Possible Lymphdenopathy / HIV related?

[WorriedWart123]

I regrettably had vaginal intercourse with a sex worker 9 wks ago at a legal brothel. I used a condom but after I ejaculated she was on top and when she got up the condom had pulled off of me. My semen was inside the condom but I’m unsure of how much bodily fluid I came into contact with.

These women are tested every week but that does not make me feel any better. The woman I had contact with has been pulled from their web-site and they say she is on vacation but I find the combination very unsettling. These brothels claim to in over 20 yrs have never had an hiv positive worker but know they would not advertise otherwise.

What brought my additional concern on 2 wks ago is that I woke up with a very stiff hurt neck. After a week and a half I new it was more then a kink in my neck. It hurts to yawn. Went to the doctor and he said possible submandibular Lymphadenopathy. I have been otherwise very healthy before this. I only have tenderness to the 1 side above my atoms apple and to the right, without any noticeable swelling. It has only gotten a little better but with no other symptoms beside a weird bump on my chin which could just be a pimple from stress. In my research many indications for hiv symptoms always include lymphadenopathy. Can this symptom be associated to hiv?

My doctor ordered blood work cbc, sed-rate, metabolic panel, and hiv test. All have come back normal but still waiting for hiv result. I have been so worried and will never make this foolish mistake again. Please let me know if I can provide additional information. Any advice would be greatly appreciated. Thank You.

[H. Hunter Handsfield, M.D.]

Even if your brothel partner had HIV, and even if you hadn't used a condom, the chance you would have caught HIV would have been somewhere around 1 in 2,000.  Add those odds to the brothel's testing policy and reported history of no HIV transmissions, plus the condom use, and nothing else in your question matters.  The amount of possible body fluid exposure that could have occurred, based on your description, almost certainly is not sufficient to transmit HIV, even if your partner had the virus.

Symptoms almost never are useful in judging new HIV infections.  That's because even the classical symptoms of new HIV infection usually are due to other things, since many viruses and other medical conditions cause exactly the same symptoms.  And submandibular lymphadenopathy -- if indeed you have it (it seems your doctor is unsure) is much more commonly due to a variety of viruses other than HIV.  And you don't mention fever, which almost always is present in acute HIV infection.

So my advice is to just wait for the HIV test, without a lot of worry about it.  You can expect a negative result.  Then you can work with your doctor on other possible explanations for your symptoms.  Most likely it is nothing serious.

I hope this helps.  Best wishes--  HHH, MD

[JakeScared]

Yea, did you go to vegas bro ? Sherry's ranch ? your safe.