Please help me

[Jwillz27]

I got really drunk last night and went to a massage parlor, I'm 32 male, married with two kids, I know I am so stupid and regret every minute of last night! I was having protected sex with an Asian sexworker  when the condom came off for literally 5 seconds of unprotected vaginal,I put the condom back on and finished, she was very upset and so was I...what should I do now? Should I consider taking pep and what are my risk factors? Please help I'm beside myself with this

[Edward W Hook, MD]

Prostatitis is not an STI.  You are constipated.  Straining at stool can lead to discharge of prostatic fluid.  If you are feeling bad, you should see your doctor, not seek on-line advice.  EWH

[Jwillz27]

If you contract chlamydia, gonnorhea or NGU, what is the possibility that you get prostatis from an infection as soon as it happens? I got chlamydia and I can't poop, it's been 3 days and I was able to get a little out and when I did a lot of fluid that was thick and off white came out of my penis, I contracted chlamydia 4 days ago, I have had chills and night sweating please help

[Edward W Hook, MD]

Your chances of getting HIV from this exposure remain minuscule.  It is much harder to get HIV than chlamydia.  EWH

[Jwillz27]

I was hoping to hear back from you  on this matter

[SKadir]

Is the following test conclusive at 91st day?
HIV AB, HIV 1/2, EIA, WITH REFLEXES


Thanks!

[Jwillz27]

I definitely have contracted clamydia from this Korean sex worker from a 5-8 second exposure due to a condom coming off, I'm really scared now about hiv! That doubled my chances of contracting hiv right? I'm terrified, I made a huge mistake and I have a wife and kids that I love very much! Please help me! What are your feelings about this case now that I got an std

[Jwillz27]

I called the massage parlor and spoke with the lady in charge, she told me that all the girls are tested, I'm going to the health department after work today and I will let you know how it turns out

[Edward W Hook, MD]

"What if" questions of this sort do you little good.  Please do not worry.  Get tested and see what occurs.  The chances are high that you did dnot get any infection from this exposure. EWH

[Jwillz27]

If i do get a different sti from this escort, doesn't that increase the hiv transmission rate? I'm so scared my penis has felt like there is icy hit on it all day!  

[Edward W Hook, MD]

Welcome to the Forum.  I'll be pleased to comment. My first advice is to take some deep breaths and don't panic.  Most commercial sex workers do not have STIs and even if your partner did have an infection (on any sort), the risk for infection is low.  Most exposures to STI-infected partners do not lead to infection.  For instance, even if your partner had HIV (which is very unlikely), the risk for infection from a single exposure, on average, is 1 infection per 1000-2000 exposures.  In your case, the fact that the duration of exposure was briefer than average is likewise in your favor.  

PEP is certainly not recommended in this situation.  PEP is recommended only for person known to have been exposed to an infected partner due to the high cost, frequent side effects and difficulty taking the medication for the month that it is recommended to be administered.  I presume that you asked your partner if she has HIV and when she was last checked, not only for HIV but for other STIs as well,  If you haven't you should.  If she has not been tested, some clients find it helpful to pay their partners to go for testing with them.  

Your greatest risk is not for HIV but for other STIs.  2-3 days after this exposure, I would suggest you seek testing for gonorrhea, chlamydia and NGU form your local health department.  Please DO NOT accept treatment without or before testing. Through all too much past experience with other patients I can promise you this tends to only confuse matters downstream.  Testing for HIV is a waste of time before at least 4 weeks after your exposure. At 4 weeks you can get conclusive results from a combination HIV p24/HIV antibody test (sometimes called a Combo or DUO, or 4th generation) test.  Do not believe claims form people who  sell tests that a PCR test can provide conclusive results at two weeks- this is simply not a scientifically proven practice.

Again please don’t worry, your risk for infection is low.   I hope these comments are helpful.  EWH