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What is my risk of HIV by performing oral on a female sex worker
Dear Doctors and Experts,
This is going to be a long description. But I am trying to give you as many details as possible out of my anxiety and fear of acquiring any sort of STD.
I am a M39. I recently performed oral (cunnilingus) on a female sex worker who was in this profession for 8 months (she said so). During the session I so happened to touch her anal region also with my tongue (anilingus). I want to know the chances of getting infected with HIV and any other STDs. I am afraid because I came into contact with her vaginal fluids in my mouth during the session and for the following reasons.
1) I had a sore which was there for almost 6 days, but got healed after 2 days after the session. By this I can say that it was 70-80% healed by the time of session.
2) I had chapped lower lip. Though it was not bleeding, to understand the status of my chapped lip, I put lemon on my lip and it was stinging.
3) I fingered her and later found that I had a small cut on my finger which was not bleeding at the time of session. I got this cut 2 days back before the session.
4) (Day 18) My left lymph node under the jaw swelled a little with pain. But it was gone after 3 days. On the same day I also felt some sort of rough texture (small tiny sand like texture) on the sides of my inner cheeks and corner of my upper lips. I also had irritation on the tongue and mild burning sensation of the lips. Then I started taking Vitamin Tablets with B vit and C vit. But no improvement till date, except slight improvement in the tongue irritation.
5) (Day 31 ) I felt the same rough texture in the middle at the starting point of soft palate. Since then I have a very mild uneasiness in the throat. I went to doctor after four days and he asked me to take Vit Tablets which has lactic bacillus acid. He put a tube in the throat and said there is nothing suspicious, except that there is very mild redness in the throat.
On this same day I got the girl tested for HIV and Syphilis. Her results were negative.
The method used was CMIA. HIV I & II was 0.12 (Non-reactive) and
VDRL (RPR - FLOCULATION TEST) was also non-reactive.
Because of anxiety and fear of the window period she might be in, I started PEP exactly after 44 hours, but stopped it because of its side effects. I took it only for 12 days. The drug was TEEVIR (Atripla in US)
I know that after taking PEP I need to wait for at least 4 weeks. But on Day 16 after exposure, i.e 36 hours (One and a half day) after stopping PEP I took a HIV test because of anxiety and the result was negative.
I also took a Liver Function Test and Complete Blood Picture which again put me into confusion.
The following are the test results which worried me.
Complete Blood Picture:
Total RBC - 5.66 (Normal: 4.5 - 5.5 millions/cumm)
Eosinophils - 6 (Normal: 1.0% - 6.0%)
Monocytes - 10 (Normal: 2.0% - 10.0%)
ALL OTHER READINGS WERE NORMAL
Summary:
RBC : Normocytic Normochromic
WBC : Normal in morphology,maturity and distribution
Platelets : Adequate
Method : Automated
Liver Function Test:
Total Protein (TP) - 8.4 (Normal: 6.6 - 8.3 g/dL)
Globulin - 3.7 (Normal: 1.8 - 3.6 g/dL)
Gamma-Glutamyl Transferace (GGT) - 36 (Normal: 0 - 55 U/L)
ALL OTHER LFT READING WERE NORMAL
How do I interpret these results? Couple of months back I took the same tests and all the readings were in normal rage. Do you think these slightly higher values of the test are a result of the medication TEEVIR and the antihistamine or could there be a possibility of HIV or some other infection like Oral HPV, HSV, Chlamydia, Gonorrhea, Syphilis, Oral Thrush, Hepatitis, etc?
More details:
22 Apr (Day 1) 7:00 pm : Date of exposure
24 Apr (Day 3) 3:00 pm: Started PEP - Started feeling dizzy on the same day. I also got the symptoms of diarrhea from next day onward.
27 Apr (Day 7) 9:00 pm: Changed PEP timing from 3:00 pm to 9:00 pm because of side effects
02 May (Day 11) : Observed mild rashes on chest
03 May (Day 12) : Took citrizine (antihistamine) along with TEEVIR
04 May (Day 13) : Took citrizine (antihistamine) along with TEEVIR
05 May (Day 14) : Observed not much change in rash. Took TEEVIR (last dose - 12 completed)
06 May (Day 15) : Stopped taking TEEVIR. But still experiencing dizziness and uneasiness.
07 May (Day 16) : Rashes slightly decreased. Still experiencing dizziness and uneasiness.
08 May (Day 17) : Rashes completely gone. Dizziness faded away, but still feeling uneasy.
09 May (Day 18) : No dizziness. Feeling uneasy. Left lymph node swelling with mild pain. I felt some sort of rough texture on the sides of my inner cheeks and corner of my upper lips.
10 May (Day 19) : Feeling uneasy.
11 May (Day 20) : Started feeling almost better after stopping TEEVIR.
12 May (Day 21) : Lymph node swelling subsided.
18 May (Day 27) : Last day of diarrhea symptoms.
22 May (Day 31) : I felt the same rough texture in the middle at the starting point of soft palate. Since then I have a very mild uneasiness in the throat.
26 May (Day 35) : I went to a doctor (ENT) and he asked me to take Vit Tablets which has lactic bacillus acid. He put a tube in the throat and said there is nothing suspicious, except that there is very mild redness in the throat. And on this day I am posting my question.
This is going to be a long description. But I am trying to give you as many details as possible out of my anxiety and fear of acquiring any sort of STD.
I am a M39. I recently performed oral (cunnilingus) on a female sex worker who was in this profession for 8 months (she said so). During the session I so happened to touch her anal region also with my tongue (anilingus). I want to know the chances of getting infected with HIV and any other STDs. I am afraid because I came into contact with her vaginal fluids in my mouth during the session and for the following reasons.
1) I had a sore which was there for almost 6 days, but got healed after 2 days after the session. By this I can say that it was 70-80% healed by the time of session.
2) I had chapped lower lip. Though it was not bleeding, to understand the status of my chapped lip, I put lemon on my lip and it was stinging.
3) I fingered her and later found that I had a small cut on my finger which was not bleeding at the time of session. I got this cut 2 days back before the session.
4) (Day 18) My left lymph node under the jaw swelled a little with pain. But it was gone after 3 days. On the same day I also felt some sort of rough texture (small tiny sand like texture) on the sides of my inner cheeks and corner of my upper lips. I also had irritation on the tongue and mild burning sensation of the lips. Then I started taking Vitamin Tablets with B vit and C vit. But no improvement till date, except slight improvement in the tongue irritation.
5) (Day 31 ) I felt the same rough texture in the middle at the starting point of soft palate. Since then I have a very mild uneasiness in the throat. I went to doctor after four days and he asked me to take Vit Tablets which has lactic bacillus acid. He put a tube in the throat and said there is nothing suspicious, except that there is very mild redness in the throat.
On this same day I got the girl tested for HIV and Syphilis. Her results were negative.
The method used was CMIA. HIV I & II was 0.12 (Non-reactive) and
VDRL (RPR - FLOCULATION TEST) was also non-reactive.
Because of anxiety and fear of the window period she might be in, I started PEP exactly after 44 hours, but stopped it because of its side effects. I took it only for 12 days. The drug was TEEVIR (Atripla in US)
I know that after taking PEP I need to wait for at least 4 weeks. But on Day 16 after exposure, i.e 36 hours (One and a half day) after stopping PEP I took a HIV test because of anxiety and the result was negative.
I also took a Liver Function Test and Complete Blood Picture which again put me into confusion.
The following are the test results which worried me.
Complete Blood Picture:
Total RBC - 5.66 (Normal: 4.5 - 5.5 millions/cumm)
Eosinophils - 6 (Normal: 1.0% - 6.0%)
Monocytes - 10 (Normal: 2.0% - 10.0%)
ALL OTHER READINGS WERE NORMAL
Summary:
RBC : Normocytic Normochromic
WBC : Normal in morphology,maturity and distribution
Platelets : Adequate
Method : Automated
Liver Function Test:
Total Protein (TP) - 8.4 (Normal: 6.6 - 8.3 g/dL)
Globulin - 3.7 (Normal: 1.8 - 3.6 g/dL)
Gamma-Glutamyl Transferace (GGT) - 36 (Normal: 0 - 55 U/L)
ALL OTHER LFT READING WERE NORMAL
How do I interpret these results? Couple of months back I took the same tests and all the readings were in normal rage. Do you think these slightly higher values of the test are a result of the medication TEEVIR and the antihistamine or could there be a possibility of HIV or some other infection like Oral HPV, HSV, Chlamydia, Gonorrhea, Syphilis, Oral Thrush, Hepatitis, etc?
More details:
22 Apr (Day 1) 7:00 pm : Date of exposure
24 Apr (Day 3) 3:00 pm: Started PEP - Started feeling dizzy on the same day. I also got the symptoms of diarrhea from next day onward.
27 Apr (Day 7) 9:00 pm: Changed PEP timing from 3:00 pm to 9:00 pm because of side effects
02 May (Day 11) : Observed mild rashes on chest
03 May (Day 12) : Took citrizine (antihistamine) along with TEEVIR
04 May (Day 13) : Took citrizine (antihistamine) along with TEEVIR
05 May (Day 14) : Observed not much change in rash. Took TEEVIR (last dose - 12 completed)
06 May (Day 15) : Stopped taking TEEVIR. But still experiencing dizziness and uneasiness.
07 May (Day 16) : Rashes slightly decreased. Still experiencing dizziness and uneasiness.
08 May (Day 17) : Rashes completely gone. Dizziness faded away, but still feeling uneasy.
09 May (Day 18) : No dizziness. Feeling uneasy. Left lymph node swelling with mild pain. I felt some sort of rough texture on the sides of my inner cheeks and corner of my upper lips.
10 May (Day 19) : Feeling uneasy.
11 May (Day 20) : Started feeling almost better after stopping TEEVIR.
12 May (Day 21) : Lymph node swelling subsided.
18 May (Day 27) : Last day of diarrhea symptoms.
22 May (Day 31) : I felt the same rough texture in the middle at the starting point of soft palate. Since then I have a very mild uneasiness in the throat.
26 May (Day 35) : I went to a doctor (ENT) and he asked me to take Vit Tablets which has lactic bacillus acid. He put a tube in the throat and said there is nothing suspicious, except that there is very mild redness in the throat. And on this day I am posting my question.
Hi,
Could you please elaborate your explanation point wise if possible based on my question. I am only worried about the symptoms that I am currently having.
I got her tested on the 3rd day after my exposure. That is why I am afraid of the window period and my symptoms.
Could you please elaborate your explanation point wise if possible based on my question. I am only worried about the symptoms that I am currently having.
I got her tested on the 3rd day after my exposure. That is why I am afraid of the window period and my symptoms.
Thank you for your quick reply.
But could you please analyse and my complete question and give a more elaborate answer if possible point wise based on the symptoms I am having now.
But could you please analyse and my complete question and give a more elaborate answer if possible point wise based on the symptoms I am having now.
Correction in my question for the following paragraph:
"On this same day I got the girl tested for HIV and Syphilis. Her results were negative.
The method used was CMIA. HIV I & II was 0.12 (Non-reactive) and
VDRL (RPR - FLOCULATION TEST) was also non-reactive."
I got her tested on the 3rd day after my exposure. That is why I am afraid of the window period and my symptoms.
"On this same day I got the girl tested for HIV and Syphilis. Her results were negative.
The method used was CMIA. HIV I & II was 0.12 (Non-reactive) and
VDRL (RPR - FLOCULATION TEST) was also non-reactive."
I got her tested on the 3rd day after my exposure. That is why I am afraid of the window period and my symptoms.
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You are reading content posted in the HIV Prevention Community
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
Can I get HIV from surfaces, like toilet seats?
Can you get HIV from casual contact, like hugging?
Frequency of HIV testing depends on your risk.
Post-exposure prophylaxis (PEP) may help prevent HIV infection.
Oral sex is not considered as a risk of HIV transmission.
HIV can be transmitted via unprotected vaginal or/and anal penetration, sharing IV works in drugs and from mother to child
Take care