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STDs (Expert Forum)
Worried about HIV and STDs
Answered by
University of Washington
Seattle - WA
Welcome to the STD Forum, which is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.
Worried about HIV and STDs
by jiiij, Jun 28, 2005 12:00AM
Dear Sir
I'm gay male. I just had oral and anal sex about 2 weeks ago with a stranger I met online. This was my first sexual encounter. I performed oral sex on him without condom, and I was penetrated with condom. The next morning, my rectum was hurt and I found small amount of blood came out along with my stool (Was it because of the friction I had when I was penetrated ?) Anyway the next day or 2 days, the pain in my rectum was gone, and I think I didnt see anymore blood came out with my stool.
About 4 days ago, I had a red bump inside my mouth and two red dots (inside cheek). I notice this after I had my lunch. So I really dont know whether this is somekind of STDs or accidental bite when I ate (as far as i know, I didnt recall any biting). I tried to press the red bump but no fluid or anything came out. Then the next day, I kinda feel that it healed a little bit but still bumpy. But until today, it is still not fully healed, I can feel a tiny bump and it still looks red but it's not as swollen as the first time i noticed it.
About 2 days ago, I also noticed a red bump on my right buttocks. It hurts when I press it and when i sit. And today, i can see that it's still red but it's not as swollen as the first time I saw it and it's not painful when I sit. I guess it starts to heal.
In the past weeks, I also had mosquito-bite-like bumps (I noticed that there were three...one day I had it on my left wrist, one day I had it on my left inner arm, one day I had it on my right inner arm). They healed pretty quick.
I'm so worried that these are symptoms for STDs or HIV
HELP
I'm gay male. I just had oral and anal sex about 2 weeks ago with a stranger I met online. This was my first sexual encounter. I performed oral sex on him without condom, and I was penetrated with condom. The next morning, my rectum was hurt and I found small amount of blood came out along with my stool (Was it because of the friction I had when I was penetrated ?) Anyway the next day or 2 days, the pain in my rectum was gone, and I think I didnt see anymore blood came out with my stool.
About 4 days ago, I had a red bump inside my mouth and two red dots (inside cheek). I notice this after I had my lunch. So I really dont know whether this is somekind of STDs or accidental bite when I ate (as far as i know, I didnt recall any biting). I tried to press the red bump but no fluid or anything came out. Then the next day, I kinda feel that it healed a little bit but still bumpy. But until today, it is still not fully healed, I can feel a tiny bump and it still looks red but it's not as swollen as the first time i noticed it.
About 2 days ago, I also noticed a red bump on my right buttocks. It hurts when I press it and when i sit. And today, i can see that it's still red but it's not as swollen as the first time I saw it and it's not painful when I sit. I guess it starts to heal.
In the past weeks, I also had mosquito-bite-like bumps (I noticed that there were three...one day I had it on my left wrist, one day I had it on my left inner arm, one day I had it on my right inner arm). They healed pretty quick.
I'm so worried that these are symptoms for STDs or HIV
HELP
Doctor's Answer
by H. Hunter Handsfield, M.D., Jun 28, 2005 12:00AM
, Jun 28, 2005 12:00AM
Rectal sex is inherently traumatic compared with vaginal intercourse; the vagina evolved as a pretty tough organ intended for the purpose, the rectum did not. So injury with bleeding is pretty common, probably more so the first few times.
It's hard to comment on the bumps and dots in your mouth. They don't sound like an STD, and oral sex is less risky than anal sex. The buttock bump sounds like a pimple, doesn't sound like an STD. Mosquito-bite-like bumps probably are mosquito bites. None of this sounds like HIV.
But if in doubt about any of this, see a health care provider.
Since you're just starting your gay sexuality, I'm going to give some general advice--which I hope will help not only you, but others who may read it. You have started with mixed signals as to your sexual safety. Using a condom for anal sex was good, but having sex with someone you don't know wasn't so smart. Regardless of when and where you hook up with guys, please get in the habit of condom use for anal sex, whether you are top or bottom. Most important, ALWAYS share your HIV status with anyone with whom you're going to have anal sex, either as top or bottom; and without exception insist on knowing your partner's HIV status (i.e., no anal sex with guys who won't tell you whether they are positive or not, or say they don't know). This is important even if you plan to use condoms, which can break. No person at high risk for HIV should ever have sex with another person without knowing whether or not s/he is infected and sharing that information. (There are exceptions. In much of the world, a woman who discloses her HIV infection may be at risk for abandonment, ostracism and domestic violence, even murder. But with rare exceptions, that doesn't apply to gay men.)
Finally, as a man who is going to be having sex with men, you're going to need to educate yourself about STDs and what symptoms are and are not important. Please do some research on the web, and perhaps go to a local gay service center in your area. And plan on regular testing for HIV, syphilis, and other common STDs; at least once a year and likely more often, depending on your lifestyle.
Best wishes-- HHH, MD
It's hard to comment on the bumps and dots in your mouth. They don't sound like an STD, and oral sex is less risky than anal sex. The buttock bump sounds like a pimple, doesn't sound like an STD. Mosquito-bite-like bumps probably are mosquito bites. None of this sounds like HIV.
But if in doubt about any of this, see a health care provider.
Since you're just starting your gay sexuality, I'm going to give some general advice--which I hope will help not only you, but others who may read it. You have started with mixed signals as to your sexual safety. Using a condom for anal sex was good, but having sex with someone you don't know wasn't so smart. Regardless of when and where you hook up with guys, please get in the habit of condom use for anal sex, whether you are top or bottom. Most important, ALWAYS share your HIV status with anyone with whom you're going to have anal sex, either as top or bottom; and without exception insist on knowing your partner's HIV status (i.e., no anal sex with guys who won't tell you whether they are positive or not, or say they don't know). This is important even if you plan to use condoms, which can break. No person at high risk for HIV should ever have sex with another person without knowing whether or not s/he is infected and sharing that information. (There are exceptions. In much of the world, a woman who discloses her HIV infection may be at risk for abandonment, ostracism and domestic violence, even murder. But with rare exceptions, that doesn't apply to gay men.)
Finally, as a man who is going to be having sex with men, you're going to need to educate yourself about STDs and what symptoms are and are not important. Please do some research on the web, and perhaps go to a local gay service center in your area. And plan on regular testing for HIV, syphilis, and other common STDs; at least once a year and likely more often, depending on your lifestyle.
Best wishes-- HHH, MD
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Vegeta: Presumably the person who did the gonorrhea and chlamydia tests examined you. If s/he didn't think the bump was important, then chill out. The chance you got herpes or HIV from a single episode of vaginal sex, no matter how "risky" your partner was, also is in the lottery-winning (or lightning strike) range. I doubt you need herpes or HIV testing (and if you do, there is no need to wait 6 months).
HHH, MD
HHH, MD
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