Transexual sex

[Inseachofhelp]

Thank you for your website.  I am extremely worried since I had sex with a transexual escort (pre-op) five days ago.  We both gave each other oral sex with condom and then we had anal (I was bottom).  It was my first time with anal so I had a strong pain when he first started.  He pulled out and then went again after 30 seconds.  We had mutual oral for 5 minutes approx and then had anal sex for 3 minutes approx.  When we had anal the transexual was wearing the condom he was wearing when I gave him oral (I don't think I bit or teared the condom then).  I was drunk and wanted to get out of there as soon as we finished so I didn't check if the condom was broken or not.  I am quite sure he used lube as I saw him take a bottle of lube (although it still hurt like hell at the begining).  I don't think the transexual came at all.  I haven't noticed any signs of bleeding from my anus after the episode, but I have felt discomfort in the area since.  After the episode I took a shower, washed my anus with water and soap and brushed my teeth (stupid decision of brushing teeth, after I did some reading).



I am very worried since the night of the episode when I went to sleep I had a small fever and the day after that I felt a small cut in the back of my throath after the episode which disappeared in about 2 days.  Also, I have experienced lower back pain and since yersterday I have a cold with a sore throath.  I woke up today and the sore throath was pretty bad, although it seems to be getting better, but I have the symptoms of a flu (sneezing, coughing, runny nose and stuffiness, with a little bit of diziness).



I don't know if these symptoms mean anything at this stage but I am extremely worried.  I also don't know if these symptoms are related to HIV or another STD or if they are just related to something else.  I have been working a lot and sleeping very few hours and this incident and work has put me under stress and I am also feeling very tired.



I also called the escort to cofirm if we had used condoms and he said yes.  I asked if I should be worried and he said that only if I have been having unprotected sex with other people (which I haven't), but of course, I don't really trust that.



I will get checked in 3-4 days for all possible STDs.  I understand I have to wait 6 weeks to get tested for HIV and I will do so then.  However, I am extremely worried at the moment since I am married and I would like to know what chances there are of me getting infected of HIV or other STDs.



Also, would it be to late to get PEP?  I understand it's 72 hours after the exposure, but I would like to know if there's anything that I could do.



Your response will be much appreciated since I am living a hell at the moment.  Thank you.

[Inseachofhelp]

Thank you again for your message.  God bless you and good luck to you too if you are waiting for results.    

[PandorasBox91]

Hi,

If you're worrying that the fever and sore throat could be the hallmark of acute retroviral syndrome (ARS) then you are far too early. This kind of thing occurs between 2-4 weeks after exposure to HIV.
Since you believed you used condoms then you have no risk. If you did not use condoms, then theoretically your risk would be that the transexual was infected with HIV and the chances of the virus being transmitted to you. Again, the odds are strongly in your favour. The symptoms you are describing are non-specific, and are most likely the result of a common viral infection such as the common cold.
Nevertheless, HIV should never be diagnosed on symptoms alone and you should be tested in 3 months time if you're worried that condoms were not used.

Good luck.

[Inseachofhelp]

Thank you again for your responses.  I am sorry but I am extremely worried now since the flu-like symptoms have gotten worse and I am experiencing very strong flu like symptoms now, including fever, sneezing and runny nose.  The core throat has cleared a little but I now have testicular discomfort/mild pain in addition to the strong flu like symptoms.  As I described above, the incident happened 5 days ago.  Also, I believe I had a mild fever the night of the incident and the sore throat flu like symptoms started yesterday (with a very sore throat this morning).

Please tell me your honest opinion, no matter how bad it can be.  Thank you very much.

[PandorasBox91]

Hi,

Since you believed you used condoms then you have no risk. The risk for unprotected receptive anal intercourse varies from study to study but is usually in the region of 5 to 17 per 1,000 exposures (which is high in terms of a population study but individually the odds are strongly against it).

Hope this helps.

[Inseachofhelp]

Thank you very much for your response.  I just would like to ask one follow up question about what are the chances of getting HIV from insertive anal sex for the bottom person in an unprotected scenario with an HIV positive partner (since I am assuming that this person is very high risk).  I have found extremely confusing information about this and I would like to know if you have information about the percentage of risk, since I am concerned that the person with whom I had sex may have removed the condom for whatever crazy reason or that the condom may have failed (unfortunately I couldn't check the condition of the condom).  I have done the most stupid act in my life and I am concerned about not affecting the health of my wife or family.  I promise I will not make this a never ending discussion and I wholeheartedly appreciate what you are doing.  Thanks again.

[LIZZIE LOU]

you do NOT need nPEP...you had PROTECTED sex, which is safe sex.

testing is not needed.