DR HELP ME PLEASE I NEED YOUR OPINION

[mikefoley555]

Dear Dr ,
Im a 24 years old healthy male living in usa , I had oral sex and 30 second unprotected vaginal sex with a coworker in the middle of February 1 1/2 weeks later (february 22) we did it again but this time i was not fully erect and it was around 30 to 50 seconds  .. both of the times there was alot of vaginal fluid, and im not circumcised at the time I did not think anything 3 weeks later i developed a terrible prostate irritation left side pain specially after ejaculating and penis thrush ( witch i been having on and off since 18) , I went to the Dr March 22 and he gave me an antibiotics Vibramycin that gave me one day diharrea and panic attack the same day I asked him to test me for HIV 1 2 (antibody) hep b c and syphilis , chlamydia swab test .. everything came back Non reactive (all the test were done 4 weeks since the last exposure and 6 since the first one) i did stop taking the ant.. and switch to Bactrim, but 6 weeks after exposure i developed a dry mouth burning white hairy tongue thrush with red dots and a white ridge on the side of my tongue(maybe leukoplakia) the thrush was diagnosed by the Dr  also i got penis thrush, in addition I been having terrible colon irritation constipation, neuropathy pain all over my body tingling sensations  vivid dreams dizzines headaches terrible panic anxiety attacks feel tired Itchiness in my armpits and anus penis .. the funny part is that I took fluconazole for 10 days and it did not help  also i have been eating plain yogurt and probiotics pills witch nothing helps.Now my wife has developed a swollen lymph node in her bikini line witch she told me its an in groin hair ( i called the girl and asked her about her status  she claimed to be free stds) but i dont know ,she is not a person who i would say its at high risk , she is white female does not drink do drugs or smoke .. now her bf i dont know. what do you think about this exposure ? are this symptoms of Hiv? Im very stress out about this Please help me

[mikefoley555]

Thank you for your respond Dr, Unfortunately i been feeling worse and worse ... i been getting lymph pain all over body but nothing swollen. ..

[Edward W Hook, MD]

Last answers.

Hepatitis C is not an STD for heterosexuals.  It is VERY rarely transmitted to the receptive partner through rectal intercourse.

Your risk for syphilis is as low or lower than your risk for HIV and not a concern.  Testing is your own decison but there is no meical indication for testing.  

This thread is now over.  eWH

[mikefoley555]

Dear Dr Edward w hook,

Thank you so much for your help , ... i feel better now , i will be getting tested on monday and ill have to wait 2 weeks for the results as soon as i get them i will be updating you.... Thank you DR

las thing .. should i get tested for syphilis and hep c?

[Edward W Hook, MD]

These questions are repetitive.  Brief answers below.  

1 do you think i caught another std or sti than? because my wife has a painful lump under her left side bikini line for more than a month . and im having pain after ejaculation and before urinate ( with yellow foamy urine )

Unlikely.  she has a good alternate explanation for her "lump".  If you are nervous get tested- I predict the test will be negative however.  

2 have you ever heard of any case contracting HIV in such of short period of sexual time?

No, not in your situation!!

3 the test i took it was elisa 3 generation , I heard this test at 4 weeks means nothing ?..

Incorrect-it would have detected over 90% of recent infections at 4 weeks.  I've alreay tol you this.
  
4 now would it means anything that my WBC were at 4700?

No this is meaningless.  EWH

[mikefoley555]

Thank you so much Dr ,

My last questions for peace of mind ..

1 do you think i caught another std or sti than? because my wife has a painful lump under her left side bikini line for more than a month . and im having pain after ejaculation and before urinate ( with yellow foamy urine )

2 have you ever heard of any case contracting HIV in such of short period of sexual time?

3 the test i took it was elisa 3 generation , I heard this test at 4 weeks means nothing ?..

4 now would it means anything that my WBC were at 4700?

Thank you so much Dr

[mikefoley555]

In addition Im still having the prostate irritation i went to the urologist he said no signs of enlarge prostate gave me cipro and it did not work... I cant sleep I cant live a normal live thinking I made the biggest mistake in life..  and all this symptoms .. IM going Crazy  

im sorry about my English Im from Brazil .

Thank you so much for your help

[Edward W Hook, MD]

Welcome to our Forum.  I'll be happy to comment.  While anyone can have an STD following unprotected sex, most exposures do not lead to infection.  Your exposure sounds rather low risk and most of your symptoms are more consistent with complications of the antibiotics you have taken than anything else.  Please remember, most people do not have STDs, including HIV and most exposures do not lead to infection.  The statistical probability that a heterosexual woman in the U.S. has HIV is less than 1 infection in 10,000 people and the risk of getting HIV from unprotected intercourse is less than 1 in 1000.  Thus, following two unprotected vaginal sexual exposures (the risk from oral sex is virtually non-existent) your mathematical risk of infection is less than 1 in 5 million, and this is before your HIV test which makes HIV even more unlikely.  In your case, the HIV test you had in March would have detected over 90% of recent infections making infection still less likely.

Taking antibiotics is among the most common causes of fungal infections (thrush).  I suspect this is why you are having fungal infections, not because of HIV.

If I were you I would not worry.  If you cannot stop worrying about HIV, I would suggest that you get another test- at this time it will provide definitive results proving that you did not get HIV from the encounters you describe.  EWH