I am a Ge

[fisgonmorboson]

Yesterday, I had unprotected vaginal sex with a female sex worker. I was in emergencies in the hospital, but they said me that I was not candidate for PEP. I am very worried. Assuming Sex Worker was HIV+...What are my odds for catch HIV or other STI? Shoud I be tested? Should I be take Prophilaxis with Azythromicine for other STIs?

Thanks.

Morboson.

[Edward W Hook, MD]

I anticipate that your follow-up HIV tests will be negative.  Take care. EWH

[fisgonmorboson]

Gram staining and Point-of-Care test ... but I am very hopeful in the Syphilis test and HIV Test came back negative. I am going to speak with my doctor for  ceftriaxone injection :).

I am going to comment you in 3 months my negative test results :). Thank you, you are really a hero.

[Edward W Hook, MD]

I'm suprised to hear this.  Can you tell me what sort of test was done?  Cephalexis is usually not used for gonorrhea treatment- the preferred treatment is an injection of ceftriaxone (250 mg). the dose of azithromycin is fine.

Despite this result, your risk for HIV remains low.  EWH

[fisgonmorboson]

Unfortunately, chlamydia and gonorrhea test came back +. I was treated with cephalexin (3gr in a dose) and azithromycin (2 gr in a dose), but I took azithromycin just immediately of lunch (bad very bad for me).

The treatment for chlamydia and gonorrhea was right (including incident with meals)?

My odds for have HIV are high with this 2 positive results?

(Waiting for a 6 weeks Syphilis test and 3 months for Elisa test) :'(

Thank you.  

Morboson.

[Edward W Hook, MD]

You can be tested forSTIs like chlamydia and gonorrhea at the present time and get accurate results.  For HIV testing you will need to wait until 4 weeks after your exposure and then request testing with a DUO (combination HIVp24 antigen/HIV antiody) test.  At that time results will be definitive- I am confident that they will be negative. EWH

[fisgonmorboson]

and what is the time for obtaining an accurate result for others STI. Should I use condom with my girlfriend while I have my results or finish the treatments?

[fisgonmorboson]

Thanks a lot off for your Answer. Should I be Tested for HIV? and what is the time for obtaining an accurate result?

Thanks and Sorry for ask too much...

[Edward W Hook, MD]

Welcome to the Forum. Please calm down and relax.  I would not have recommended PEP for you either.  PEP is recommended for persons with KNOWN exposure to an infected partner.  You do not know that your partner was infected and in fact, most commercial sex workers are not.  In Columbia current data suggests that HIV is less common than it is here in North America (the HIV rate in the general population is Columbia is 0.6% while in the U.S. it is slightly over 1%) and, even if she was infected, your risk for infection is no greater than 1 infection per 1000 sex acts  This is not an exposure to worry about. Rather, I suggest that you seek testing for other STIs (particularly gonorrhea and chlamydia) before you take medication of any sort.  It is best to treat proven STIs, not to take medication "just i case".   EWH

[fisgonmorboson]

Really In this moment, I am very depressive, I want kill me, Because by a night I am lost.