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STDs (Expert Forum)
nervous about hiv
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.
nervous about hiv
by Scared_man, Jul 04, 2005 12:00AM
Dr. HHH,
I'm in my mid-40s / atheletic. I'm very nervous about the following incident.
In late October of this year, I had sex with a woman that I had only known for a couple days. We then had intercourse twice, each time lasting only a few minutes. The first time the condom slipped down my penis partially. Thus my penis shaft was exposed to her body fluid, but the head was covered by the condom. The second time I made sure the condom was all the way pulled up.
Based on my discussion with this woman after the incident, I lost some confidence in her (she seemed to have exaggerated details of her education, career, etc.). When I confronted her about STDs, she became angry with me and did not want to talk to me any more.
At about 3.5 weeks, I developed flu-like symptoms, with thirst / dehydration being very strong and diahhrea which was severe for a few days and then moderate. Also, white coating on tongue.
At 5 weeks I went into urgent care and saw a PA, and ran a CBC and Met Panel. My WBC 8.3,Lymp 1,400 (17%), Neuts 6,200 (75%). My AST 31 and my ALT 33. My Stool culture was all negative and my Ova and Parasites were negative. She told me that everything was fine and not to worry.
At 6 weeks, I asked a GP to look at the blood work and he said everything fine. He said no need for HIV test, based on incident. I insisted and the HIV AB test came back "non-reactive" at 6.3 weeks.
At 9 weeks, still nervous and some symptoms, so I asked GP to re-run panels wbc 5.1, Lymp 1600 (31%) and Neut 3000 (58%).
Should I still worry? Thanks!
I'm in my mid-40s / atheletic. I'm very nervous about the following incident.
In late October of this year, I had sex with a woman that I had only known for a couple days. We then had intercourse twice, each time lasting only a few minutes. The first time the condom slipped down my penis partially. Thus my penis shaft was exposed to her body fluid, but the head was covered by the condom. The second time I made sure the condom was all the way pulled up.
Based on my discussion with this woman after the incident, I lost some confidence in her (she seemed to have exaggerated details of her education, career, etc.). When I confronted her about STDs, she became angry with me and did not want to talk to me any more.
At about 3.5 weeks, I developed flu-like symptoms, with thirst / dehydration being very strong and diahhrea which was severe for a few days and then moderate. Also, white coating on tongue.
At 5 weeks I went into urgent care and saw a PA, and ran a CBC and Met Panel. My WBC 8.3,Lymp 1,400 (17%), Neuts 6,200 (75%). My AST 31 and my ALT 33. My Stool culture was all negative and my Ova and Parasites were negative. She told me that everything was fine and not to worry.
At 6 weeks, I asked a GP to look at the blood work and he said everything fine. He said no need for HIV test, based on incident. I insisted and the HIV AB test came back "non-reactive" at 6.3 weeks.
At 9 weeks, still nervous and some symptoms, so I asked GP to re-run panels wbc 5.1, Lymp 1600 (31%) and Neut 3000 (58%).
Should I still worry? Thanks!
Doctor's Answer
by H. Hunter Handsfield, M.D., Jul 04, 2005 12:00AM
, Jul 04, 2005 12:00AM
No, you shouldn't worry. The exposure was low risk, both because of condom use (regardless of partial slippage); and even if she had HIV and a condom wasn't used, the chance of transmission probably was under 1 in 1000. And although it can take longer than 6 weeks for the HIV test to become positive, that is very rare with modern tests. You really don't need more testing. But as I have said many times on this forum, many people will be more reassured by a final negative test at 2 months by any words I can say. If that applies to you, have another HIV test 3 months after the exposure. But the odds it will be positive are lower than you winning the next powerball.
HHH, MD
HHH, MD
It has been over 12 weeks now since the potential exposure.
My symptoms now are a bloating in my upper abdomen, particularly for a couple hours after meals. My feces seems to be dark and more "smelly" than usual. My tongue is has white coating and lesions, particularly in the mornings.
Can you give me your assessment?
Thanks,
Scared_Man