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oral sex

Hi Dr, I received a protected oral sex from a sex worker on the 24 of January, the condom was ok and I did not see any blood. I had the HIV AG/AB combo test on the 8th of February ( after 16 days) and it was Negative, am I at risk of HIV and when should I repeat the test? Thanks a lot,
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Every time you return with another comment you give inconsistent information.  First you said nothign about genital symptoms, now you report they started within a week.  "Huge pain during urination" now is "not severe but there was some".  Discharge after urination, not before, might just be prostate gland secretions.  I'm now pretty certain once again you did not catch an STD.  You still are not at risk for HIV.

That will be all for this thread.  Discuss any further questions with your own doctor.
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
HIV is almost never transmitted by receiving oral sex (some experts believe it cannot happen) and certainly transmission is impossible through an intact condom. And most sex workers don't have HIV anyway.  You didn't need testing at all and for sure did not catch HIV.  Any additional testing would be a waste of money.

HHH, MD
Helpful - 1
Avatar universal
the symptoms stared 1 week after the encounter, and to be more accurate the pain during urination was not sever, but there was some . The discharges are white and creamy and it usually comes after the urination.  And I did not have any sexual encounter for more than 6 months before the mentioned encounter.

Does the Nongonococcal urethritis cause a pain in the Testicular?

I feel much better now, but still a bit worry about the HIV.   I was tested  negative by HIV combo test after 16 days, Negative by HIV Elisa test after 22 days, and Negative after 28 days.

Thanks a lot for your support,
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Was the "white" discharge like pus?  How long after the sexual event did symptoms start?  You didn't say anything about this when you first asked the question, so presumably it came on a couple weeks later.  Is that right?

The symptoms are most like gonorrhea, especially severe pain on urination.  However, gonorrhea symptoms usually begin 2-5 days after exposure.  Nongonococcal urethritis (NGU), which probably can be caused by normal oral bacteria (i.e., not an STD carried by the oral partner), usually causes watery discharge and is painless or causes minor discomfort during urination.  However, NGU symptoms usually start around 1 week, sometimes as long as 2 weeks.

Either gonorrhea or NGU could probably be transmitted if saliva were massaged into the urethral opening.  Chlamydia is not an issue. It is rarely carried in the mouth and therefore not transmitted by oral sex or saliva.  I'm disappointed to hear your doctor didn't do any tests.  Normally at least a gonorrhea test would be done in this situation.

At this point, you'll probably never know the cause or exactly how you were infected.  If you have had any sex in the past month other than the sex worker, that partner is a more likely source of your infection.

None of this changes my advice about HIV, which is not transmitted by saliva.  On the other hand, it is normal practice for all people with a new STD to have HIV testing.  For that reason and to be maximally safe, have an HIV test in mid to late March, i.e. 6-8 weeks after the exposure.  You can continue to expect negative results.
Helpful - 0
Avatar universal
I had pain in Testicular, huge pain during urination, white discharges, a black line on the top of my penis. The doctor did not do any test, he just checked it and asked me about the encounter that I had.   I just want to know is a small amounting of saliva enough to cause the infection?

Thanks,
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
I am skeptical you caught your infection from this encounter, for the reasons above.  Provide more detail about your symptoms, what your doctor or clinic found on examination, what tests were done, and the results.  Then I will comment further.

As for HIV, the chance remains zero.  HIV is rarely if ever transmitted by oral sex and saliva is no risk.  Saliva inactivates the virus.
Helpful - 0
Avatar universal
Hi Dr,    I got gonorrhea or clymidia from the mentioned encounter, I got 2 shots and I am taking Doxycycline now..  Some of the sex worker savalia touched my pines when she was taking of the condom..  I am more worried about HIV now, what do you think?   Please I am really down, cant work, cant do anything.......
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Zero, for the same reasons.
Helpful - 0
Avatar universal
Thanks Dr,   What about my chance in geting other STDs?
Helpful - 0

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