How high the risk of STDs and HIV

[jbrown123]

I had unprotected oral sex on the 14th of December with a sex worker and supposedly protected vaginal sex. I had a bit too much to drink so I don't know if the condom came off or was broken. I also discovered that I had an abrasion or small scratch at my scrotum. Since then I have been having anxiety attacks and not being able to sleep, eat or function properly. These are the sypmtoms I have been having over the last 2 weeks : pain in the penis shaft and tip occassionally more so in the first one and a half weeks, sensitive penis tip, when penis pain happens specific thigh area also hurts, area beneath the left rib cage was painful and tender for a while but that has gone off, painful back and around the kidney area. No discharge until this morning. I noticed a small drop of cloudy watery droplet at the tip of my penis after I cleared my bowels. Anxiety heightened and pains in penis resumed. I will be seeing the doctor on Monday.

Please help with your comments.

[Vance2335]

You can not diagnosis HIV through symptoms.
If you want to test for HIV test after 3 months of the exposure. Any further HIV questions please post them in the HIV community.
One more piece of advice...stop checking the internet for symptoms because when you read something the mind will often make you think you have pain or something where you have none because of anxiety.

[jbrown123]

saw another dr today and described my symptoms to him. And he says it sounds like Chlamydia and could even be  Reiters Syndrome due to the muscle ache and right side groin pain. He moved my legs around and pressed my groin. I have not exerted myself of late and he thinks it could be arthritis related to Reiters. I checked internet and realised that there seems to be a strong link between HIV and Reiters Syndrome. I should be getting my test result back on Tuesday. I hope that I can test for HIV as soon as possible.

I have all the classic urethritis symptoms. I have had muscle pain on the left thigh, slight groin pain on the right side, one or two toes with arthritis-like pains on the left foot, in the first one and a half weeks pain on the buttocks. It is always one thing after another.

[auntiejessi]

That's about average, but obviously, there are variations to that.

Aj

[jbrown123]

Thank you again. Any comments on gential herpes and genital warts regarding the appearance of the sores? 3 weeks for herpes and 3 months for warts??

[auntiejessi]

OK you took 1 gm of zithromax.  You need to wait 7 days from that to have sex.  In that time, you should get your results.  If you are positive for gonorrhea, then you can take rocephin, and you'll need to wait 7 days from that.

You can test for syphilis at 6 weeks, but by then, you'd have gotten a syphilis sore.  

I really really don't think you have much to worry about here.  Most of the time, condoms don't break, and your chances of getting HIV from a woman are very slim.  If she had HIV, then it would be about 1:1000 chance.  I wouldn't worry at all about HIV if I were you. Test at 6 weeks if you must, but I'd doubt you got that.

As far as when to avoid sex.  Since you had a risk, you should avoid sex with any symptoms that might be an std - any pain in the genital area, discharge, itching, etc.  

Aj

[jbrown123]

Sorry. Regarding avoiding sex with wife should there be symptoms. I am REALLY confused now what specific symptoms warrant avoidance. Pain in the urethra even though it may be slight(?), general discomfort in the groin area(?), pain in the testes(?), pain in the pelvic(?) and the list goes on.... if forced to have sex with wife, using condom would eradicate the risk of transmission altogether??

[jbrown123]

Thank you for being preachy, we do need it from time to time and a good spanking to boot.

The incident happened in China. I am going to test for Syphillis and HIV for peace of mind anyway. Week 6 would be a good time?

Just some queries on genital herpes and genital warts, if symptoms were to appear genital herpes would typically appear within 3 weeks and genital warts within 3 months from time of exposure if I remember correctly from the forum somewhere?

Also, my penis is circumcised, the skin around the head seems to be sticky all day and needs to be peeled away from the head. I don't remember it like that prior. Any views why?

Your time and help have been invaluable and I can't thank you enough.

Wishing you a Happy New Year.

[auntiejessi]

You could have gotten an infection from being dehydrated, and not to sound all preachy, but its a good lesson - no matter how stressed you get, make sure you take in enough fluids.

The post medication period depends on what, if anything, you test positive for.  If its NGU, the azith with clear it, and you'll be good to go - same with chlamydia.  Re-testing isn't usually recommended unless its someone who might have sex again with an infected partner, or who isn't likely to adhere to the 7 days of abstinence rule.

If you are in the US, UK or Canada, I don't see a big need to test for syphilis.  Syphilis is rare in developed countries.

As long has you have symptoms, you should avoid sex.

No stop worrying about this tonight and enjoy New Years.

Aj

[jbrown123]

Thanks for the advice and support by merely being there for me.

If my symptoms had virtually disappeared so quickly which in your view is not likely except like I said for very very mild pains, does it mean anything ? Maybe, it was something else that caused the pain in the first place and not the conventional stds??

On the night of my indiscretion, I took some natural supplements that is supposed to keep the penis harder for a longer time at the same time desensitising the penis head a little. I don't know what it was but I believe that it is possibly some ginseng extract. For the whole night and day, my body was very very warm and I was thirsty. I did not take much water/liquid over the next 2 days as I was stressed with the situation and work. And I felt really tired over the course of the next 3 to 4 days with aches around the lower back, abdominals, soreness below the ribs. Could it be due to dehydration?? Could that caused the infection ?

What normally would be the post medication procedure assuming I was infected? Do I get tested again and when would that be, 1 or 2 weeks after medication ? What if it is non-chlaymedial/gonorrhea ngu, what happens next if the pain is gone or if the pain persists? If the pain is gone, does that mean I can sleep with my wife and when? If the pain persists, then what next, is it safe to sleep with wife? Still not tested for syphillis yet though?

[auntiejessi]

OK first - 1 gm of azithromycin won't cure gonorrhea, and the dose you got of that will cure chlamydia and NGU, as will the doxy.  You don't need to take both.

The most preferred treatment for gonorrhea is rocephin.  That's a shot, and if your gonorrhea test comes back positive, then you can get that shot.  Refer your doctor to the CDC STD Treatment Guidelines.  The most recent one is from 2006, but they updated the gonorrhea regimen in April 2007, since there has been a lot of resistance with meds.

Its possible that your symptoms would disappear within a day, but not likely.

Aj

[jbrown123]

Saw the Dr the other day, he took a swab and looked under the microscope and said that it was very clear and no gonorrhea and that chlaymedia was too small to see. He then made me urinate into 2 bottles. Bottle 1 was for the initial stream and Bottle 2 for the deeper urine source. He said that bottle 1 looked a bit cloudy and so he was going to send to lab to have an urine culture(I think) done to it for both gonorrhea and chlaymedia.Result due out soon, probably early next week.

He prescribed 4x250mg of zithromax and 7 days of doxycylcine(100mg x2, one in the morning and one at night). The zithromax is supposedly for gonorrhea(I asked him to treat gonorrhea anyway) and doxycycline for chalymedia.

Almost no sypmtoms except for very very slight pain along the urethra once or twice and possibly the testes since being attended on the same day by the doctor.

Can symptoms disappear so fast on the same day? The night before I was having much more pain along the urethra post urination.

[auntiejessi]

If you are having such a hard time with this, perhaps its time to seek some help for it.  I know its scary, and I don't want to downplay that, but if its consuming you, and you aren't sleeping and are having episodes, it might be time to talk to someone.

I say that out of kindness, not criticism.

Aj

[jbrown123]

Thank you very much for your help in linking those articles for me to read.

I am under control again. Just need to get pass this couple of weeks and see how it goes.

[jbrown123]

Thanks so much for your time and input.

Doctor wants to take the first urine sample and has asked me to go back tomorrow morning. He will be doing a culture test and swap test(using microscope). In the meantime, he will treat me with antibiotics. The culture test will take about a week. What is the swap test for? He said he can give me immediate result but it can't tell what the germs are?

I had another episode during lunch where I kept thinking that I could be HIV positive if I get tested for Chlamydia. Man I dont know how I can survive the next couple weeks for conclusive HIV test. My limbs were aching(not imaginary), feeling feverish, whole body and limbs felt hot and itchy like a rash was acting up and feeling spaced out. But all this could be due to not having slept more than 2 hours everyday.

I dont know what to do???

[auntiejessi]

We all have bacteria in our mouths, and sometimes those bacteria - and I don't know the names of them - can enter the urethra and cause an infection.

http://www.webmd.com/sexual-conditions/guide/20061101/oral-sex-may-spread-common-std

http://www.medhelp.org/posts/show/500537

It could be transmitted to your partner.  

How long your results take depends entirely on the doc and the lab, and how they communicate.  Some labs and doctors share a computer system, so the doctor can access the records as soon as the test is done.  Others email the results, others still fax or mail.

Aj

[jbrown123]

Even if it is normal mouth germs, what does it mean? It is not the conventional STI and therefore is even easier to treat or maybe more difficult to identify?? Can it be transmiited to my sex partner? Let's see what happens ? How long would it normally take for urine test results to come back?

[jbrown123]

I did and quite a few times as well....dont think it said anything about normal mouth germs unless you were referring to gonorrhea, HPV, HSV...may i know what normal mouth germs you were referring to?

[auntiejessi]

Oh it could give you pain in your testicles.

Did you read the asha site I gave you?

Aj

[jbrown123]

Don't know why I did it. Just plain stupidity.

[jbrown123]

Thanks again for your input.

But mouth germs would not give me pain in the testicle would it? And what sort of normal mouth germs would that be?

[auntiejessi]

NGU can also be caused by normal mouth germs, and I'd say 95% of the time, NGU is not difficult to cure.

I hope you get up first thing tomorrow and get in to see your doctor.   You might also talk to him/her about getting some therapy to help with this.  I understand you are scared, and you have a lot to lose, but clearly you need to explore why you would do something like this when you do have so much to lose, and explore why you have pure panic and anxiety as a reaction.

I say that with kindness, not criticism.

Aj

[jbrown123]

Just read from ashastd that NGU mostly caused by chlamydia which is usually through vaginal intercoure. That means that my condom may have broken and may have been exposed to HIV. For NGU, it is probably difficult to pinpoint the exact bacterial(s) causing infection which means there is some trial and error needed. This may mean that it may be some time before the right antibiotics is used to completely remove the infection. Am I right?

[jbrown123]

Thanks very much for your input.

Came across a BBC website that seems to describe almost exactly what I have experienced this morning and yesterday morning particularly, the white milky watery discharge before I urinate first thing in the morning. Seems like what I have is NGU. It also reiterated what you people have been saying about mode of transmission, you can't catch stds/stis from hugging and so on.

I am hoping that it is only NGU and nothing more. If it is only NGU and no gonorrhea, does that reduce my chance of syphillis, hiv and other stis even though any test done tomorrow will only be at 2 weeks of post exposure.

[gracefromHHP]

sounds like you are letting the guilt of all this do a number on you.  I totally 2nd what jess said - stop looking at your penis so often - once daily in the shower and no more often.  You are already planning on following up on this monday with std testing. Meanwhile there is absolutely no risk to your wife if you aren't having sexual relations with her since you had sex with the sex worker . Same with your kids - absolutely no risk - not from toilet seats, hugging or anything else you mentioned.  they don't call them sexually transmitted diseases for nothing.   Everyone in a household should have their own towels, washcloths, toothbrushes and razors - because very common germs are easily transmitted thru sharing them so it just shouldn't be done.  

grace