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Oral sex and real symptoms !!!!
Dear Doctors, I'm 28 years old man,Please i need your advice, first of all sorry for my bad english and thank's for the wonderfull job you'r doing.
and sorry for the long story but really i need your help !!
in 11 aug 2011(4pm) i had an encounter with a trans for the first time (SW brazilian in italy so high risk, stupide i know) and i had unprotected oral sex,active for one minutes without ejaculation and passive for 3 minutes where he inserted his tongue into the lining of the uretra for 3 minutes, the day after i felt a burning sensation so after 2 days i decided stubidly to go again to the same (SW) and ask about her status and obviously he told me he is ok and he has a boy friend and he cannot play (who knows???)
however, in the sep 3 2011 i started to fill sleepy, in sep 5 2011 i went to regional clinic for CBC and HIV test and hepatit B Ag. CBC Shows that WB cells are high (near the upper limit, 10.5) and HIV 1/2 (SD bioline HIV1/2 3.0) & HBAg both negative.
sep 10 2011, i thought that i m feeling well so i went again to same clinic for CBC which shows that WB is going to decrease 8.8,i thought that the infection is going to be ok,but unfortunatly isn't the case.
sep 11 2011, swollen and painfull lupmh node on the left side of my neck, two days after 2 swollen lymph nodes behind my knees, joint pain in my leg, fatigue, headache,two white spot in the interior parts of my cheeks (both parts,not painfull,i don't know if is called sores) in my mouth , no fever, no rash,maybe dry mouth during night,i don't know about sorethroat cause i'm a smoker.
Till now 7 oct 2011, i'm feeling sleepy, mild joint pain, white color on my cheeks still there, mild headache.
I know exactly what's your opinion about oral sex and the reliabilty of the symptoms, but anyway when you have a full coincidence with the timing and the most part of symptoms (symptoms after almost 22 days) it's very hard to forget it especially when you feel symptoms till now.
Any advise??
and sorry for the long story but really i need your help !!
in 11 aug 2011(4pm) i had an encounter with a trans for the first time (SW brazilian in italy so high risk, stupide i know) and i had unprotected oral sex,active for one minutes without ejaculation and passive for 3 minutes where he inserted his tongue into the lining of the uretra for 3 minutes, the day after i felt a burning sensation so after 2 days i decided stubidly to go again to the same (SW) and ask about her status and obviously he told me he is ok and he has a boy friend and he cannot play (who knows???)
however, in the sep 3 2011 i started to fill sleepy, in sep 5 2011 i went to regional clinic for CBC and HIV test and hepatit B Ag. CBC Shows that WB cells are high (near the upper limit, 10.5) and HIV 1/2 (SD bioline HIV1/2 3.0) & HBAg both negative.
sep 10 2011, i thought that i m feeling well so i went again to same clinic for CBC which shows that WB is going to decrease 8.8,i thought that the infection is going to be ok,but unfortunatly isn't the case.
sep 11 2011, swollen and painfull lupmh node on the left side of my neck, two days after 2 swollen lymph nodes behind my knees, joint pain in my leg, fatigue, headache,two white spot in the interior parts of my cheeks (both parts,not painfull,i don't know if is called sores) in my mouth , no fever, no rash,maybe dry mouth during night,i don't know about sorethroat cause i'm a smoker.
Till now 7 oct 2011, i'm feeling sleepy, mild joint pain, white color on my cheeks still there, mild headache.
I know exactly what's your opinion about oral sex and the reliabilty of the symptoms, but anyway when you have a full coincidence with the timing and the most part of symptoms (symptoms after almost 22 days) it's very hard to forget it especially when you feel symptoms till now.
Any advise??
Thank's Doctor, i will try to do the test but where i'm now ( i'm lebanese living in italy)is not possible, and Chlamydia or Gonorrhoea could cause the symptoms i'm feeling teel now?
Thank's again
Thank's again
MEDICAL PROFESSIONAL
Hello,
Thank you very much for your post and welcome to our forum.
From the point of HIV infection, there was no real risk. There was a very negligible (and mainly theoretical) risk when you performed the oral sex, but this is really close to zero. However you did present with symptoms of urethritis possibly caused by Chlamydia or Gonorrhoea. This could have caused the elevation of your white cell count. I am not sure if you have been tested for these, but it is important that you do and get treated.
Your HIV and Hep B tests were doing far too early for them to be conclusive. My advice to you is not to worry to much about these. However a full STD screening would certainly be warranted, mainly for your peace of mind. A HIV Duo test (which also includes the p24 antigen) would certainly be conclusive now. I am sure that it will be negative.
Best wishes,
Dr José
Thank you very much for your post and welcome to our forum.
From the point of HIV infection, there was no real risk. There was a very negligible (and mainly theoretical) risk when you performed the oral sex, but this is really close to zero. However you did present with symptoms of urethritis possibly caused by Chlamydia or Gonorrhoea. This could have caused the elevation of your white cell count. I am not sure if you have been tested for these, but it is important that you do and get treated.
Your HIV and Hep B tests were doing far too early for them to be conclusive. My advice to you is not to worry to much about these. However a full STD screening would certainly be warranted, mainly for your peace of mind. A HIV Duo test (which also includes the p24 antigen) would certainly be conclusive now. I am sure that it will be negative.
Best wishes,
Dr José
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