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Scared to death - HIV and STDs

Ok here is my scenario, On January 21, 2011 i was in Costa Rica and hired a CSW. She said she was clean. This was my exposure:

1. Unprotected Oral Sex - couple minutes
2. Protected Vaginal Sex - condom intact
3. Oral Sex with condom on - same condom
4. Unprotected oral sex - couple minutes

Here are my questions:

1. What is my risk for HIV transmission. In both instances of unprotected oral sex it was for minutes.I did not have any sores or cuts on my penis.
2. If she was HIV positive, and gave me oral sex with condom on that had her fluids were on, then few minutes later gave me unprotected oral sex, is there any risk there of passing those fluids to my penis?
3. On or about Feb 3 2011, i noticed some red bumps on penis for a couple days. It was all over the head and foreskin. There were no ulcers, or blisters. No pain, no burning, no itching, and painful urinating. I used some Nystatin and Triamcinolone cream that cleared it all up within a day or two. I stopped using it and it continues to come back. Its been over a month and a half now that it keeps coming back. They are like little pimples no clusters with a white head that disappear and ulcer in a couple days. Again no symptons, but im afraid i got some type of herpes. What is my risk? I suffer from psoriasis.

I have not been tested yet for anything. Thinking about getting a Home Access Express HIV 1 test. How reliable are these and do you recommend it? I am happily married and did this stupid thing that i regret daily. Its been almost 7 weeks now. Do you think testing with the above is a good idea?
5 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.  But to be honest, I have to wonder why you are here.  The way to know whether you were infected with HIV is to have a test for it.  Enough time has passed for completely reliable testing.

That said, you describe an exposure with almost no chance of HIV transmission.  Oral sex carries little or not risk; and you used a condom for vaginal sex.  Further, the large majority of sex workers in most countries, including Costa Rica, do not have HIV.  To your specific questions:

1,2) No risk.

3) These symptoms do not suggest HIV, which generally causes overt blisters that become open sores -- not just a few red bumps that clear up rapidly.

From a medical or risk assessment standpoint, you don't need testing for HIV.  But as I suggested above, when people are worried about HIV, the answer to their worries is to be tested.  You definitely can expect negative results.

Regards--  HHH, MD
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
Yes, HSV not HIV.  Pardon the typo.
Helpful - 0
Avatar universal
On the above post - March 21st 2011 at 12:46 am -  you said:

3) These symptoms do not suggest HIV, which generally causes overt blisters that become open sores -- not just a few red bumps that clear up rapidly.

Just out of curiosity did you mean, HIV or Herpes?  Does the ARS rash cause blisters?

Thank you.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Solid.  No more testing is needed.
Helpful - 0
Avatar universal
Dr, HHH, just to let you know that today i got my results from the Home Access test and it was negative at 9 weeks. Should I re-test or consider these results solid? THanks
Helpful - 0

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