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Avatar universal

When to test

On 7/20/2005 I had unprotected sex with a woman that I had just met days before.  The next day I felt some burning in my penis. It does not burn during urination and there is no discharge. I began precautionary antibiotics of 100mg Doxycycline 2 times per day. After about 3 days I had no more burning. I continued the regiment. One 8/2/2005 we had sex again and the condom broke however I did not realize this until the very end of a rather lengthy sexual encounter. The next day I am getting a burning sensation in my penis but no discharge and no burning during urination. No pain in testicles, no lumps, no redness, or any other visuals.  I am still taking the antibiotic and have enough for 14 more days at 2 per day.  What is the time period to wait to take STD tests (all of them) and could I have any STD symptoms in the short amount of time? What could it be? Also she is scheduled to get tested 8/8/2005 for everything.  Should I wait to see what her results are and then go from there and just continue the antibiotic regiment? Is the antibiotic that I am taking sufficent to head things off?  She says that she has nothing but she has not been tested lately, she says she has no symptoms of anything.  What should I do? I am also diabetic Type 2 adult onset and take a pill 2 times per day for that.  I have taken a DNA by PCR test for HIV before, they say to wait about 30 days after possible exposure for that test to give accurate results, is that correct and worth the money? Help?
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Avatar universal
hello,
yes, i agree with the sainthood.  many thanks for this site
and the clear, understandable information provided.
sunday
Helpful - 0
Avatar universal
Hi everyone,

Lots of people on this website seem to feel terrified about the HIV testing window. If it makes anyone feel better, I can give you a historical comparison.

The first time I got tested for HIV was in 1992, in the Bronx. Back then, it took 5 weeks to get an appointment, and another 4 weeks for the tests to come back. Everybody was saying that the window period was at least 6 months, and it was common for people to believe that you had to be tested EVERY six months for years. There was no internet, and the pamphlets you could get about AIDs were terrifying.

At that time, I had done nothing more than rub up against another man who came on my stomach, and I had had eaten out and had protected vaginal sex with two girls, all in 1991. How was I supposed to know that my risk was zero? Back then people got AIDs quickly and died soon after.

I've been tested 15 times, each time negative. But I thank God that now people can have clear answers, so quickly.

Putting it all in perspective, 3 months is not that long. And the doctor who runs this message board should be conferred sainthood.

J
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Males don't get bacterial UTIs through sex, so "onset within 24 hours" of sex is irrelevant.  Yeast infections are not known to ever cause urinary discomfort in men, so that question also is moot.

By contrast, women may often notice first symptoms of a new UTI or a yeast infection within 24 hr of sex.  They don't acquire the infections sexually; but sex can massage normal bacteria into a woman's urethra, and yeast symptoms (not the infection itself) may be first noticed after sex.  But you said your partner is asymptomatic.

I can't say what's causing your "intermittent burning", except that it's a common symptom of anxiety; or, more properly, anxiety can magnify normal and trivial body sensations that otherwise would go unnoticed.

From your description, there is no particular reason for her to be tested for STDs; your symptoms do not imply a significant risk for her.  On the other hand, it can't hurt.  Every sexually active woman should be tested periodically (e.g., yearly) for common STDs, especially if she has had one or more new partners since previously tested.

HHH, MD
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239123 tn?1267647614
MEDICAL PROFESSIONAL
There is an important typographical error in my response above.  In paragraph 2, the last sentence should start "Except for HPV...."  (not HIV).  Sorry--

HHH, MD
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Avatar universal
Hi,the doc has said before and i am sure he will confirm again that a negative test at 6 weeks is almost unheard of to turn positive - you are home free
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Avatar universal
Sorry to ask this, but I just need to hear straight from you guys.
I just got a HIV rapid test at 6 weeks mark. It came back negative. Can I conclude that I am not infected with HIV?
Thank you.
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Avatar universal
Would you see any symptoms from a UTI or yeast infection with 24 hours?  She is still getting tested and she has not taken any antibiotics.  At least I will know whether she has anything and then know if I did head it off at the pass or in the case of a viral infection know that I need to get tested for those to ascertain if I am infected.  Or that I over-reacted.  But what about the intermittent burning in my penis?
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Avatar universal
Just to add to my last post, you should wait 4 weeks for HIV testing (90-95% accuracy I think) and 6 weeks for 100% accuracy, (although official guidelines are 3 months, Dr HHH says 6 weeks is totally accurate)
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Avatar universal
Hi,
Dr HHH has commented that no STD would give symptoms the next day.
In the dose you are taking of doxycycline, it would 100% get rid of Chlamydia (7 days, twice a day is sufficient) and would most likely get rid of gon.
You can't get tested for chlamydia/gon whilst taking antibioitics - you need to wait 2 weeks after finishing them. But, even if you get tested, it is unlikely to show up anything for chlamydia/gon.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
As some other persons commented (below) before I saw your message, no STD causes symptoms within 24 hours.  Further, your symptoms don't sound like any STD.  Finally, unless you are seeing evasive body language or otherwise distrust your partner, you probably can rely on her belief she has no STD.

You should not have treated yourself with doxycycline (or anything else).  That drug indeed will "head off" any bacterial STD (gonorrhea, chlamydia, syphilis)--but also will make impossible to test for them, so you'll never know if you were exposed.  It won't affect viral STDs, such as herpes, HPV, hepatitis, or HIV.  But except for HIV, the risks are about zero to acquire those infections from a single eposode of unprotected sex.

If you want to be tested for HIV, go ahead - but I don't recommend it.  Absolutely do not have an HIV PCR test; it will be a waste of money.  You are badly overreacting.

Best wishes--  HHH, MD
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