I had my pants on the entire time. During the grinding, I can’t be sure if there was any fluid but I don’t recall when I inspected my pants, when I got home I did see some pre-cum in my underwear after 4-5 days later I had oral thrush wear I see white skin under tough peeling, plus I got blisters in my lower lip with no pain or anything my lips was super dry wear I kept licking it right away I felt blisters formed without pain next day scabbed almost healing , I never experienced anything like this .  I also wanted to let you guys now if this have anything to (Ecstasy pill)  , which I chewed like an idiot.  Do I need HIV testing? I am freaking out for every little sign and symptom.

I reviewed your recent discussion with Dr. Hook and agree with all he said. As for your current question, I'm not sure I can help very much. The title you chose ("HIV phobia") probably says it all. By definition, a phobia is an irrational fear, i.e. one without basis in fact or true risk. Also by definition, phobias are not much helped by hearing the facts of the case. Probably you know (intellectually if not emotionally) that HIV cannot be transmitted sexually except by intercourse. All other kinds of contact with body fluids, especially through clothing, are entirely free of risk. There is no possibility you acquired HIV, or that the problem with your lips has anything to do with HIV. It also is not the result of any other infection from your strip club adventure. (I cannot say whether or not it is connected with the Ecstasy pill.)

You do not need testing for HIV. It is not rational to be "freaking out for every little sign and symptom"; all this is part of your phobia, not any other medical problem of importance. If you continue to be so fearful despite expert, reasoned, science-based advice, you should consider professional counseling.

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD

Your response is greatly appreciated. 

That completes the two follow-up exchanges included with each question and so ends this thread. I hope the discussion has been helpful and you can move on without worry. For goodness' sake, stop having HIV tests until and unless you start having unprotected sex with persons other than your wife. (Strip club contacts do not count if there is no intercourse!)

Best wishes and stay safe.