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No Testing

I recently had protected sex with a female sex worker in a developing country. We had a brief session of unprotected oral sex and then protected vaginal sex. I did ejaculate in her mouth during the oral sex.

Immediately after the sex, within 1.5 hours, I developed a mild sore throat.  This has been persistent for the past 4 days. The situation has not worsen nor has it improved. It is a very mild form of sore throat that does not hurt nor does it affect swallowing. I was proscribed azithromycin 2 days ago and have taken 3 tablets total thus far with no dramatic improvement.

Besides the sore throat, I have not had any other problems other than fatigue.

I am a hepatitis B patient currently taking the HIV anti-viral drug Truvada. My hep B is very controlled right now and its viral loads undetectable. I was wondering if my situation suggest a possible infection and whether Truvada can possibly influence the symptoms somehow.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
So?  There is no reason to suspect it's due to HIV, which does not cause sore throat as its only symptom.  As I said above, discuss it with your health care provider.
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Avatar universal
Thanks Doc,

My sore throat is still there, nothing seems to be working, have taken 3 different courses of antibiotics now and as well as many "Home Remedies". So that is almost 3 weeks now and I been through quite a few Throat specialists.

Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Congratulations on the apparent success of your HBV treatment.  However, your questions would be more appropriate for the provider who prescribed the Truvada.  That treatment should be protective against HIV, and in any case you describe an essentially zero risk exposure.  Even if your partner has HIV and if you weren't taking the antiretroviral drug, there is no realistic risk of catching HIV via oral sex or condom-protected vaginal sex.

As far as your symptoms are concerned, they cannot possibly be due to any infection caught during the sexual encounter.  No infection causes symptoms so quickly, and HIV symptoms don't show up for at least 7-10 days.  Sounds like you caught a cold.  To my knowledge, Truvada doesn't cause sore throat.

Bottom line:  I see no worries here, but you should confirm this with the doc responsible for your hepatitis treatment.

Best wishes--  HHH, MD
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