Aa
HIV question
Hi Doc,
I went to get a massage today and was offered sex. Without really thinking I agreed. In the middle of it, she offered unprotective vaginal sex. She said she was tested and she was clean. I was stupid and agreed to it. As I was about to climax and pull out, she wrapped her legs around me and I ejaculated into her. I am an uncircumsized male. I was in her for about 5 minutes. I am so stressed out about HIV and STDs that I can't concentrate on anything but the situation I am in. What are my risks?
I went to get a massage today and was offered sex. Without really thinking I agreed. In the middle of it, she offered unprotective vaginal sex. She said she was tested and she was clean. I was stupid and agreed to it. As I was about to climax and pull out, she wrapped her legs around me and I ejaculated into her. I am an uncircumsized male. I was in her for about 5 minutes. I am so stressed out about HIV and STDs that I can't concentrate on anything but the situation I am in. What are my risks?
MEDICAL PROFESSIONAL
No STD causes the symptoms you describe. Whenever a person suspects his or her own symptoms have an emotional or psychological cause, usually s/he is correct. STD symptoms (primarily discharge of pus or mucus from the penis, sometimes painful urination, penile sores) typically show up 2 days to 3 wk after exposure.
Hi,
I was wondering when STD symptoms start to show up? Its been less then 24 hours, and I feel tired, muscle fatigue, swollen lymph nodes. I am hoping that this is just anxiety. But I can't help but be really scared.
I was wondering when STD symptoms start to show up? Its been less then 24 hours, and I feel tired, muscle fatigue, swollen lymph nodes. I am hoping that this is just anxiety. But I can't help but be really scared.
Wow Thank you doctor, I feel better after your answer. A friend my mine told me that the chance of me getting HIV was between 1 to 5 percent. He also said I should ask for a PEP.
MEDICAL PROFESSIONAL
Welcome to the forum. I'll try to help.
It was foolish, as you know, to have sex in such a casual context without a condom. Still, the chance your massage partner had HIV is very low, probably under 1 in 1,000 (as for most CSWs in the US); and even if she had it, the chance of transmissioon during a single episode of unprotected vaginal sex averages less than 1 in 1,000. Thus, the chance you caught HIV is under 1 in a million, which can be considered zero for practical purposes. And people rarely lie about their HIV status -- so your partner's statement she isn't infected is reassuring and reduces the chance of infection to even lower levels. (Whether a man ejaculates inside his female partner has no bearing on his risk of HIV or other STDs, so that part doesn't matter.)
Your risk for other STDs is higher, but if within 3 weeks you haven't had discharge of pus or mucus from the penis, painful urination, or penile sores, you can be reasonably confident you weren't infected, although not proof.
In general, we recommend against HIV/STD testing after individual exposures, unless the risks are much higher than you describe -- or, of course, if STD symptoms appear. The smartest approach for people who are sexually active outside mutually monogamous relationships is to just plan on routine HIV/STD testing from time to time, like once a year -- without getting worked up over individual exposures. However, if this reassurance doesn't completely settle your fears, feel free to have an HIV antibody test at 6-8 weeks. At the same time, you could have a urine test for gonorrhea and chlamydia and a syphiliis blood test. No other STD testing is recommended in this sort of situation.
I hope this helps. Best wishes-- HHH, MD
It was foolish, as you know, to have sex in such a casual context without a condom. Still, the chance your massage partner had HIV is very low, probably under 1 in 1,000 (as for most CSWs in the US); and even if she had it, the chance of transmissioon during a single episode of unprotected vaginal sex averages less than 1 in 1,000. Thus, the chance you caught HIV is under 1 in a million, which can be considered zero for practical purposes. And people rarely lie about their HIV status -- so your partner's statement she isn't infected is reassuring and reduces the chance of infection to even lower levels. (Whether a man ejaculates inside his female partner has no bearing on his risk of HIV or other STDs, so that part doesn't matter.)
Your risk for other STDs is higher, but if within 3 weeks you haven't had discharge of pus or mucus from the penis, painful urination, or penile sores, you can be reasonably confident you weren't infected, although not proof.
In general, we recommend against HIV/STD testing after individual exposures, unless the risks are much higher than you describe -- or, of course, if STD symptoms appear. The smartest approach for people who are sexually active outside mutually monogamous relationships is to just plan on routine HIV/STD testing from time to time, like once a year -- without getting worked up over individual exposures. However, if this reassurance doesn't completely settle your fears, feel free to have an HIV antibody test at 6-8 weeks. At the same time, you could have a urine test for gonorrhea and chlamydia and a syphiliis blood test. No other STD testing is recommended in this sort of situation.
I hope this helps. Best wishes-- HHH, MD
Keichi,
You should always assume anyone whom you are not certain of regarding their status and not in managomous relationship with may have the virus. If she offered this to you she may have offered to others as well which makes it quite scary. Overall i think your risk was low as the doctors will tell you but since it was unprotected with a CSW i would test at 4 weeks for about 85% accuracy (as it should give you a good ideas of what your final test may be) and then at 6-8 weeks for pretty much conclusive result.
Lets see what the docs confirm as well.
You should always assume anyone whom you are not certain of regarding their status and not in managomous relationship with may have the virus. If she offered this to you she may have offered to others as well which makes it quite scary. Overall i think your risk was low as the doctors will tell you but since it was unprotected with a CSW i would test at 4 weeks for about 85% accuracy (as it should give you a good ideas of what your final test may be) and then at 6-8 weeks for pretty much conclusive result.
Lets see what the docs confirm as well.
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