Aa
Csw condom break
In January, a condom broke while I was with a csw in Puerto Rico. There was about 2 minutes of vaginal intercourse till I realized. I panicked throughout the following days and had a nervous breakdown. I rationalized to myself that my life is over.
2 weeks after exposure I had terrible abdominal pain that lasted about 10 days. This was also accompanied by tingle sensations all over my body. At the 3rd week I had a terrible bout kidney stones. I wonder if ARS had something to due with this.
4 weeks after exposure I went to get tested and everything came back negative.
I haven't got tested since then due to the tremendous amount of fear of a positive result. Some symtoms I experience at the moment are nasuea, diarrhea, muscle & joint pain, and a macupapular rash on my face and trunk of my body. I am worried sick : (.
Now
I have never had an STD in my life and am not sexually active at all. Just a stupid decision I made.
2 weeks after exposure I had terrible abdominal pain that lasted about 10 days. This was also accompanied by tingle sensations all over my body. At the 3rd week I had a terrible bout kidney stones. I wonder if ARS had something to due with this.
4 weeks after exposure I went to get tested and everything came back negative.
I haven't got tested since then due to the tremendous amount of fear of a positive result. Some symtoms I experience at the moment are nasuea, diarrhea, muscle & joint pain, and a macupapular rash on my face and trunk of my body. I am worried sick : (.
Now
I have never had an STD in my life and am not sexually active at all. Just a stupid decision I made.
MEDICAL PROFESSIONAL
Welcome to the forum.
You had a low risk exposure. The large majority of sex workers in Puerto Rico do not have HIV; and when a woman has HIV, the average chance of transmission from a single episode of unprotected vaginal sex is around 1 in 2,000. That's equivalent to having unprotected sex with infected women once daily for 5 years before infection would be likely. (Probably you are unaware that many spouses of HIV infected people never catch HIV themselves, even with regular unprotected sex.)
Second, your symptom do not even hit at HIV, which does not cause abdominal pain, tingling sensations, etc as the only symptoms. And it certainly doesn't cause kidney stones.
Third, a negative HIV antibody test at 4 weeks is strong evidence against having HIV. Not perfect, but highly reassuring; over 90% of infected people have positive results by then.
In order to get beyond your somewhat irrational fear, you need to have another HIV test. I have no patience with delayed testing for fear of a positive result. It isn't the test result that gives someone HIV. You have it or you don't, and if you do, you have to know it in order to get life-saving treatment. In addition, anxiety usually declines after testing, even with a positive result. The anxiety and worry are worse than having a clear answer.
So my recommendation is that you have an HIV test and then return with a follow-up comment to report the result. It definitely will be negative. But no other follow-up comments, please. I will have nothing more to say until you report the test result.
Regards--- HHH, MD
You had a low risk exposure. The large majority of sex workers in Puerto Rico do not have HIV; and when a woman has HIV, the average chance of transmission from a single episode of unprotected vaginal sex is around 1 in 2,000. That's equivalent to having unprotected sex with infected women once daily for 5 years before infection would be likely. (Probably you are unaware that many spouses of HIV infected people never catch HIV themselves, even with regular unprotected sex.)
Second, your symptom do not even hit at HIV, which does not cause abdominal pain, tingling sensations, etc as the only symptoms. And it certainly doesn't cause kidney stones.
Third, a negative HIV antibody test at 4 weeks is strong evidence against having HIV. Not perfect, but highly reassuring; over 90% of infected people have positive results by then.
In order to get beyond your somewhat irrational fear, you need to have another HIV test. I have no patience with delayed testing for fear of a positive result. It isn't the test result that gives someone HIV. You have it or you don't, and if you do, you have to know it in order to get life-saving treatment. In addition, anxiety usually declines after testing, even with a positive result. The anxiety and worry are worse than having a clear answer.
So my recommendation is that you have an HIV test and then return with a follow-up comment to report the result. It definitely will be negative. But no other follow-up comments, please. I will have nothing more to say until you report the test result.
Regards--- HHH, MD
Thank you doctor Dr. Handsfield
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