Worrysome symptoms and multiple encounters

[qwer1]

Dear Sirs,

I am feeling really scared of my symptoms like Diarrhea since last 2 days and paining heavily in stomach . Before that I had encounters with more than 12 girls since February/2013 in Saskatchewan, Canada.In February month, HIV test was non - reactive.

Since February/2013 I been with 12 girls and all of them were professional escorts. My habit in sex is that I always perform vagina licking and fingering. But at last encounter I marked finger cut as well, my finger had a torn - reddish skin at that time and it was burning too.

I always used condom for vaginal sex and I never do anal sex.
I never used any protection in oral sex and fingering.

My questions are:

1) Is it an early symptom of HIV?

2) Can vaginal secretion on finger cut cause HIV?

3) My Saskatchewan state in Canada .. has the highest ratio of HIV people among aboriginals, particularly in street hookers. Is it true ?

4) Still oral sex is fine without protection?

Please guide me.

Thanking You,

[Edward W Hook, MD]

Welcome to our Forum.  While the number of different partners you have had in the past 12 months would put you at risk for STIs, including HIV, your regular use of condoms has a strong protective effect and reduces your risk for HIV to close to zero.  As long as condoms are worn throughout the sex act and do not break, there is virtually no risk for HIV. There is a miniscule risk for HIV from performance of unprotected cunnilingus if one of your partners happened to have HIV however it is both unlikely that your partners had HIV and if one were, the risk for acquisition of HIV is no higher than 1 infection in over 10,000 sexual exposures.  There is not known risk for acquiring HIV from masturbation of a partner, even if she were infected and even if you had a cut on your finger (recent or otherwise).  Thus, your chances of having HIV are minuscule and the symptoms you describe are not associated with recently acquired HIV.

In answer to your specific questions:
1) Is it an early symptom of HIV?

No two days of diarrhea and abdominal pain is not a sign of early HIV.

2) Can vaginal secretion on finger cut cause HIV?

No, while such a possibility is theoretically possible, I have never seen or heard of such a case.

3) My Saskatchewan state in Canada .. has the highest ratio of HIV people among aboriginals, particularly in street hookers. Is it true ?

I am not familiar with these data.  I suggest you consider the source however.  Even if aboriginal natives in Saskatchewan have relatively high rates of HIV, I remain confident that most such persons do not have HIV.

4) Still oral sex is fine without protection?
The risk for HIV from unprotected oral sex is very, very low- less than 1 infection per 10,000 exposures.  There are no known cases in which HIV has been acquired by receiving oral sex but there are a very, very few (less than five) cases in which people may have acquired HIV through fellatio or cunnilingus. It is extraordinarily uncommon however and not a major route of transmission of HIV by any means.

I hope these comments are helpful. Please continue to use condoms and say safe.  if you choose to test for HIV, based on the history you provide, I anticipate the test will be negative.  EWH

[Edward W Hook, MD]

Based on the history you have provided, there is no reason for further testing.  EWH

[qwer1]

Hi Doctor,

Today I received my report and it came negative for all STDs and HIV antibody.

By this report, I am sure that before the month of August whatever professional escort I been with, the encounters were safe.

But my another question is my last exposure was just 2 weeks earlier. How accurate was that report and how reliable?

Should I go for another test in December too?

Thanking You,