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Avatar universal

risk/symptoms evaluation

Hello Doctor,

I had the following encounter with an escort exactly 13 days ago -
a. insertive vaginal with a condom;
b. received covered oral sex
c. provided Unprotected cunnilingus (for about 10 minutes).
d. Deep French kissing

Her vaginal area was clean (no noticeable warts or lesions) and didn't emit any odors.

Exactly 10 days after this encounter I got laryngitis and even though my throat is not hurting much, a lot of green mucous discharge does appear.
3 days later laryngitis is getting better but now I got a small fever. My usual daily temperature is between 97.9 and 98.6 (with average being 98.2-98.4)
On the 13th day my temperature is somewhere between 99.2 and 99.8 for about 3 hours since I woke up.

Here are my questions:
1. what are my risks for the following:
    a. HIV
    b. Syphilis
    c. Herpes
    d. Chlamydia
    e. Gonorrhea
    f.  HPV
2. Can my sore throat be an indicator of any of the above?
3. Does laryngitis with discharge comes with any of the std?
4. Do I need testing in your opinion?

Thanks a lot
5 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Oh come on.  The answer to this is obvious from the previous replies.  Read my comments and use some common sense.

No, you should not take it.  You don't need treatment; a Z-pak is not reliable against gonorrhea; and excess, unnecessary antibiotics are bad for health and bad for the environment.
Helpful - 0
Avatar universal
Thanks you,sir.

One last question I promise:

I have a prescription for a Z-pack. Should I take it a a precaution for Pharyngeal gonorrhea?

Thank you and have a great  summer!
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
I already said you do not need STD or HIV testing on account of this event.  If similar sexual exposures continue, have another round of testing a year from now.

That's the end of this thread.
Helpful - 0
Avatar universal
Thank you Doctor,

I apologize for not following the protocol. I wish I could stop my stupid behavior.There is an old joke about someone like me - "God gave men two organs that require a lot of blood to function, unfortunately there is only enough blood for one of them at a time"

On a serious note - about a month ago i tested for all STD with negative results. I feel stupid going back for another test. Can I wait until the end of the year?
I can buy an HIV over the counter testing kit but from i am understanding HIV should definitely NOT be my concern. Correct?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome back to the forum.  However, this is your third thread with essentially identical questions.  The answers have not changed, and I recommend you get out of the habit of having new exposures that you regret and then seeking reassurance about them -- especially since you continue to follow very safe sexual practices with your commercial partners.

Your upper respiratory infection probably has nothing to do with the sexual encounter.  If you caught anything during that event, it was a cold virus, not an STD.  No STDs cause such symptoms or low grade fever.  And occasional temperatures up to 99.8 are not abnormal.  (98.6 is the average human body temperature over the course of a day, not the maximum normal.)

1)  Zero to very low risk for all those STDs, except HPV.  And to repeat my response about HPV last September:  it "...is still likely despite consistent condom use, but happens to everybody anyway and really isn't a significant health risk for men".

2,3) No; see my comments above.

4) You do not need STD/HIV testing on account of this event.  However, all people who are sexually active outside mutually monogamous relationships should be tested for gonorrhea, chlamydia, syphilis, and HIV from time to time, like once a year.  If you haven't been tested recently, this would seem to be a good time, while it's on your mind.  But not because of this particular exposure or your symptoms.

Please note that MedHelp permits a maximum of 2 questions every 6 months on the professionally moderated forums (see Terms and Conditions).  This is your third in 10 months, so you're on the edge.  Beyond the limit, new questions are deleted without reply and without refund of the posting fee.

Regards--  HHH, MD
Helpful - 0

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