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Protected sex with CSW

Hello.
I had protected sex with a CSW in Thailand. Condom was intact. But i Have been very anxious since them.  Am taking PEP too.   But 10-11 days after exposure,  I had a cold - a  running nose,  sore throat for 2-3 days and mild fever that was on and off (and night sweats  once or twice)   None of these symptoms  were harsh. Quite manageable  And i became alright In 5-6 days. Am still continuing my PEP.

Are these symptoms of ARS? I am very worried. Pls help
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15695260 tn?1549593113
Hello Runpana, your question has been answered fully.  You had protected sex which is not a risk for HIV.  We wish you the best and are closing this thread.

***  thread closed ***
Helpful - 0
Avatar universal
Hi Ruby,

last 3-4 days i am having symptoms - Pain in lower abdomen area. Doctor said this is prostatitis and have taken my urine for culture. As i used a condom am hopeful that this is not an STD. But i have heard that some STDs like chlamydia and gonorrhea can cause this. Is there any possibility of these diseases to occur during foreplay or pre-sex? As you had advised, i am ruling out the possibility while having sex with condom.
Helpful - 0
370181 tn?1595629445
You also had protected oral sex, so you were safe for both HIV and STD's.
If the condom had failed, you would absolutely know. When the fail, they fail catastrophically. There would be virtually nothing left but a few shreds and the band at the base of your penis.

I don't know where you got the information that even with a condom, STD's can be acquired......especially since you also used one for oral sex.

There IS a type of condom call Lambskin, or Sheepskin that should NEVER be used to protect against STD's. This condom has hundreds of little holes that are too small for sperm to pass through, but big enough to allow other viruses and bacteria to cross. These condoms should only be used to prevent pregnancy!

Even if you broke down with tears and anxiety in front of this doctor, putting you on PEP because he "felt sorry for you" is a bad and possibly even an unethical medical decision. As I said before, he should have known you did not have a risk and explained to you WHY. His concern should have been to deal with your anxiety.
(I don't know what an "ID" specialist is) I can only say that in MY humble opinion, if he didn't have the knowledge of HIV he should have, then consulting another doctor who does was what he should have done.

Taking PEP is a serious decision that should be discussed in great detail by you and your doctor. You should be followed closely during the time you are on these medications. Some anti-HIV drugs can cause side-effects that affect the liver and if you are taking them, your doctor will want to check to see if your liver is suffering any ill-effects because of them. If this doctor is not doing these tests, then I give him even lower marks than I already have!!!!!!
That you are not feeling any side effects does not mean some damage is not being done.......this is why they test you during the therapy.

You had protected vaginal sex, so no risk for HIV or STD's.
If you did NOT have unprotected oral sex, there was no risk for STD's.........this post has gotten so complicated my head is spinning! If your only concern about contracting an STD was because you were in a bathtub together, that is a no risk situation. And your condom DID NOT FAIL!

I am not a doctor and even if I was, I would have no authority to tell you to start OR stop any medications. I have given you my opinion about the doctor you are seeing, but the decision to seek a second opinion is entirely yours alone.

Since you are so close to being done with the PEP, you might as well finish the treatment, test at the appropriate times and put this behind you. Not only do I hope you find a new doctor, but that you spend some time educating yourself about HIV and safe sex. Knowledge is power and it could have saved you a great deal of anxiety in this case.

I wish you the best
RubyWitch          
Helpful - 0
Avatar universal
Please pardom my anxiety doctor. From what you said, Does it also mean that if i get any of the above STD like chlamydia/herpes/gonorhea, it means that the condom may have failed and hence there is a chance of getting HIV too?
Helpful - 0
Avatar universal
So far I have not had any majot side effects of PEP combo. I have completed 18-19 days. Doctor advised me to complete this course as I have anyway started it. Should I do a general checkup of liver/kidney etc to be wary of this combo's side effects?
Helpful - 0
Avatar universal
Hi Ruby,

Thank you for the detailed reply.  I had protected oral sex (I wore a condom) for a minute and then proceed for vaginal(same condom). It was a condom that they provided and hence I wasn't sure about its make/quality.  On cursory observation after sex,  it was intact (not sure if there were tiny breaks/holes that I couldn't notice).

I have read that even with condoms,  syphilis, herpes etc could transmit. Hence I asked you about the testing windows.

I agree with you that I have had bouts of heightened anxiety issues. The Combo that I take is isentress+tenvir. I even ended up crying to the doctor. May be that's the reason he wrote that. Hes an ID specialist in India.
Helpful - 0
370181 tn?1595629445
That this doctor told you PEP treatment was "more for the mind" only increases my alarm about his medical knowledge. I can NOT urge you strongly enough to seek out information regarding PEP from a HIGHLY qualified HIV specialist as soon as possible. The combination of medications used in PEP treatment can have very serious affects. I'm am nothing if not stunned by the wanton and cavalier attitude of this doctor!

As for condoms, I have always advocated that a person should bring their own condoms to guarantee the quality and "use by date." An out of date condom is far more apt to fail than a fresh one. I also recommend that you bring more than one should something happen to the first. And NEVER wear two condoms at the same time.......this increases the friction on both condoms and increases the risk for failure.

STD testing protocol windows:

Chlamydia Urine Test:
Possible Detection – Within the first week
Most Likely Detection – 2 Weeks
Highest Accuracy – 4 Weeks

Gonorrhea Urine Test:
Possible Detection – Within the first week
Most Likely Detection – 1-2 Weeks
Highest Accuracy – 2-3 Weeks

Herpes Simplex 1 & 2 Blood Test:
Possible Detection – 2-4 Weeks
Most Likely Detection – 6-12 Weeks
Highest Accuracy – 12-16 Weeks

Syphilis Blood Test:
Possible Detection – 1-2 Weeks
Most Likely Detection – 6 Weeks
Highest Accuracy – 12 Weeks

Hepatitis A Blood Test:
Possible Detection – 2-3 Weeks
Most Likely Detection – 3-6 Weeks
Highest Accuracy – 6-7 Weeks

Hepatitis B Blood Test:
Possible Detection – 1-6 Weeks
Most Likely Detection – 6-10 Weeks
Highest Accuracy – 12 Weeks

Hepatitis C Blood Test:
Possible Detection –  4-5 Weeks
Most Likely Detection – 6-9 Weeks
Highest Accuracy – 10-12 Weeks

Lastly, it’s essential to remember, during incubation or window periods, an infected person can transmit the infection/disease to someone else.

So, get re-tested after 6 months of receiving a negative result to ensure a false-negative did not occur, if your partner tested positive for an STD, you believe you received a false-negative, you are experiencing symptoms, or you were newly exposed.

The one question I have here is that you never said you had oral sex AND you used a condom for insertive vaginal sex....both would preclude ANY chance of acquiring an STD.

You never had a risk for HIV, but since you ARE on PEP discuss with the HIV specialist about the appropriate next step.

Please educate yourself about HIV and safe sex
Helpful - 0
Avatar universal
What is a good time line to test for stds given that they have different incubation times? Today's it's been 3 weeks post that incident. Will the tests be now comprehensive?
Helpful - 0
Avatar universal
Thanks Ruby.  I really appreciate your quick help.  I was really in a bad shape (mentally) when I met him.  And he told this pep was more for mind. I had no idea which condom/brand she got and how good/bad it is. This was my biggest concern.

Many thanks again for easing me out :))
Helpful - 0
Avatar universal
Thanks Ruby. I was a bit anxious and seeing me panic,  doctor put me on PEP. It was a massage that led to sex and she was rubbing her vagina on my legs /body etc.  Though there was no genital to genital touch. We were both in a bath tub too for 5-10 minutes. I was also worried Could the water have carried/transmitted any STD.

Also while on PEP,  people say that there are no way you can fall sick as they are strong immunity rendering drugs. Is it true? I fully hope that what I had/have is just a cold. I have a very minor pain/tenderness on my left testicle/groin too for last 2 days. Is this symptoms of any STD?  

Thanks :))
Helpful - 0
1 Comments
Well, first I have to say I think the doctor you saw was an idiot. PEP is not something you hand out like Halloween candy. If you had gone to him in a panic that
you had cancer, would he inject you with a bunch of chemo drugs?

Being in a bathtub would render the virus inactive even quicker than just exposure to air and "normal" temperature changes. This doctor should have known that!  

PEP treatment is more complicated than just taking an aspirin and personally, right now, I do not have the time to explain it to you. YOU could Google PEP treatment and educate YOURSELF about the procedure.

NOBODY in the entire universe can diagnose you over the internet. NOBODY. I think what you had/have IS nothing more than the common cold but only a doctor is going to be able to tell you for sure.

As for the pain in your testicle/groin area, yes, SOME STD's could possibly cause this pain but so could a lot of other things. There is no way I can tell you that the pain is DEFINITELY being caused from an STD. See your doctor. Get tested. I assume you don't want me looking in my Magic 8 Ball to diagnose you.

Warmly,
RubyWitch
370181 tn?1595629445
You had PROTECTED  sex and the condom did NOT fail. You had NO RISK for HIV. WHO THE HELL PUT YOU ON PEP?

Symptoms are never used to diagnose HIV!

Sounds like you had a cold which is now being exacerbated by anxiety.

I recommend you speak with an HIV Specialist about the advisability of stopping the PEP.  
Helpful - 0
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