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Vaginal Sex w/CSW Risk Assessment

The expert forum was not taking new questions today so I will try here.

Hello. In the past two years I have had vaginal sex 10 times with 7 different CSW's in Japan. In every single case I used protection that was either there in the hotel (love hotel) or that the girl brought. Mosts were brief sessions but the last one is the only one I have some concern about. It was a threesome (one of the girls I saw 3 times previously) and started with unprotected oral from one of the girls and then vaginal sex with both of them. They insisted on using a new condom when I switched between the girls. Towards the end I entered one of them from behind and was thrusting rapidly. I did however lose my erection so I stopped. When I did stop and looked down I realized there was no condom on me. I asked one girl if she knew what the deal was and she pointed to one to the left of me but I suspect that was from when I changed condoms before and discarded it. I really don't know. This leads me to believe I could have been briefly thrusting my half erect penis inside this working woman's vagina uncovered. This was in January of this year.

I tested for all STD's three years ago and received negative results after an unprotected encounter with a non pro. I am in a committed long term relationship with a child and swore I would never do this again but started compromising my morals again about 2 years ago. I prayed and promised God I would never do this and found myself at it again. I fear I will be punished. I have OCD and I really am frightened to test but know I should. From a medical standpoint is testing warranted over these encounters? I actually had put this out of my mind for many months but something has recently re- triggered my deep fear of HIV. I have international trips scheduled until after the new year and cannot bring myself to test before then. The problem is I don't know if I can stand the mental anguish this is causing me.

Last two encounters were 12/11 condom protected sex with CSW (same one I visited three times over the past 2 years) Nothing alarming. Quick sex shower before and after.

BUT: Two weeks later I was travelling with my family abroad and became more sick than I ever had in my life. My daughter was also sick which makes me think that maybe it wasn't ARS. I had the following symptoms dizzy, runny nose, phlegm, nagging cough. My symptoms lasted about 8 days, my daughter was running a slight fever for only about 2-3 days. She had no cough.

1/8/11  The aforementioned threesome involving the same girl and her friend. No alarming symptoms since then except sometimes the lymph node on the right side of my chin is tender and feels larger than normal. Any cause for concern here?
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Avatar universal
I went in to get my test results today and they were negative. I will not repeat this again. The forums on here are full of people coming back repeatedly making the same mistakes. I won't be one of them. LIZZIE LOU thanks for telling me to man up. I needed that.

Teak, You have responded to thousands upon thousands of posts on here. Usually short and to the point. I don't know you but I like that you help people who have even more insane inquiries than me. You are a real asset to this community and I wish you the best of luck. If I were ever offerred the opportunity I'd jump at the chance to shake your hand and say thank you in person. Since that is unlikely to happen seeing as we live on opposite sides of the globe this post will have to suffice so, Thank You!
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Avatar universal
Thank you for the response. He actually prescribed Lexapro to me which I started last night. The dosage was 10mg tablets. I took it after eating as directed and about an hour later became very sleepy and then vomited. I don't handle medicine well so I rarely take anything even for the occasional headache. He didn't discuss counseling because he is quite sure I have nothing to worry about. He is well aware of my OCD and Anxiety issues but that doesn't change what I have done. It is amazing that somebody like me with these issues would even put themselves at risk to begin with. Now I worry about my wife and daughter so much it has made me ill.

I have swelling in my lymph nodes under my jawbone that comes and goes. It feels heavy mostly on the right side and then goes away. Also I feel many lymph nodes in my groin/inner thigh. I am over weight though and also feel these in my arm but they are not as noticeable. They fee like fat deposits but believe them to be lymph nodes as described by my doctor or lipoma.

The population in this country with HIV is one of the lowest in the world but I believe it is because not many people seem to get tested here as they see it as a foreigners or gay disease. I suspect there are a vast amount of undiagnosed infections here and the severe lack of sex education is alarming.
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Avatar universal
This is a stressful time for you and you are struggling to cope, I get that.  Did you discuss your mental health with your doctor?  Did he offer you any kind of couselling, often when a person is struggling with testing we will offer pre and post test counselling.  Now I say that more because you are in a bad place mentally not because I think you will have a positive result, I don't believe that you will.

You don't know exactly what happened which is where the anxiety is coming from, even IF you did penetrate the woman briefly it is still highly unlikely that you will get HIV, it is however, not totally impossible which is why we have all suggeste testing.

I would go back to your doctor, not to discuss HIV but to discuss your mental health and see what support he can give you while you wait.  This may come in the form of medication, counselling or a combination of both.  

I urge you to do this.

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Avatar universal

tell to the doctor to e-mail you the result. hope you will be fine.
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Avatar universal
I went to the doctor yesterday and he was insistent that I just get tested to get this out of my head. He is quite convinced that I have no reason to worry but doctors seem to be shocked all of the time when they have to reveal the bad news to people. He gave me 10mg Lexapro tablets and an hour after taking them I vomited. I am so sick with worry I can't sleep and haven't for three days. I am supposed to go in for the results on wednesday but I don't think I can do it. It sounds so childish but I am not sure if I can really do it.I keep thinking about my past mistakes which I thought were safe. It is all coming back to me now and even another encounter now has me worried. I was with a CSW who had severe bad breath we didn't have sex and all she did was provide a handjob but she had performed prolonged analingus on me and I have hemorrhoids. I imagine this gives her unclean mouth direct access to an open sore/bloodstream.
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186166 tn?1385259382
oh stop with the drama.

the odds of you not having hiv are REALLY good...but the only way to know your status is to test.

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Avatar universal
I get that I really do. On the flip side if I do have it I am doomed. I am thinking about leaving my wife and daughter until I sort myself out (if I ever do) this really is destroying me. I can't even imagine actually leaving them but due to my mental condition I don't see any other option. All I have to offer them is what money I have they will be taken care of for a while. I have been sleeping whenever I get he chance. My doctor is a very bright man but always short on time. I have nobody to talk to. I am an idiot. Your advice is solid and makes sense. I just can't bring myself to go through with it after researching online. I shouldn't have even moved here.
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Avatar universal
Here here lizzie!!  I couldn't have said it better.

Glacialplace, you can ruminate on this for as long as you want but the answer is always going to be the same no matter who you ask.  You need to test.  Period.
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186166 tn?1385259382
MAN UP AND TEST !

better to go through life knowing you dont have hiv...than going through life thinking you do ! ! ! ! !
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Avatar universal
Thanks! Any comment regarding my original post?
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Avatar universal
No.
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Avatar universal
Also would a runny nose with nagging cough be indicative of ARS?
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Avatar universal
zamzam4 Thanks for the prompt reply. I am really showing my ignorance here but what does it mean that lymph nodes would normally be "generalized not localized"?

I often feel a dull pain in my chin on the right side but that is about it. What really is unnerving about this experience was I am not sure if I was inside without a condom. If I as it was very brief. I always am paranoid about this so I would often withdraw and check to make everything is intact. Anyways I know I should test soon. I am just so scared. This virus is frightening.
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Avatar universal
If you had penetrative unprotected sex then you need to test.

Your symptoms do not sound indicative of ARS. ARS is not a mucus producing illness.  Lymph nodes are painless and would normally be gemeralized not localised.

That said, although these symptoms are not indicative of ARS if you engaged in unprotected sex you had a risk and need to test.  You cannot go on symptoms or lack of symptoms to  know your status.
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