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Analysis of Exposure

Hello there! Let me start this off by apologizing preemptively; I tend to ramble so I'll do my best to keep everything together. I'm also a bit of a Nervous Nelly & very anxious & something of a hypochondriac. I've asked this question around the forums and been relatively reassured, but I figured before I completely turned the page I would get the input of someone who really knows their stuff about all this so that I could have peace. Forgive the graphic disclosure, but I think in this instance specificity is important.

So I'm a 22 year old gay male. Three nights ago (Tuesday the 31st of August), I went w/ a close friend to his house. We engaged in extensive foreplay. There was heavy kissing and frottage. In addition, I want to state that I bite the skin around my nails a bit, around the cuticle area. Not til they bleed, but I do pick at the skin. Horrible habit and one that I will be trying very hard to quit. This is important b/c during the foreplay I was tracing his lips w/ my index finger, which he took into his mouth and proceeded to suck on for about fifteen seconds. In addition, I remember feeling pre-ejaculate on his penis. It wasn't a substantial amount, but I do remember feeling it.

From there, we proceeded to perform oral sex on one another. We did not use condoms. I probably performed oral on him for about thirty seconds or so. I don't remember feeling any pre-ejaculate but I'm sure it was there. He also performed oral sex on me, also unprotected, for a substantially longer amount of time.

After the oral sex, we had full-on anal sex. At first, I topped him, WITH a latex condom. This lasted for about seven or eight minutes; no ejaculation was involved. I remember going slightly soft towards the end and remember looking down and seeing the condom sliding off slightly at the base. This was when I pulled out and we were done. I don't know how much pre-ejaculate was involved, but - like I said - I had started going soft (I'd also had a bit of wine).
  
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Avatar universal
Ok - thank you, Doctor!
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
"So you do think my encounter was low-risk then?"  Read my reply above.  I trust you didn't really think I might have changed my mind in the past couple of hours.

"Quite likely it is some sort of thrush":  Thrush is a yeast infection; there are not different "sorts".  It is not something that can be self diagnosed, and most cases of variable tongue color or white spots in the mouth are not thrush.

Your anxiety and its physical symptoms of course are not "just coincidental"; they result largely if not entirely from the sexual encounter.  But they are not due to HIV or any other infection you acquired during the encounter.

Please follow my recommendation about seeing a doctor or clinic about all this. Until you do, stop taking the speed.
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Avatar universal
Thank you for the response, doctor! This subject has prompted extreme levels of anxiety in me and you are right in saying that there's no specific reason - it's just in my head. So you do think my encounter was low-risk then? And hallelujah about the 7 day time-table, although that means all the things I've been feeling are in my head.

Last question - I try to maintain a pretty healthy diet and in looking at my tongue, I think it's quite likely that it's some sort of thrush. There was no bleeding, but I do have white bumps on the back of my throat. Ever since I took the Adderall, I've noticed that drainage & the feeling in the back of my throat; it was just today that I actually looked at it and saw the bumps and the film so it could have been there for a while.

Is this really just coincidental?

That's my last question, I promise. Thank you so much for all you do.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Thanks for the compressed version.

You seem to be overreacting with a rather intense emotional reaction to a sexual encounter you are conflicted about.  You describe absolutely no symptoms that suggest HIV or any STD.  HIV symptoms cannot start sooner than 7 days after exposure, usually 10-20 days.  And you had safe sex -- congratulations on using condoms for anal sex both ways.  Kissing is no risk for HIV and oral sex has minimal risk, even unprotected.  Also, it is very unlikely your partner has HIV; few people lie when asked directly, and it is statistically unlikely he became infected since his last test.

As for your symptoms, you describe nothing that sounds like anything other than the physical manfestations of anxiety.  Coated tongue and varying tastes or bad breath are related more to diet than anything else.

Finally, it seems to me that Adderall (amphetamines, for goodness' sake) is exactly the wrong medication for the symptoms you describe.  It's usually prescribed for ADHD and related disorders, so presumably you had it on hand because of that sort of problem -- correct?  I would be very surprised if your doctor prescribed it for your present symptoms.  My advice is that you immediatley make an appointment with that doctor or clinic and then follow professional advice both about possible HIV testing and perhaps other treatment for the anxiety problem.

I hope this helps. Best wishes--  HHH, MD
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Avatar universal
ALSO - and I'm so sorry to add this but it's important; just woke up today w/ a white film on my tongue. Am naturally in panic mode - have noticed the taste & breath on my tongue for a while now, most notably after taking the Adderall. Could that be what this is from?? It's not very thick, just a thin white film - kind of mucousy.
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Avatar universal
There you go; plz refer to the earlier posts if you need further detail/clarification. Thank you for taking the time to look at my situation. I am very nervous and I don't know why.
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Avatar universal
Four nights ago, I went home w/ another man. There was heavy kissing. Also, I bite my nails. At one point I was tracing his lips & he sucked on my finger. I remember feeling pre-ejaculate on his penis w/ my hands but I didn't toy w/ it substantially. Next, we performed oral sex on one another; we did NOT use condoms, but no one came. Then we had anal sex; first, I "topped" him for about 7 minutes w/ a condom. I went slightly soft towards the end, and remember the condom sliding off a bit at the base (nothing serious) but that was when I pulled out & we switched. He got a new condom and topped me, but I'm relatively inexperienced, didn't like the feeling so it only lasted about 1 min or 2. He tried to loosen me up by rimming me and fingering me. During both episodes of anal sex, neither one of us reached orgasm; he did so by masturbating himself while he performed oral sex on me afterwards. I never came during whole exchange.

I am very scared; he promises he is not HIV+ but I still have reservations. Have had a strange pain in upper thigh off & on as well as a few other instances of unease (prob caused by anxiety). Prescribed Adderall. Took 1st pill ever yesterday; have experienced dry mouth & mucus since then.Mosquito bite-like bump on knuckle of thumb. Itchy. Recently have had loose stool, but prob anxiety-related. Basically terrified, but isn't it too soon after "exposure" (if it even was exposure) to be having symptoms? Am I at risk? Are these symptoms legit or am I just going crazy?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Your question spilled into a comment window because of the 2,000 character limit.  Unfortunatley, the reason for the limit is to require all the information to be posted in the initial question window.  The moderators do not have the time and energy to read long essays.  There never has been a question on this forum that could not be stated easily within the limit; in fact 1,000 characters really should be enough.

Condense your question into a version that meets the 2,000 character limit, post it in a comment window below, then I will reply.

HHH, MD
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Avatar universal
Also have a little itchy place on the joint of my thumb; it's kind of like a mosquito bite, but I've only noticed it since my encounter. Ok, I'm done now! Sorry, I just wanted to be as thorough as possible!
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Avatar universal
Also, I've been a bit congested this morning - my throat doesn't hurt in the slightest, but I can feel phlegm in my chest. I thought viral infection and almost had a panic attack, but I hope this is just the result of my Adderall; it's the unexplained pain in my thigh muscle that perplexes & worries me.
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Avatar universal
(continued) We switched places & he started to have sex w/ me. I am very inexperienced when it comes to sex, so it took quite a while for me to adjust. We DID use protection, a latex Magnum condom, but he was only inside me for about a minute or so before I told him I didn't like the feeling and he pulled out. He tried to loosen me up by fingering my rectum and "rimming" me, but none of this was substantial. We basically just finished by him performing oral sex on me while he masturbated himself to orgasm. I never came.

Basically, I want to know if there was any risk involved. My friend swears to me that he is not HIV+; in fact, he says he donated blood three weeks ago, and has only had sex w/ one other person besides me (whom he topped w/ a condom) since. However, his past sexual experiences are colorful and varied and I have sufficiently terrified myself by thinking in hypotheticals. In the span of three nights, I have felt congestion in my chest likely brought on by anxiety where I found it slightly painful to take deep breaths. I also have been experiencing a slight discomfort in my upper thigh muscle off-and-on for the past two days. I've been prescribed Adderall by my physician, and I took my first one yesterday for the first time ever. This has resulted in a large amount of drainage in the back of my throat and dry mouth. I hope this is all attributable to the Adderall. But the continued strange pain in my thigh has concerned me, as I see that one of the signs of early HIV infection is muscle/joint pain. I have no idea where this pain would have come from so I have terrified myself, but wouldn't these symptoms be coming far too soon if they were the result of HIV infection? I read that those that do suffer the acute symptoms suffer them about two wks after infection.

Like I said, I have no reason to disbelieve his HIV negative status; he assures me he will go get tested this wk, but I'm still freaked out beyond belief. I'm sure a lot of this is psychological as I was raised in a very religious household and only recently came to terms w/ my sexual orientation. Regardless, my anxiety has been very difficult to deal with. Please let me know what you think, how at risk I am, etc. etc.
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