sex with TS worker

[danny401]

Hi doctor, about a month ago (Nov 21) I had sex wih a black TS. Both him and I are uncircumsized. First we proceeded to both take a shower. His penis might have rubbed my anus in the shower and vice versa but no penetration at all. Once we were out of the shower I gave him oral sex. We then started making out and our penises rubbed for a little bit (without a condom). He noticed that I pre-cum a lot and went on to tell me that he doesnt pre-cum at all which I didnt really see any. He then tried giving me protected anal sex but couldn't get it in so he stopped and finally we masturbated each other. When we finished I took another shower. 3 days later I woke up with a fever and a swollen neck lymph node which went away the same day but a sore throat remained for about two weeks. After that I never got any noticeable fever/rash/diarrhea/or swollen lymph nodes. Although about three weeks later I noticed my urethra was red and irritated and when I would retractr the foreskin there would be a lot of white smegma-like substance that I usually never have since I try to maintain proper hygiene by retracting the foreskin everytime I take a shower. here was no pai when urinating but I would sometimes have a jock itch. That prompted me to took a urine test for gonnorrhea/chlamydia which came back negative. Based on my encounter and symptoms what is the likelihood that I have HIV or any other STD?

[Edward W Hook, MD]

Welcome to the Forum  I am not surprised that your urine tests for gonorrhea and chlamydia came back negative as the exposure you describe was no risk.  Even if your rectum was penetrated, he was wearing a condom. As for the rest of your exposure, no risk from kissing, mutual masturbation or rubbing despite the fact that his genital secretions may have gotten on you in the course of your activities.  

Your node and sore throat could well be due to a non-STD, community acquired virus, either from him or from someone else you came in contact with.  

I see no reason for concern and no reason for further testing. Take care. EWH

[Edward W Hook, MD]

This conversation has now gone on for nearly 6 weeks and your exposure occurred in November.  You are now processing an re-processing what happened.  This makes no sense.  You can either believe my assessment and move on (it seems that this course of action is unlikely) or you can just go and get tested and resolve things once an for all.  If you chose to go get tested, before you do, pledge to yourself that you will believe the test results.  At this time they will be totally reliable. When the test comes back (and I am confient it will be negative) you should then move on.  

I have nothing more to say.  Take care.  EWH

[danny401]

When I say he tried giving me protected anal sex I saw him put on the condom but then turned around and waited for him to insert hie penis but did not see him do this as I was turned around. He could not get it in so he stopped trying. My worry is that if he took off the condom even though he didn not fully insert what are the chances that I could have been infected? Also about last week I began getting random twitches all over my body and a coating on my toungue that is white when I wash my teeth but looks yellow when I haven't washed my teeth or after I finish eating and I read that a yellow coating on the toungue is a possible symptom of hiv

[danny401]

When I say he tried giving me protected anal sex I saw him put on the condom but then turned around and waited for him to insert hie penis but did not see him do this as I was turned around. He could not get it in so he stopped trying. My worry is that if he took off the condom even though he didn not fully insert what are the chances that I could have been infected? Also about last week I began getting random twitches all over my body and a coating on my toungue that is white when I wash my teeth but looks yellow when I haven't washed my teeth or after I finish eating and I read that a yellow coating on the toungue is a possible symptom of hiv

[Edward W Hook, MD]

Yes it does.  No risk.  EWH

[danny401]

Sorry doctor I am a bit confused. You said "no risk or rubbing despite the fact that his genital secretions may have gotten on you in the course of your activities" does that include his pre-cum getting onto my foreskin or urethra?

[danny401]

Thank you Doctor, I really appreciate it!!