HIV and STD concern

[pleasehelpme20]

Hello Doctor.

I'm a 20 year old male, I had an encounter with a transgendered sex worker last night. I'm worried about possible STD's and HIV infections. I made a mistake I'm never making again seeing a sex worker, I just want to do whatever it takes to stay healthy.

I received and gave unprotected oral sex (fellatio with no condom) There was lip and tongue contact between us (kissing)
I preformed protected anal sex on the worker.
I preformed oral sex on the workers bum (tongue in anus)
My biggest worry of all is possibly of HIV from contact with sperm.
A single drop/tiny splatter of semen from the worker went onto my eye.
I immediately flushed out my eye with water.

I want to go get tested at a clinic to be sure I'm clean and healthy but I don't know how long to wait to get accurate test results of a total clean bill of health.
I'm terrified of getting HIV or STD's from this encounter. Dr. I would really appreciate your advice.

Thanks

[pleasehelpme20]

You're right Doc, I'm overreacting. Thanks for the reassurance. I'm going to get tested today.

[Edward W Hook, MD]

You are over reacting.  this is too early for any STD, such as hepatitis, which might cause dark urine, to become apparent.  EWH

[pleasehelpme20]

I also have some abdominal pain occuring now.

Thanks.

[pleasehelpme20]

Thank you doctor. I still have one major concern now that just started appearing today. I drink 10-12 glasses of water a day (4-5 litres), my urine is usually always very clear or clear with a bit of yellow. Today my urine has been a dark yellow, i have drank roughly 2.5 litres of water today and have urinated about 3 times. All times my urine has been a dark yellow even though im still drinking a lot of water. Could this be a symptom of a possible std?

[Edward W Hook, MD]

There has never been a case of HIV form someone who acquired it through getting genital secretions (or blood) in their eye.  You are not going to be the first.

I cannot tell you what your doctor will ask you related to STD testing.  They should ask you about numbers of partners and sites of exposures.

As I told you, your risk for any STD from this expsoure is low.  When you test is up to you.  I have told you when the tests will provide reliable results.  

I would not worry that your diarrhea is related to the exposure you have described.  EWH

[pleasehelpme20]

Thanks for the reply Doctor. My minds at ease but I'm still worried.
Is it not possible to contract HIV from the semen in the eye?
When I get tested, what questions will I be asked for the STD test? I was also wondering on when the best time to get tested would be, should I wait 6-8 weeks and test for everything or would it be better to get tested multiple times? (test at 2 weeks for gonorrhea, NGU, and chlamydia, then test again at 8 weeks for HIV and syphilis)

Symptom wise (its been 2 days) I have had Diarrhea (liquid stools) and have had 3 bowel moments today, my penis has been fine so far. Should I be worried about this at all?

Thanks Doctor.

[Edward W Hook, MD]

Welcome to our Forum.  Your risk for any specific STD from this encounter is rather low.  Fortunately your highest risk activity (anal sex) was condom protected, making it safe sex and no risk.  As for your oral exposures, oral sex (including analingus) is an inefficient way to transmit STDs.  Of the bacterial STDs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through receiving oral sex; chlamydia is not and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise tiny. If you had gotten gonorrhea or NGU you would have most likely developed symptoms of urethritis (penile infection).  From performing oral sex, your only meaningful risk is for oral gonorrhea.  Even if your partner had an STD (any STD and it is likely he did not), most exposures do not lead to infection.  You can be checked for gonorrhea, chlamydia and NGU at any time more than 2 days after your exposure (be sure to have a throat swab performed as well).  Blood tests for far less likely infections, syphilis and HIV can be reliably be tested for at 4-6 and 8 weeks following exposure as well.  We do not recommend blood testing for herpes- the tests are not sufficiently reliable.  If you acquired herpes, you will develop typical lesions within 14 days of your exposure.

As I said above, this is a rather low risk exposure.  Please don't worry- your tests will be fine.  EWH