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Author Topic: Female to Male Transmission.  (Read 4389 times)

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Offline Chris208

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Female to Male Transmission.
« on: September 12, 2011, 07:46:19 PM »
Hi guys,

I'm a 32 heterosexual male. Please provide me with your professional input.  About 4.5 weeks ago I went out drinking and decided to take a cab home from the club.  I black out for a matter of 45 minutes until I woke up on the side of my bed vomiting.  The next day I woke in panic not knowing what I had the previous night. In the next few days I developed a discomfort with my urine and penis and decided to see a doctor.  I was prescribed a couple of antibiotics and tested negative for all bacterial STD's.   Not sure what is going on with my private parts.  (I'm assuming I had unprotected sex with a prostitute) I had ask my doctor if I should be concern with HIV and his response was that is not as common to pick up the virus through vaginal sex of a one time exposure.  I often read that when other bacterial infections are present that HIV has a higher change of being transmitted.  Then I read that vaginal fluids need to get into my urethra in order for transmission to take place and that fluids don't normally get in there. So my questions are.  Why is it different with things like Chlamydia?  If fluids don't normally get in the penis why do so many people pick up Chlamydia?  I took an HIV test at 4 weeks and it's negative.   Your input is greatly appreciated.


Offline jkinatl2

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Re: Female to Male Transmission.
« Reply #1 on: September 12, 2011, 08:07:38 PM »
Chlamydia is a robust bacterial infection. HIV is a relatively fragile viral infection.

One can get Chlamydia from frottage, or touching infected fluids and then touching one's penis. That cannot happen with the very different HIV.

People are wont to lump all STD's together, as though the similar means of transmission indicated a similarity in the likelihood of transmission. This is simply not the case.

Take HPV, for example, the virus that causes genital warts (among other things). Often, the viral particles shed most aggressively in the days/weeks BEFORE a genital wart shows up on the surface of the derma. This means that in some cases HPV is easier to get wen there is NO visible sign of a wart than when there is.

Each STD must be evaluated as it's own pathogen - because it is. Herpes, HPV, Chlamydia, Syphilis, HIV, and other STD's have a great deal of overlap in the methodology of transmission (but hardly complete overlap, as herpes and HPV utilize skin-to skin contact, for example) - but the likelihood of transmission differs from one to the next.

This site, for all intents and purposes, focuses on HIV.

If you indeed had unprotected sex (with anyone, prostitute or not - you do know that prostitutes insist on condoms to a degree that civilians do not, right?) then you need to wait three months to get tested.

While the rate of transmission in the developed world from female to male is SIGNIFICANTLY lower than the other way around (for obvious reasons involving anatomical vulnerability) it is certainly nowhere close to zero. It happens.

Luckily, a six week test is an excellent indicator of your eventual three month result.

"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

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