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somatization or hiv

i recently, jan 24, had a terrible lapse in judgement. i went to atlantic city new jersey and had an encounter with a csw.
it was unprotected oral followed by very brief protected vaginal intercourse but finished with unprotected oral for a few more minutes but didnt finish, i think reality of what i was doing set in. from the moment she walked out i have been a absolute wreck. but i think for good reason, immediately just didnt feel right washed and washed in shower felt like i had to urinate every 5 seconds. developed redness on tip of penis and was irritated and just felt uncomfortable. went to urologist he didnt seem too concerned, gave me antibiotics, ordered full boat of std tests. it stayed irritated for about a week then went away, still never developed any type of discharge. after that mental breakdown began. due to relationship status (married, and no i have not had sex of any type since with wife and yes she is wondering why but i have to protect her from my stupidity) im filled with guilt remorse stress anxiety you name it! maybe two weeks later i developed a nausea that cropped up off and on for three days was bad at times then went away (for good) then i started surfing the net (bad idea). i feel like i can feel every lymph node in my body and believe me i search. i have been to my GP, no joke, AT LEAST once a week to check my lymph nodes or any pain i might be feeling had very profound pain on inside of both knees at about 5 week mark went away but still feel something, they prescribed me xanax and ambien to help me sleep cause i cant stop thinking about it. several nights i woke up sweating a few nights in a row and a few here and there. i couldnt wait any more so at 6 weeks to the day had blood work done, everything was negative. most would feel confident after that right? not me. im still feeling what i think is "odd feeling in neck area, under arms, elbows, knees you name it. doctors have been constantly telling me (once a week) to relax im fine etc, but i keep resorting back to negative thoughts. i feel pain in my wrists, knees and ankles from time to time, then this weekend (mar 19) i hit a new low. i developed 2 canker sores and i freaked. started rinsing mouth 4 times a day with peroxide mix and probably irritated inside my mouth. on sunday it looked like i had a small cluster of white spots on the roof of my mouth, mouth felt dry all that by monday spots where gone. went to gp 22nd  and he said mouth was fine, well today 24th one side of tongue looked discolored and just not normal.so guess what, went back to gp and while she did say it looked a little different it probably was flora and not thrush and to keep an eye on it. great, as obsessed as i am you know i will!!
sorry so long but a lot going on. i know i have read (mostly on this board) its almost impossible to transmit through oral but what about if it came over with some other std or after condom came off and oral resumed. also that 6 weeks is very reliable (im overall very healthy) but with all this stuff im feeling, its hard to think this is just stress and anxiety. i have another 4 weeks before i can take 12 week conclusive test. the wait is going to kill me. please someone with experience help me
6 Responses
Avatar universal
You don't need a test for HIV. Oral sex is not a risk of HIV transmission.

No incident HIV infections among MSM who practice exclusively oral sex.
Int Conf AIDS 2004 Jul 11-16; 15:(abstract no. WePpC2072)??Balls JE, Evans JL, Dilley J, Osmond D, Shiboski S, Shiboski C, Klausner J, McFarland W, Greenspan D, Page-Shafer K?University of California, San Francisco, San Francisco, United States

Oral transmission of HIV, reality or fiction? An update
J Campo1, MA Perea1, J del Romero2, J Cano1, V Hernando2, A Bascones1
Oral Diseases (2006) 12, 219–228

AIDS: Volume 16(17) 22 November 2002 pp 2350-2352
Risk of HIV infection attributable to oral sex among men who have sex with men and in the population of men who have sex with men

Page-Shafer, Kimberlya,b; Shiboski, Caroline Hb; Osmond, Dennis Hc; Dilley, Jamesd; McFarland, Willie; Shiboski, Steve Cc; Klausner, Jeffrey De; Balls, Joycea; Greenspan, Deborahb; Greenspan
Page-Shafer K, Veugelers PJ, Moss AR, Strathdee S, Kaldor JM, van Griensven GJ. Sexual risk behavior and risk factors for HIV-1 seroconversion in homosexual men participating in the Tricontinental Seroconverter Study, 1982-1994 [published erratum appears in Am J Epidemiol 1997 15 Dec; 146(12):1076]. Am J Epidemiol 1997, 146:531-542.

Studies which show the fallacy of relying on anecdotal evidence as opposed to carefully controlled study insofar as HIV transmission risk is concerned:

Jenicek M. "Clinical Case Reporting" in Evidence-Based Medicine. Oxford: Butterworth–Heinemann; 1999:117
Saltzman SP, Stoddard AM, McCusker J, Moon MW, Mayer KH. Reliability of self-reported sexual behavior risk factors for HIV infection in homosexual men. Public Health Rep. 1987 102(6):692–697.Nov–Dec;

Catania JA, Gibson DR, Chitwood DD, Coates TJ. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior. Psychol Bull. 1990 Nov;108(3):339–362.

There is no debate (among experts) about the HIV risks associated with oral sex. The risk is so low that almost nobody who cares for HIV infected patients has ever had a patient believed to have been infected that way. Among experts, it's a semantic issue about using terms like "no risk" and "very low risk". There is no difference between my or Dr. Hook's use of "low risk" and other experts' "no risk".
DR. HANSFIELD

"And oral sex is basically safe sex -- completely safe with respect to HIV and although not zero risk for other STDs, the chance of infection is far lower than for unprotected vaginal or anal sex. Please educate yourself about the real risks. If you stick with oral sex and condom-protected vaginal or anal sex, you have no HIV worries and very little worry about other STDs. " DR HANSFIELD

"I am sure you can find lots of people who belive that HIV is transmitted by oral sex, but you will not find scientific data to support this unrealistic concern..." DR HOOK

"HIV is not spread by touching, masturbation, oral sex or condom protected sex."- DR. HOOK

in the public HIV Prevention forum of MedHelp, TEAK and the other moderators maintain that oral sex in all forms is a zero risk activity. Would you agree with this assessment?
I TOTALLY AGREE / DR GARCIA

"The observation on thousands and thousands of observations is that HIV is not spread by oral sex (of any sort)." DR HOOK
Avatar universal
i know you get idiots like me all day everyday and we are frustrating, no matter what you show and tell us you get the same questions over and over. but im gonna do it to you. if you did read my entire post is it not accurate that if someone who is hiv positive also had another std that possibility of transmission increases greatly so once it gets in body aboard another std wouldnt rational thinking mean all bets are off. and all these "symptoms" im feeling and seeing. and while i should be confident with 6 week neg test there has to be a good reason to wait till 12 weeks for absolute conclusion
i apologize in advance for making you want to smash your keyboard in frustration and thank you for your response
Avatar universal
No it does not increase the risk with oral sex it only increases the risk to a person that already has an untreated STD in connection with unprotected anal and vaginal sex.
Avatar universal
thank you for response. since im new to this site are you a doc or someone who has done extensive research cause a lot of forums out there are full of people with no knowledge spreading misinformation and you seem to have extensive experience either direct with patients or through reading. if i may ask
Avatar universal
and i mean that question with all due respect. im not just looking for someone to make me feel better (ok i am but) im also looking for accurate info which it seems i got. but in my mental state i need a lot of info and advice
Avatar universal
You can read my profile by clicking on my Nick and yes there are several that give out incorrect information.
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