Weird coincidence or HIV??

[vinny5]

Hey doc,im a 21 year old heterosexual male.had vaginal and oral sex with a girl that i met in one of my classes. the oral sex was protected, however, when i pulled,the condom was broken, penis exposed.no clue how long it was broken for.Anyways,2 days later i started itching pretty bad down there.about to three days after that i had a light flu for only about a day(never checked my temperature) then5 days aftrer i started to feel slight pain around my anus that just felt like a cut or split in the skin.The day after i went to planned parenthood where basically she took a culture test from what i guess were cuts on my anus and said theres was a 50/50 chance i got herpes.A week later the results came back negative however i started getting more weird symptoms.About 2 1/2 weeks after i got a sore throat that started out as a dark red spot right in front of my right tonsil that turned into a white bump on tonsil. i felt slight pain in my genital area including sharp pains down my leg,some pretty bad muscle aches and my face felt like it was extremely dry as it burned and itched.about 3 weeks after when a small red bump appeared on the tip of my penis.However the bump never oozed or ulcerated and dissapeared after only 2 days and has come and gone 4 times since the time it first appeared which is kinda weird.shortly after i started having really bad abdominal pain mostly at night,Stabbing pains in my joints including my fingers,wrists,knees,and elbows and occasionally would get weird pains in my neck that move up towards my ears and feel like an earache. one thing thing that scared me the most is a purple spot right in the middle of shin that appeared out of nowhere. 90% possitive i didnt hit it on anthing. its only about a centimeter long and doesnt change colors or pale out when you press on it.i rapid tested negative at 4 weeks.i went in today for a pcr but wont know results till friday.how accurate will that test be at week 5?can kaposi sarcoma 3weeks aft you get hiv?

[H. Hunter Handsfield, M.D.]

This questions should have been posed in the HIV Prevention forum, since that is your main concern.  (The policy on this is clearly stated in the Important Disclaimer message at the top of the forum.)  But before you spend another posting fee, I suggest you spend some time on that forum.  You will find that the sexual exposure you describe was low risk for HIV; that your symptoms do not suggest HIV; and that test results ALWAYS outweigh symptoms and risk history.  So your negative test results show HIV is not a concern here.

There won't be any follow-up discussion on this forum.

HHH, MD

[vinny5]

I know it would be stupid to ask for a diagnosis over the internet so thats not what im doing, but  I don’t have health insurance and based on my symptoms and timeline I  could really use a professional opinion on what the hell is goin on!
my questions are:

1. if my pcr results come back negative, how confident should i be about really being negative?

2. i heard from an unreliable source that girl went on a sexual rampage that day and had sex with two other guys...what are the chances i contracted an std the same day she did?

3. What are the chances of getting hiv and herpes in the same encounter?

4. Do a primary herpes lesion always appear at the spot of infection? do they always blister or ooze?

5. how possible is it that i have syphillis or some other std and tested negative a week after and a month after

6. . Is it possible for a kaposi sarcoma lesion to appear 3 weeks after you got hiv at 21 years old?!

[vinny5]

sorry i just realized my second sentence was a little confusing....i meant to say when i pulled out after vaginal the condom was broken* she only performed oral on me and i had a condom on the whole time*

[H. Hunter Handsfield, M.D.]

I saw all these comments before responding above, and took them into account.  You have no worries about HIV.  Your symptoms also are not strongly suggestive of herpes, and the test results prove you don't have syphilis.

If your symptoms persist and you are not certain your health care provider is knowledgeable in these areas -- and in view of your concern about health care costs -- consider visiting your local health department STD clinic.

[vinny5]

sorry doc i was in a hurry as you can see from the poor grammar, and didnt get a chance to fully read the disclaimer. But could you answer my herpes questions?

1. Does a primary herpes lesion always appear at the spot of infection?

2. Do they always blister or ooze?

Ive also masturbated twice with a condom on since the bump started appearing but only on days where it wasn't noticable. Both times after i masturbated the bump came back right away and the tip of my penis burned for about a day after.

3. Does that sound like a herpes characteristic?

[H. Hunter Handsfield, M.D.]

1) Yes.

2) Usually but not always.

3) No.  Herpes lesions cannot come and go in a matter of hours or a day, regardless of genital massage, trauma, masturbation, etc.  Herpes lesions cannot ever recur more often than once every 4-6 weeks and are not related to external stimulation.  There are no exceptions to this.

That's all for this thread.