions may tingle, but tingling without blisters or sores does not suggest herpes. From your description, there is nothing wrong with your penis.
2. To the best of my knowledge, nobody gets HIV from blood transfusion in Indonesia. I do not believe it is unsafe.
3. There is no need for testing for trichomonas.
That concludes this thread.Thank you for your kind thoughts. Nevertheless, I must repeat the advice that ended your previous thread:
Goodbye. Best wishes to you.---The forum does not permit repeated anxiety driven questions on the same topic. This being your fifth [now your sixth!] -- with all questions almost identical to the others -- it must be your last about such exposures or about HIV/STD testing after such events. Repeated questions WILL be deleted without reply, with no refund of the posting fee. This policy is based on compassion, because we have learned that repeated replies to similar questions tends to prolong anxiety rather than relieving it. In addition, the forum sponsor does not wish to collect fees for questions when the answers are obvious. Finally, such questions have little educational value for other users, one of the forum's main goals. Thank you for your understanding.