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Two Exposures: Worried

Dear Doctor:

27 days ago, I had
26 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Several forum users, some off them "regulars", responded before I did (below). I haven't read their comments with care, but they are on the right track.  I'm not sure why you presume your partner is HIV+.  The large majority of prostitutes in the US are HIV negative.

1) Your doctor is right; HIV does not pass through condoms.

2) Good for your doctor.  He is right again.

3) ALL symptoms that can be caused by primary HIV infection are much more commonly caused by other things.  Symptoms are a much less reliable indicator of HIV infection than the blood tests are.  Your symptoms do not sound alarming.

Next set of questions:

1)  Your doc is doing well.  Right on 3 for 3, so far.  Joke or not, I wouldn't worry much about your risk even if she DID have blood in her mouth.

2)  No your symptoms do not sound like gonorrhea.  You used a condom anyway.  If you get an abnormal discharge from your penis, get it check out. Otherwise don't worry about it.

3) Those symptoms also don't sound significant with respect to HIV or other STDs.  But of course if they concern you and don't go away, go back to your doctor for further advice.

Good luck--  HHH, MD
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Avatar universal
I also have a stuffy nose TODAY!!
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Avatar universal
Take a deep breath.  Your Dr. is right.  You have zero chance of HIV.  I repeat ZERO.  

In 30 seconds of oral, your chnages of getting anything other than HIV, might be SLIGHTLY higher than zero, but very close to zero.  If you have a discharge within a few days, then get checked. But I am 99.9999999999999999% sure that with your expouse you are OK.  HIV testing is not required.  If you want a gonnerea test, fine, but without real symtoms, you are negative for that too.

Your sympoms are just like the thousands and thousnads of worried wells that are racked with quilt and anxiety.  My advice is to stay away from the hoochie mommas because mentaly you can't handle it.
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Avatar universal
So, you are saying that:

HIV risk = none

but STD risk = some

what if it was 40 seconds instead of 30 seconds??  I did not have a stopwatch with me.
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Avatar universal
Even if it lasted 240 seconds, your risk is nil.
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Avatar universal
Forgot to mention, that I born in Ireland.  Thus, I am "uncut" so to speak.
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Avatar universal
I  hate to add to my symptom list, but I'm just was not in a frame of mind to remember everything.   Just quick: I went to the bathroom to urinate. Before urinating, I milked my penis, and one tiny drop of clear fluid came out.  Don't know if it was urine or not.  Looked more like pre-***.  Just one tiny drop.
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Avatar universal
Your Irish, So follow the rules and don't have sex till you get married... you are suffering way more mental anguish than the pleasure from these activities!

If you come out completely clean, then look up at the sky.. thank the big guy and promise to go on the straight and narrow.

You'll have a far better life then...psychologically wise.

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Avatar universal
HIV=None

STD - almost none.  40 seconds vs. 30?  no difference.  and stop milking your penis.  The penis has some normal mucus and urine may be left in. If you get gonnerrea - you don't need to look hard to find it.  Milkimg will just make your penis sore and then you will add a sore penis to your "symptoms".

You didn't get an STD.  But you are so freaked out that I bet you will play mind games until you get a negative test. So get tested and move on.  A gonnerea test is quick and then you can move on.  Or you can just choose to move on.

Let's wait and see what the brillant Dr. says though.  Most of us responding are not drs but have simiar experiences as yours..meaning we freaked out over a extremely low risk sex act and obsessed about it until it almost ruined us.
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Avatar universal
Hi,

Thank you for sharing some of your views. Still, I don't think it's feasible for most people to pledge abstinence until marriage. As Dr. H has said many times, this may increase the chances of the person not having condoms when they give in to temptation anyway. That would increase rather than decrease the risk of HIV. Scared Dude and most low-risk or no-risk people on this forum might actually benefit from embracing their sexuality, using condoms when necessary, and enjoying sexual contact when it comes their way.

J
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Avatar universal
Still waiting for the doctor.  Most of you seem knowledgeable about safe sex.   In terms of the condom, would I had know if it had broken or failed?  Here is what I can tell you:  Afterwared, I looked at the condom at the tip, and it was not broken or leaking. Additionally, when we took the condom off my penis, it did not fall apart or tear apart.   I hear that HIV does NOT penetrate latex.  If that's the case, then it seems that I have nothing to worry about.

I'd appreciate the 411 on this minor issue.
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Avatar universal
You would know if it broke.  It clearly didn't. HIV risk = zero with a condom.  HIV will not pass through a latex condom.
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Avatar universal
What about the blow job?  Just want to hear your input.  Okay, I keep reading that saliva will not infect.  

So, let me give you an example:  say I slice my penis with a cut, and the penis is bleeding.  And say an HIV+ person spits a cup of saliva into my penis where the cut is.

Will science conclude that no infection will obtain?  Just those facts, none other.  

I'll stop with the "what ifs" now and wait for the doctor.  But I'm interested in how you repond to this fact pattern.
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Avatar universal
HIV is not in salavia in enough quantites to infect someone.  No one gets HIV from salliva. There are plent of places on the web to back this up.  None of the knowledgable we sites (here, thebody.com, the SF city clinc) list receiving oral as an HIV risk.  

A cup of saliva?  Who pours a cup of saliva on an open cut on a penis?  Not even a 55 gallon drum of spit would get you HIV.

Insertive oral = no HIV risk
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Avatar universal
Hi,

The problem with the scenarios that we analyze is that nobody, even scientists, can truly quantify risk to our satisfaction. It is safe to say that no reliable, documented cases of HIV infection, out of 40 million worldwide, are attributed to the type of exposure you've described. Based on that fact alone, the risk factor is so close to zero that you should carry on with life as if it were zero. You should worry about car accidents, getting killed by an assailant, or cancer, before you worry about something so unlikely.

Nonetheless, you will come across various sources that hesitate to tell you that the risk is zero, even Dr. H at times. Their reason for hesitating is logical. You see, while there are no documented cases of HIV infection through saliva touching a penis cut, to "document" an infection and attribute it to one specific exposure is hard. Most people who catch HIV are at risk because of repeated and varying behaviors. So it is possible that someone who had a lot of unprotected anal sex and got a blowjob with a cut, actually got infected via the blowjob, but health officials will naturally attribute the infection to the anal sex. This is why we can see it is practically zero but nobody can actually call it zero.

I only write the paragraph above so you understand why so much information about risk is inconsistent if you compare Medhelp, the CDC, GMHC, state health departments, UNESCO, HIVInsite, thebody.com, aidsmeds.org, etc. Because there has never been a case of someone infected with HIV whose only risk event was a blowjob with a cut, all odds point to the risk being zero, especially since 40 million people is a good sample size. You, I, and anyone with common sense should be able to see that. On the other hand, I believe it is important for people to have all the information, even some that might be alarming, because it is easier for them to overcome anxiety when they know the research behind the vague numbers.

I am rooting for you and know you will be fine.

J
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239123 tn?1267647614
MEDICAL PROFESSIONAL
allwaysworried is right; you are posing nonsensical scenarios.  But you want a direct answer, so here it is:  Yes, if you sliced your penis with a knife and an HIV+ person then poured a large amount of saliva into the wound and rubbed it around, you might get infected.

So I replied.  Now I'll hold you to your pledge:  No more "what ifs".

HHH, MD
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Avatar universal
For my second set of questions, please note that I did NOT use a condom to receive the blow job from the girl.  See #2 in second set of question.  You thought that I used a condom, but did not.

Does that change anything?

Also, you said that my symptoms do not sound significant with respect to HIV.  Does that mean that they sound a little related to HIV?  I know I'm splittig hairs, but obviously it's cause I'm worried
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Of course you didn't use a condom for oral sex; almost nobody does, and I realized that in my response.  The transmission risk remains very low.

I don't know what is causing your symptoms.  They could be due to HIV.  All I can say is that the risk is low and the likelihood your symptoms are due to HIV are low; but I cannot and do not try to make a specific diagnosis (or definitive reassurance).  Those things require personal evaluation by a health care provider.

HHH, MD

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Avatar universal
unprotected insertive oral is not a risk for HIV. Period.  If you had got it from that you would be written up in medical journals.

I tell you this, you are so irrational that only a negative HIV test will ease your mind.  Your dr. and the dr. here told you you do not have an HIV risk.  All of the reputable web sites say you do not.  But you continue to conjure up scenarios that are not plausable so you can go from zero risk to .0000000000001% risk.  I would suggest you move on with your life, but something tells me this will eat you up until you get tested.
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Avatar universal
Thank you all for the input.

Let's hope I get out of this without HIV.

This is so not worth it.  

If an properly worn condom that does not break does not mean "no risk," and if insertive oral where there is only exposure to saliva also does not "no risk," then I definitely feel screwed right now...especially after having a renowned STD/HIV specialist tell me on this Forum that my symptom could be due to HIV.

Keep me in your prayers, please.
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Avatar universal
I would like to nominate Dr. Handsfield for sainthood. I have no idea how he manages to answer these questions so patiently day after day.

The only problem is I don't know what the first H stands for. Oh well.

J
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Avatar universal
Alwaysworried:

didn't you just read the doctor's comments:  he said, "your symptoms could be due to HIV."

If I had NO risk from (1) protected sex with a condom that does not fail, and (2) insertive oral with only exposure to saliva, then how do you explain that statement?

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239123 tn?1267647614
MEDICAL PROFESSIONAL
A requirement for participating in this forum is at least some measure of common sense, and you are skirting the edge.  I didn't say I think your symptoms ARE due to HIV.  Please read the entirety of my responses and don't focus on comments out of context.  Any more irrational statements or overblown conclusions from you and I will delete this entire thread from the forum

HHH, MD
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Avatar universal
I meant to add:  JohnnyV's sainthood award or not, my tolerance for unreasoned thinking has its limits.  (Thanks for the comment, JV.)

HHH, MD
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