std?

[jeffo]

well here it gos I had a encounter with anouther male first time for such . it started out oral him on me for probably 30 minutes than I beleave he used his *** as a lubracante for his fingure in my rear end he never succefully insurted his penis it was limp I beleave in but he did cut me with his fingure nail now the whole thing probably was 45 minnutes long befor I was out the front door . I developed a rash on my hands and feet palms and soles red with white dots ans swell but if I raise my hands above my head I can shake it off .my hands do peel though this is new stuff for me so a week after I had a full panel done every thing came back negative except herpes witch i must of recieved from my wife 10 or more years ago she has it to. so at 2 mounths and prior i went in for a few ora quick both negative than a week later i had a elsa done for hiv 1 and2 and viral load down to 400 nagative and undetectable than 3 weeks later i had anouther varal load done sensitive down to 50 undetectable
than a week later at 90 days post exposer anouther oraquick negative . I'm worried about the rash on my hands arms,
    


                                         Well I've tested out to 4 mounths for HIV negative . so what else if I got somthing from this guy what  could it  be . The pain in my lower right adomen is sharper than before and now I have a itchy rash evey where I've tesed out to two mounths for sypliss and my sore throat will not go away my scalp itcy,eyes,arms .Hive like things poping up by them one at a time rash is constent everywhere. swollan tast buds. Lack of energy is probably from depression thanks for your time.

[H. Hunter Handsfield, M.D.]

The risk of STDs other than HIV from the exposure you describe was very low.  STDs are not known to be transmitted at all by fingering, including finger-anal contact, even with genital secretions as lubricant.  Likewise, the risk was low from the unsuccessful attempt at penile-anal insertion.  Nobody can say the risks were zero, but they are theoretical without any cases known to have been acquired by such exposure.

As you apparently know, unexplained skin rash is always a reason to test for syphilis. However, your rash came on too soon (the generalized skin rash of syphilis occurs in the secondary stage, which doesn't begin until at least 2-3 months after infection); and in any case, the negative syphilis blood test at 2 months is solid proof against syphilis.

As far as abdominal pain goes, certain gastrointestinal infections are common from male-male sex; common causes include campylobacter, shigella, and salmonella.  However all those generally include diarrhea and fever, not abdominal pain alone.  No other STD would cause such a symptom.  Innumerable non-STD things could cause your other symptoms, and your test results prove for sure you didn't catch HIV.

If your rash or other symptoms persist (or recur), continue to follow up with your health care provider and follow his or her advice about diagnosis and treatment.  But you can be sure you have nothing you caught during that sexual encounter.  

My last thought is that you need to get safe sex principles into your head for any and all future sex with men.  No male should ever have sex with a new male partner without having condoms handy and using them for anal sex (there is no excuse for allowing a partner of unknown HIV status from attempting to penetrate your rectum).  Also, always ask about and share HIV status.  Follow both those rules, and you probably will go a lifetime of safe sex with other men, without HIV.  Fail to follow them, and there is a good bet that HIV is in your future.  It's that simple.

Best wishes--  HHH, MD

[jeffo]

Dr Hunter thank you . There was a condom used I just do'nt feel right thank u for your answer  With the risk of developing the same rash yoiu describe what kind of rash go with  stds the rash I have is basically res with white spots and dos itch --good day

[H. Hunter Handsfield, M.D.]

Sorry, I missed the condom part.  Don't take my little "lecture" personally.  I make the same point whenever I can, to educate all men who might read the thread.

Aside from syphilis, no STD causes a skin rash outside the genital area.  That's as far as I can go.  Whatever it is is not an STD and not related to the sexual exposure you described.