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Avatar universal

Am I HIV infected?

Hi Doctors,

19 days ago, I had a protected sex with a prostitute. 1st she gave me oral with the condom on then had a vaginal sex with the condom on for like 30 sec, then I pulled back (no ejaculation), then she took the condom off and gave me a handjob.

7 days after, I felt mild pain in my left tonsil but gone in 2 days
9 days after, I felt burning / tingling sensation in my inner thighs and gone away after 4-5 days
14 days after, I am feeling tingling sensation at the back of my knees (are these swollen lymph nodes)? I also feel that my throat is dry.

Please answer the following:
1- What is my chance that I have HIV?
2- Can HIV be transmitted when she took off the condom and gave me a hand job (fluids on her hand)?
3- The areas where I feel tingling sensation are where lymph nodes are, so could it be that the nodes are fighting HIV and causing me to feel that?

Please help me, I am worried to death and going in depression
8 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

You had brief but accurate replies on the community forum.  Oral sex carries little or no risk for HIV (many experts believe truly zero risk); condoms give complete protection in vaginal sex; hand jobs are risk free; and the large majority of sex workers don't have HIV, so your partner probably was not infected.  As for your symptoms, they do not suggest a new HIV infection.

To your questions:

1) There is no chance you caught HIV from this exposure.

2) Hand-genital contact is never a risk, even if vaginal fluids are used for lubrication.

3) There is no such thing as "tingling" because lymph nodes are reacting to HIV.  Your symptoms are typical for the physical manifestations of anxiety or stress.  If you have any infection at all, it's just a cold or other minor respiratory virus.

Based on your exposure and symptoms, you don't even need HIV testing.  However, I suggest you be tested anyway.  The negative result probably will be more reassuring than anything I can say.

Really, mellow out. There is absolutely no possibility you have HIV from the events 19 days ago.

I hope this has been helpful.  Best wishes--   HHH, MD
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
Re-read my original reply.  I haven't changed my  mind and see no need to repeat myself.

That was indeed your last post.  Any more will be deleted.  MOVE ON!
Helpful - 0
Avatar universal
Thank you so much. Are you suggesting the duo test just for my peace of mind? or should I stop having sex till I get the result?

This is my last post here.

Thank you !
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Nothing at all to do with HIV.

Duo and PCR are different.  A negative antibody test, plus PCR, is equivalent to a duo test.  Don't waste all that extra money on PCR, which is much more expensive.  Just have a duo test at 4 weeks.

And this time I'm holding you to your last promise ("this is my last post in this thread").  Time for both of us to move on.
Helpful - 0
Avatar universal
Dear Dr. HHH please help me

2 days ago, a sudden pain appeared in my right foot at the base of the big toe (sesamoid bone), I feel it when I walk, is this considered a joint pain and does t have anything to do with HIV? Please help me.
Helpful - 0
Avatar universal
Thank you so much Dr.Handsfield.

I appreciate your help and I will try to stop thinking about HIV as you have given me all the reasons to stop worrying.

Just for my info, is the duo test the same as PCR? I did my test in Toronto so could that have been a duo test?

Thank you so much and I promise that this is my last post in this thread.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
1) This information doesn't change my opinion or advice.

2) The gonorrhea/chlamydia results are valid.  All others were done too soon.  All STD blood tests require 4 weeks to 3 months.  But you were at no risk for any of these infections anyway -- and all results are valid in relation to other sexual experience in the past.  I suggest you not waste more money on additional testing.

3) Zero.

4) With a duo test (HIV antibody plus antigen), you can have a conclusive result at 4 weeks, i.e. only a week or so from now.  See http://www.medhelp.org/posts/show/1704700

That will end this thread.  Cool your jets, think objectively, accept the reasoned, science based I have given, and move on with your life.
Helpful - 0
Avatar universal
Thank you so much Dr. Handsfield.

Sorry if I seem to be repeating myself but have 4 more questions:

1- This burning sensation that I feel where the lymph nodes are (at the inner side of my thighs and at the back of my knees and also the dry throat) couldn't be ARS? I have read on the Internet that this means that the lymph nodes are fighting a virus or infection so can you please clarify that? What is scaring me that I have never felt this tingling/burning sensation before in my life(may be I am feeling it now because I am super stressed?)

2 - Two weeks after the event, I went to a walk in clinic & did STI checkup, I gave blood & Urine sample and all came back negative including HIV, Gonorrhea, Chlamydia, Hep B/C, Syphillis
.How accurate are these results (done only 2 weeks after the event)?

3 - What is my risk for Hep B?

4- You suggested doing the HIV test anyway which I will do but do I have to wait 3 months? I think anxiety will kill me before the 3 months pass. Do you expect anything other than negative result?


Sorry for asking so many questions and some of them are repeated but I need something to calm me down as anxiety/depression are killing me and I started to lose weight because I am not eating as I should be.

Thanks a lot !
Helpful - 0

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