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Author Topic: Extreme Exposure and possible Co-infection with several STI's NEED ANSWERS  (Read 1002 times)

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Offline kwaione

  • Member
  • Posts: 6
Hello I am live in Thailand with my Fiancee.. I am Bi-sexual and he is Gay.. I am not a cheater so I guess I am gay but still like woman but cannot have it both ways lol Anyways I have a few questions.

We both had 3rd Generation tests me 3 days before meeting him and him 3 weeks before meeting him and he had one every 3 months 3 times before meeting me and tested Negative for HIV and VDRL...

We lived together for 3 months and decided to do a follow-Up HIV test after my penis started dripping extreme amounts of Green puss looking stuff that had no odor, Gonnheria .. This was during the first few weeks where we were in a open relationship and I had sex with 2 girls and two Katoeys (ladyboys).. I used condoms with the ladyboys but not the girls...

When we got the test was a few weeks after I treated myself with Azythromcyin 2 grams orally and Cefixime 600mg one dose.. It cured it effectively and he never got it thank god...

When we went to get tested 3 weeks ago I tested Negative but he tested Positive for HIV virus using the Clia (?) test.. They gave no instructions no nothing other than telling us to retest him and I in 30 days.. I did not want to wait so since it was Friday we went into the government hospital (horrible place) on Monday morning.. I tested Negative again.. But he tested Positive for VDRL Syphilis and HIV (The HIV was confirmed using 3 separate tests) ... He tested negative for VDRL at all previous testing before we met, ..

One question is he had spots on himself not the palms or feet though and they tested him and found no Syphilis.. They said it was a rash from allergy to bed sheets or soap.. How long could he have had the VDRL before it shows up they said up to a year is this accurate?

His memory and eye site have gotton worse and they gave him 2 grams of penicillin injection last week...

His CD4 count is 374 is normal for it to go so low during the first 12-16 weeks of infection? We know he got the infection on October 10th 2015...So became contagious on November 5th-17th the days we started having unprotected sex due to us thinking we were both negative.. I was bottom and top and we ejaculated into each other around 30 times before finding out about the HIV,, I also injected his blood by sharing needles for steroids.. Another question is if you inject blood the more blood you inject does that mean the virus has more of it in your system to recreate and copy itself at a higher rate than a smaller amount of blood?

they want to wait until his CD4 gets down to 350 to start medication which is tomorrow,, Why does the CDC rec this? Why dont they start treatment right way? and does getting below 200 and the diagnoses of Aids take a long time to get to from 374 or is rapid or just different for each person.. if normal is 700-1,500 and his is 374 in a 12 week span isnt that quite rapid and advance to AIDS much quicker than usual?

When should I get tested again I injected his blood about 8 days ago, will it show up on a sensitive test at a private hospital that runs 4 different tests? and what test should i for that is most accurate? If I had my CD4 tested would a low number indicate HIV even though the HIV test currently says Negative?

I also have Hep C... will HIV show up quicker because of this?

I bottomed for him without condom and he came inside of me and cut me about 3-4 weeks ago isnt it a high chance since he is highly contagious at this point that I most likely contracted the virus?

He had a blood infection where hard green stuff was coming out of his anus and they removed what looked like a cyst to me from his anal region and buttocks before we met (i seen pictures) but they never told him what it was and said it could have been from raw or fermented fish, bad water , OR sex.. so we are very confused what that could mean,, he is a bottom/vers and I am top/vers os since he couldnt have sex for a month after that surgery I let him top me which i never really did before and we didnt use protection just lots of lube.

We are in love and monogomous now and are getting married, he is a great guy and not a liar or cheater and neither am I .. we are open with each other and will I will take care of him when he is sick and vice versa FOREVER.. we will never separate since hearing of this pos test and it has made us MUCH closer is this normal?

I keep bringing up the past and asking detailed questions which causes hurt and pain which I know is wrong very wrong but I have OCD and Anxiety disorder and I am trying very hard, but when I think of a question I obsess over to the point I ask it, then receive thing I do not want to hear which bothers me... Before I met him he had a twitter account that he posted naked pictures of himself and that bothers me as well,, we scrubbed them and delted them from the Twitter so that is gone and all his 10,000 followers on twitter are gone and 5,000 friends from twitter on Facebook are gone as we started him a new account,,, He has changed and doesn't even want to think of his past life,, I am no saint I would meet people off Of Grindr or Hornet everyday for 5 years.. So I am not better than he is and could have got HIV just as easily only difference is I did not do Anal sex and he did and I used condoms when I tried to anal sex but couldn't insert do to not being interested.. but he had condom less sex sometimes and let people ejaculate inside him which I just cannot seem to get over, and it has to do with imagination that my love did that with someone else, even though i had more partners than him and it was the PAST... I think I need counseling and I know this,,,

We are doing better everyday but we thought our lives were perfect and things were finally going to be great because we met each other and getting married, then we find out about the HIV and it will never leave our minds because we have to go to the doc every month and all that.. Luckily he is in a program where they pay him to get the tests and pay for all medications if becoming positive for two years, so he is pos so next two years all tests and meds are free... mine will cost about 50$ a month they said.. That is cheaper than USA right?

I just need to know should i be treated for Syphilis even though I am negative as of now? How long could he have showed negative but been positive? since he has HIV will the one 2 gram shot be enough or does he need more? what tests should I get to detect the earliest? among the other questions I asked?

Also I have headaches, muscles aches, Diarrhea, Night sweats,sweating, Fevers,muscle cramps,fatigue, weight loss of 4 kilos in one week each

Sorry if I got a little too detailed but I wanted to tell the full story thank you all very much and I hope to become and active member of this community forum..

Thank you

A

« Last Edit: January 21, 2016, 10:56:48 AM by Jeff G »

Offline Jeff G

  • Administrator
  • Member
  • Posts: 16,838
  • How am I doing Beren ?
Welcome to the forums . I moved your thread into the someone I care about has HIV forum. You can post in this forum as well as off topic where we discuss anything other than HIV. The rest of the forum is for people that are living with HIV.

Please check out the links at the bottom of my page on testing and PrEP. We can only comment on what best for you since your partner is not a member. The only HIV test that matters is your test given at the appropriate time. If you want to suggest to your partner that he join the forums as well we can be a source of support and information for him as well and give him feedback on his specific needs.

You did have a risk for HIV and will need to test, you can do so at 6 weeks past any possible exposure and again at 13 weeks to confirm the results. You can read about testing here...

http://www.aidsmeds.com/articles/HIVtests_5029.shtml
 
Here's what you need to know in order to avoid hiv infection:

You need to be using condoms for anal or vaginal intercourse, every time, no exceptions until such time as you are in a securely monogamous relationship where you have both tested for ALL sexually transmitted infections together.

To agree to have unprotected intercourse is to consent to the possibility of being infected with an STI.Sex without a condom lasts only a matter of minutes, but hiv is forever.

Have a look through the condom and lube links in my signature line so you can use condoms with confidence.

Anyone who is sexually active should be having a full sexual health care check-up, including but not limited to hiv testing, at least once a year and more often if unprotected intercourse occurs.

If you aren't already having regular, routine check-ups, now is the time to start. As long as you make sure condoms are being used for intercourse, you can fully expect your routine hiv tests to return with negative results.

Don't forget to always get checked for all the other sexually transmitted infections as well, because they are MUCH easier to transmit than hiv. Some of the other STIs can be present with no obvious symptoms, so the only way to know for sure is to test.

Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid hiv infection. It really is that simple!

Please Note.
As a member of the AM I Infected Forum you are required to only post in this one thread no matter how long between visits or the subject matter. You can find this thread by going to your profile and selecting show own post and it will take you here . It helps us to help you when you keep all your thoughts or questions in one thread and it helps other readers to follow the discussion. Any additional threads will be deleted.

Offline terrymoore

  • Member
  • Posts: 158
Hi,
I am not a doctor so i cannot give you any medical diagnosis and all information should be verified with a real doctor.
I too living in Thailand and i am HIV+. This website has been a great source for information and support. for me and i recommend you read through the threads and posts.
Unfortunately inn Thailand i know that some hospitals/doctors are not up to date with the latest information or latest CDC guidelines. If you can, i suggest you go the the Thai Red Cross Anonymous clinic in Bangkok (may i ask where you live?). There you can get tested (they have very new tests) as well as see a doctor and speak to a councilor (i found them very helpful and informative). They will have lots of information on their site as well, and you can call them, but i suggest you visit if you can ( http://en.trcarc.org/ ). Another alternative (much more expensive) is to go to a private hospital. I have found a  great doctor which i will be glad top recommend if you PM me. The cost is not cheap, but perhaps it is worthwhile for one visit/consultation.
I believe the new guidelines for starting HIV treatment is no longer related to the CD4 count (http://www.cdc.gov/hiv/guidelines/ ) - i may be wrong. I started treatment immediately when my CD4 was 465 and VL was around 6M (!!) - after 4 months i was UNDETECTABLE and CD4 over 900. Today 8 months after detection, i am still UD and my CD4 is over 1000 - so treatment definitely works and life can go on (almost) normally.
I am glad you have found someone you care about and that cares about you. You are lucky! As mentioned, HIV is a chronic disease these days that can be treated with the right medications taken properly - it does not have to lead to AIDS, so be cool.
In the meantime, i highly recommend you use condoms when having any sexual relations  with your boyfriend or with others until your situation os clear and stable. You do not want to catch anything new and I guess you do not want to put anyone else at risk.
Good luck and feel free to PM for specific information.

Offline kwaione

  • Member
  • Posts: 6
Thanks Terry!


I cannot PM you yet as I cannot afford a paid membership and need 3 posts...

We have been monogamous for about 2 1/2 months and I was the only one that wasn't when we weren't... We know who and when he contracted the HIV and Syphilis .. but that does not matter now what matters is getting him healthy and myself healthy,,

Thai Red Cross has a test called the NAT test that detects infection 7 days after exposure and they are testing free as of now.. We are both getting full work ups on February 5th.. I have not been able to get out of bed, fatigue and dreaded diarhhea and Fever.. .I will not be surprised if I have it to I just want to start meds ASAP.. The US CDC has found that HIV is much more destructive than the medication,, and that they do not put someone on medication based on there CD4 count, the hospital my Fiancee went to goes based on CD4 only and has not even did a viral load count! They gave him 1.8 gram injection of Penicillin in his butt and waited a week to start the HIV meds but did not repeat the VDRL test to see if it is gone or not,nor did they treat me to make sure I don't have it and give it back to him..THey are several years behind in education and that scares me not for us since we know but for all the other people going to these hospitals with doctors that have not kept up with ongoing education...

I might get all my blood tests and everything done at the Red Cross and then go to Bumrungrad Hospital to see a specialist and have him prescribe the medication and get it filled at the Red Cross for cheaper... I have Hepatitis C so co-infection and I cannot risk being given outdated treatment.. I had my enzymes in the several thousands at one point when they are suppose to be at 30-40 and I do not even drink alcohol... I am just happy to have met people on here and you Terry makes me feel more at ease.. Just working through some things in my head and trying to decide how to change my healthy living to be more healthy,eating right and stop smoking the darn cigarettes like a fiend.. Being stressed does not help either..



Thanks a lot everyone who has read  and commented or not commented..

A
« Last Edit: January 25, 2016, 11:39:06 AM by Jeff G »

Offline Jeff G

  • Administrator
  • Member
  • Posts: 16,838
  • How am I doing Beren ?
I removed your email from your post . If you want to send a person your email post one more time and then you can send it via PM . You do not want to publish your email address for the whole world to see .


Offline terrymoore

  • Member
  • Posts: 158
Hi Kwaione,
I have been to and can recommend a great doctor at Bumrungrad (you can see some of my other posts. Here is my post from yesterday
http://forums.poz.com/index.php?topic=61532.msg697004#msg697004.Post 3 times and feel free to PM me.
Take care!

Offline kwaione

  • Member
  • Posts: 6
Hey thanks Terry I appreciate that info.. I will be going there after I get my blood tests fully worked up and getting the info needed for him to prescribe me medication much appreciated!

Offline kwaione

  • Member
  • Posts: 6
I have a question .. They never checked his Viral Load before starting medication.. Does that make sense? How do we know if the medication is working or not if we don't have a reference point to compare it to? They also told him he could wait until his CD4 count was down to 200 before starting medication.. That's outdated as the medication causes less damage than the virus.. And I thought under 200 is AIDs? If someone goes under 200 then goes back up does the diagnoses of AIDs remain or go back to HIV ? I do not understand...

Thank you

Offline terrymoore

  • Member
  • Posts: 158
HI,
It sounds like the doctor you are seeing is not updated, although maybe there are other factors the doctor is considering. IMHO, i recommend you make the bus ride to Bangkok, head to the Red Cross Anonymous Clinic, see a doctor, speak to one of their councillors who will help guide and inform you, and take it from there. You are obviously not comfortable with the advice you have received from the current doctor (and frankly i can understand why). I know it is an inconvenience, but once you get this done, things should be clearer and go smoother for you guys. You can find out how to go there and what times at http://en.trcarc.org/.

Offline kwaione

  • Member
  • Posts: 6
Got an appointment with TRC and the doc at Bumrungrad February 5th thanks for all your Help Terry

Offline mecch

  • Member
  • Posts: 12,934
  • red pill? or blue pill?
Re: Extreme Exposure and possible Co-infection with several STI's NEED ANSWERS
« Reply #10 on: January 29, 2016, 12:40:17 PM »
Hello I am live in Thailand with my Fiancee.. I am Bi-sexual and he is Gay.. I am not a cheater so I guess I am gay but still like woman but cannot have it both ways lol Anyways I have a few questions.

We both had 3rd Generation tests me 3 days before meeting him and him 3 weeks before meeting him and he had one every 3 months 3 times before meeting me and tested Negative for HIV and VDRL...

We lived together for 3 months and decided to do a follow-Up HIV test after my penis started dripping extreme amounts of Green puss looking stuff that had no odor, Gonnheria .. This was during the first few weeks where we were in a open relationship and I had sex with 2 girls and two Katoeys (ladyboys).. I used condoms with the ladyboys but not the girls...

When we got the test was a few weeks after I treated myself with Azythromcyin 2 grams orally and Cefixime 600mg one dose.. It cured it effectively and he never got it thank god...

When we went to get tested 3 weeks ago I tested Negative but he tested Positive for HIV virus using the Clia (?) test.. They gave no instructions no nothing other than telling us to retest him and I in 30 days.. I did not want to wait so since it was Friday we went into the government hospital (horrible place) on Monday morning.. I tested Negative again.. But he tested Positive for VDRL Syphilis and HIV (The HIV was confirmed using 3 separate tests) ... He tested negative for VDRL at all previous testing before we met, ..

One question is he had spots on himself not the palms or feet though and they tested him and found no Syphilis.. They said it was a rash from allergy to bed sheets or soap.. How long could he have had the VDRL before it shows up they said up to a year is this accurate?

His memory and eye site have gotton worse and they gave him 2 grams of penicillin injection last week...

His CD4 count is 374 is normal for it to go so low during the first 12-16 weeks of infection? We know he got the infection on October 10th 2015...So became contagious on November 5th-17th the days we started having unprotected sex due to us thinking we were both negative.. I was bottom and top and we ejaculated into each other around 30 times before finding out about the HIV,, I also injected his blood by sharing needles for steroids.. Another question is if you inject blood the more blood you inject does that mean the virus has more of it in your system to recreate and copy itself at a higher rate than a smaller amount of blood?

If he never had a CD4 test BEFORE now, you cannot know what his, personal, "normal" CD4 is so you have nothing to compare to and can NOT say it has sunk down a lot because of infection.

PS  You dodged a bullit. Stop sharing needles with everyone, obviously.


they want to wait until his CD4 gets down to 350 to start medication which is tomorrow,, Why does the CDC rec this? Why dont they start treatment right way? and does getting below 200 and the diagnoses of Aids take a long time to get to from 374 or is rapid or just different for each person.. if normal is 700-1,500 and his is 374 in a 12 week span isnt that quite rapid and advance to AIDS much quicker than usual?

See above for some answers.  CDC no longer recommends waiting.  Most so called 1st world or rich countries now treat soon after diagnosis, or whenever the HIV+ person is ready to begin and says yes.

Yes you are correct - there is no reliable prediction for your man who long it takes to progress to AIDS for him but the question should be moot. He should ask for treatment now if possible. If not, he should rally his resources and find a way to treat as soon as possible.

Stop thinking about "normal" for CD4 and AID progression because that is about populations and anyway no medical system is waiting around for someone to get AIDS before treating.


When should I get tested again I injected his blood about 8 days ago, will it show up on a sensitive test at a private hospital that runs 4 different tests? and what test should i for that is most accurate? If I had my CD4 tested would a low number indicate HIV even though the HIV test currently says Negative?

I also have Hep C... will HIV show up quicker because of this?

I bottomed for him without condom and he came inside of me and cut me about 3-4 weeks ago isnt it a high chance since he is highly contagious at this point that I most likely contracted the virus?

He had a blood infection where hard green stuff was coming out of his anus and they removed what looked like a cyst to me from his anal region and buttocks before we met (i seen pictures) but they never told him what it was and said it could have been from raw or fermented fish, bad water , OR sex.. so we are very confused what that could mean,, he is a bottom/vers and I am top/vers os since he couldnt have sex for a month after that surgery I let him top me which i never really did before and we didnt use protection just lots of lube.

We are in love and monogomous now and are getting married, he is a great guy and not a liar or cheater and neither am I .. we are open with each other and will I will take care of him when he is sick and vice versa FOREVER.. we will never separate since hearing of this pos test and it has made us MUCH closer is this normal?

I keep bringing up the past and asking detailed questions which causes hurt and pain which I know is wrong very wrong but I have OCD and Anxiety disorder and I am trying very hard, but when I think of a question I obsess over to the point I ask it, then receive thing I do not want to hear which bothers me... Before I met him he had a twitter account that he posted naked pictures of himself and that bothers me as well,, we scrubbed them and delted them from the Twitter so that is gone and all his 10,000 followers on twitter are gone and 5,000 friends from twitter on Facebook are gone as we started him a new account,,, He has changed and doesn't even want to think of his past life,, I am no saint I would meet people off Of Grindr or Hornet everyday for 5 years.. So I am not better than he is and could have got HIV just as easily only difference is I did not do Anal sex and he did and I used condoms when I tried to anal sex but couldn't insert do to not being interested.. but he had condom less sex sometimes and let people ejaculate inside him which I just cannot seem to get over, and it has to do with imagination that my love did that with someone else, even though i had more partners than him and it was the PAST... I think I need counseling and I know this,,,

We are doing better everyday but we thought our lives were perfect and things were finally going to be great because we met each other and getting married, then we find out about the HIV and it will never leave our minds because we have to go to the doc every month and all that.. Luckily he is in a program where they pay him to get the tests and pay for all medications if becoming positive for two years, so he is pos so next two years all tests and meds are free... mine will cost about 50$ a month they said.. That is cheaper than USA right?

I just need to know should i be treated for Syphilis even though I am negative as of now? How long could he have showed negative but been positive? since he has HIV will the one 2 gram shot be enough or does he need more? what tests should I get to detect the earliest? among the other questions I asked?

Also I have headaches, muscles aches, Diarrhea, Night sweats,sweating, Fevers,muscle cramps,fatigue, weight loss of 4 kilos in one week each

Sorry if I got a little too detailed but I wanted to tell the full story thank you all very much and I hope to become and active member of this community forum..

Thank you

A

Sorry I can't answer some of your technical questions about other VD treatment. 

By the way, there is now a cure for Hep C - ask your doctor if it is available to you.
“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline harleymc

  • Member
  • Posts: 429
Re: Extreme Exposure and possible Co-infection with several STI's NEED ANSWERS
« Reply #11 on: February 01, 2016, 01:09:50 AM »
I found an English language translation of the 2014 Thai guidelines for HIV treatment.
Your Doctor is not following the recommendations to treat immediately. Here's a link

http://www.ncbi.nlm.nih.gov/pubmed/25908935


Offline kwaione

  • Member
  • Posts: 6
Re: Extreme Exposure and possible Co-infection with several STI's NEED ANSWERS
« Reply #12 on: February 02, 2016, 12:53:57 PM »
thank you very much for that .. I am going to ask questions when I go next time.. But we are going to the Red Cross for better evaluation and rec in next couple of days. Thanks for this though it will come in use!

Offline terrymoore

  • Member
  • Posts: 158
Re: Extreme Exposure and possible Co-infection with several STI's NEED ANSWERS
« Reply #13 on: February 08, 2016, 10:50:09 AM »
hi Kwaione,
how are you doing sir? Hoping all is well and you are on the right path!

 


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