Aa
Extremely Concerned, need help.
I am worried and posted this in the free advice forum last week, but wanted an expert opinion. Over the past 10 months i have had unprotected oral sex (insertive only) with ejaculation in mouth with 5 different women (8 incidents with the 5 women), they were not prostitutes. Out of the 5, 3 have told me that their std panel is clean. I didn't perform oral sex on them nor any other type of sexual activity except fingering their vagina. Kind of worried if i have exposed myself to anything, HIV to be particular. One of the women has had a hysterectomy due to cervical cancer and she said it was not due to HPV, it was pregnancy related cervical cancer, she also says her labs are clean.
My last exposure was in the beginning of April. About 15 days ago I had frequent urination, feel like you have to urinate oftenbut not much urine comes out ,stomach cramping, no burning, cloudiness, or pain, but the feeling of never emptying of my bladder, light lower back pain, basically typical UTI symptoms so i did a UTI test on my urine about 5 days into it, nitrates were negative, but leukocytes were at the lowest form above normal on the scale +/- 15 so very minimum. I am sure they may of been higher or nitrates may have been positive had i tested it on day 1 of my symptoms. My uti resolved on its own after 7 days with lots of liquids and cranberry juice. I have never had a uti in my life, and read somewhere in men it could be due hiv. So right now i am just worried, confused, and very anxious. Please help.
My last exposure was in the beginning of April. About 15 days ago I had frequent urination, feel like you have to urinate oftenbut not much urine comes out ,stomach cramping, no burning, cloudiness, or pain, but the feeling of never emptying of my bladder, light lower back pain, basically typical UTI symptoms so i did a UTI test on my urine about 5 days into it, nitrates were negative, but leukocytes were at the lowest form above normal on the scale +/- 15 so very minimum. I am sure they may of been higher or nitrates may have been positive had i tested it on day 1 of my symptoms. My uti resolved on its own after 7 days with lots of liquids and cranberry juice. I have never had a uti in my life, and read somewhere in men it could be due hiv. So right now i am just worried, confused, and very anxious. Please help.
MEDICAL PROFESSIONAL
No comment. That will end this thread. Continue to follow up with the doctor if you have any remaining concerns.
I did take your advice and went to my doctor, he did a dip stick urine test, nitrites were negative, wbc were positive at 70+ higher than last week. he said that its a uti most likely and prescribed me Ciprofloxacin. Thank you once again for assuring me about HIV.
MEDICAL PROFESSIONAL
These symptoms suggest increased bladder muscle tension. It has nothing to do with HIV, except maybe for worry about it. Probably it is due to anxiety over the sexual exposure, worry about HIV, etc. But as I said in my initial reply, "If your urinary symptoms recur, stop any more attempts at self diagnosis and see a doctor or clinic."
Hello Dr. Handsfield, I am sorry to bother you again, but after two days of feeling fine after a week of uti type feelings i described. I started getting this feeling of frequent urination and even after peeing having a feeling of still wanting to go pee when i leave the bathroom it started last night and feeling it this morning and all day. I am not sure what this is. I know you said this is not HIV related, but what STI could it be, since my last exposure was almost 2 months ago and no positive nitrites either. Please advice.
Thank you Dr. Handsfield, anxiety level went from 100 to 0 after your reply, this whole uti thing had me extra concerned, but thank you once again for your prompt answering.
MEDICAL PROFESSIONAL
Tongue piercing? No incased HIV risk! And you should not worry about HPV, regardless of one partner's past HPV problem. Everybody gets HPV, and you probably have been infected before now. That one particular partner happens to tell you of her diagnosis doesn't mean anything.
There are no hidden messages about HIV in my reply. "If you decide to have an HIV test" only reflects reality: most people with irrational. unscientific fears will benefit from the additional reassurance of a negative test result. It does not mean I believe there is any risk of HIV. I do not.
There are no hidden messages about HIV in my reply. "If you decide to have an HIV test" only reflects reality: most people with irrational. unscientific fears will benefit from the additional reassurance of a negative test result. It does not mean I believe there is any risk of HIV. I do not.
I am sorry to add something more, but one of the girls had a tongue piercing.
Thank you Dr. Handsfield, I am 30 years old. So at this time i should forget about an HIV test as there is no risk for that correct? and only go see a physician if i have another uti like episode. In your answer you wrote this "You could also discuss those symptoms if you decide to go through with an HIV test" i am wondering what do you mean by that, why would i need to go through an HIV test? That is what I thought too regarding HPV and Cervical cancer, is that something I should worry about from my exposure?
MEDICAL PROFESSIONAL
No concern. I'm sure you have nothing that could harm a partner in any way.
MEDICAL PROFESSIONAL
Welcome to the forum. Thanks for your question.
As you were correctly informed on the community forum, oral sex carries little or no risk for HIV. For details, read the following thread, plus the others linked in that one. You really don't need HIV testing if these were your only potential exposures, although I would understand completely if you decide to do so for the reasurance value of a negative result.
http://www.medhelp.org/posts/STDs/oral-sex-question/show/2159728
As for your "UTI" symptoms: how old are you? UTIs are rare in men under 40, and your symptoms are equally or even more consistent with genitally focused anxiety, causing bladder spasm etc.. With a negative or weakly positive leukocyte esterase result, plus negative nitrites, those results also are not consistent with UTI. It is conceivable you acquired nongonococcal urthritis (NGU), sometimes maybe caused by normal (non-STD) oral bacteria and therefore a possible consequence of oral sex. However, NGU usually causes discharge, not the symptoms you describe.
I don't know where you read that UTI could be "caused by HIV", but that's not true. Those symptoms don't alter my judgment you aren't at risk for HIV.
If your urinary symptoms recur, stop any more attempts at self diagnosis and see a doctor or clinic. You could also discuss those symptoms if you decide to go through with an HIV test -- and maybe for completeness have a urine test for gonorrhea and chlamydia, but for the reasons above you definitely can expect these to also be negative.
Final comment, not really pertinent except to correct a misstatement by one of your partners: EVERY case of cervical cancer is caused by HPV.
I hope these comments have been helpful. Best wishes and stay safe-- HHH, MD
As you were correctly informed on the community forum, oral sex carries little or no risk for HIV. For details, read the following thread, plus the others linked in that one. You really don't need HIV testing if these were your only potential exposures, although I would understand completely if you decide to do so for the reasurance value of a negative result.
http://www.medhelp.org/posts/STDs/oral-sex-question/show/2159728
As for your "UTI" symptoms: how old are you? UTIs are rare in men under 40, and your symptoms are equally or even more consistent with genitally focused anxiety, causing bladder spasm etc.. With a negative or weakly positive leukocyte esterase result, plus negative nitrites, those results also are not consistent with UTI. It is conceivable you acquired nongonococcal urthritis (NGU), sometimes maybe caused by normal (non-STD) oral bacteria and therefore a possible consequence of oral sex. However, NGU usually causes discharge, not the symptoms you describe.
I don't know where you read that UTI could be "caused by HIV", but that's not true. Those symptoms don't alter my judgment you aren't at risk for HIV.
If your urinary symptoms recur, stop any more attempts at self diagnosis and see a doctor or clinic. You could also discuss those symptoms if you decide to go through with an HIV test -- and maybe for completeness have a urine test for gonorrhea and chlamydia, but for the reasons above you definitely can expect these to also be negative.
Final comment, not really pertinent except to correct a misstatement by one of your partners: EVERY case of cervical cancer is caused by HPV.
I hope these comments have been helpful. Best wishes and stay safe-- HHH, MD
Also i am in a monogamous relationship now and concerned if i should be having sex.
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