In need of education

[Qwerty32150]

I’d just like to preface this by saying I went to get tested and waiting for my results. I really appreciate you taking time to answer our questions.

4 weeks ago I had sex with a sex worker. I’m a straight male and she was a female. I used a condom for both oral and vaginal sex. It was her condom so I’m not too sure what type it was exactly. After not being able to orgasm I asked her to give me a hand job. I can’t remember exactly how she took of the condom or if she washed her hands. She did use lube though. 10 days later I was experiencing a lot of burning after urination and pain in the Punic region. I did have a slight fever at this time. Being concerned i went to an urgent care.  The doctor said it sounded like the 3 common stds and gave me a urinalysis while also testing for UTIs. He also prescribed antibiotics. Those antibiotics did little to curb my discomfort and a week later the results for chlamedya gon and trich came back negative. Along with the UTI. Still feeling discomfort I went to see my PCP and he said the symptoms I described sound like prostatitis. I then told him about my encounter and he took my blood test. Since then I’ve noticed swollen lymph’s and currently have thrush. Could the removing of the condom and handjob lead to a transmission? If this test comes back negative should I test again.

[Jim Allen]

Hiya,

Removing the condom to give you a handjob was no HIV risk to you whatsoever.

Understand you used a condom for the intercourse, so relax, continue to use condoms for any intercourse and as you are sexually active test out of standard routine at least yearly.

Here's what you need to know to avoid HIV infection:
Use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions. Consider talking to your healthcare provider about taking PrEP as an additional layer of HIV protection

Keep in mind that some sexual practices described as ‘safe’ in terms of HIV might still pose a risk for transmission of other STI's, so please do get tested regularly and at least yearly for STI's including but not limited to HIV and test more frequently if unprotected intercourse occurs

Also, note that it is possible to have an STI and show no signs or symptoms and, the only way of knowing is by testing.

Kind regards

Jim

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[Qwerty32150]

Thank you for you’re reply and it does help me relax. I haven’t had sex in over a year and the last time I had blood work done was in April and everything came back normal. So obviously the timing and onset of all these symptoms can be worrisome. Is having prostatitis, or something like it a common symptom in this time frame of possible transmission?

[Jim Allen]

obviously the timing and onset of all these symptoms can be worrisome

Sure, it's like I flushed the toilet this morning then it started to rain. Therefore, my flushing the toilet must have caused it to rain outside. Thankfully we know better.

Look keep working with your healthcare provider to treat the prostatitis and the other issues, no need to focus on HIV unless you have had an exposure not mentioned here. 

The blood work in April, was it HIV & STI testing? If so was it post a specific exposure and how much time afterwards did you test?

[Qwerty32150]

I began seeing a new PCP so he ran my blood work for all body functions including STDs and HIV. Like I said, I haven’t had sex in over a year, and when I did it was within a monogamous relationship. I know transmission rate from an infected female to male is something like .04%, I’ve never had symptoms like these before or cause for concern until the week after my encounter. I’m incredibly worried I may be part of the unlucky percentage.

[Jim Allen]

Hiya.

Glad to hear they ran an STI/HIV test. It means you didn't have HIV 3 months prior to that for sure and it's  would be good to get tested routinely going forward.

That statistics mentioned doesn't accurately reflect your individual risk during condomless intercourse.

Anyhow, that's another topic all together and irrelevant to this recent encounter, look you had no clear HIV exposure from this recent encounter and the symptoms are not related to HIV from this encounter either.

Keep working with your healthcare provider for treatment.

Continue to use condoms for any intercourse regardless of the relationship between you and the other person and as you are sexually active test out of standard routine at least yearly.