Can HIV/STD's still be contracted after withdrawal

[chriswake1234]

Dear Doctor

I made the mistake of meeting an escort. She insisted that we use protection (for which i agreed), and she refused to preform oral without protection either (again I agreed)

I have three issues, the second being the most serious

1. Saliva wise: she dripped a considerable amount of saliva onto my penis WITHOUT use of a condom. Is there a risk of HIV or STD's? She did not put my penis in her mouth, simply dripped her saliva from a few centrimenters away.

My main issue here is that, once she used her saliva as lubricant, she applied the condom to my penis, hence trapping the saliva in between my penis and the condom

2. After applying the condom, We had sex for about 10 or so minutes. We made sure that the condom did not break. My issue is that, once we finished sex, I am concerned I did not take the condom off properly. Obviously her vaginal secretions were on the condom - I took the condom off and threw it away, but I did not have a shower for another two hours after intercourse. Therefore, cutting the long story short - IS THERE A RISK OF INFECTION AFTER WITHDRAWING PENIS FROM PROTECTED VAGINAL SEX? I have read that HIV dies outside the human body from air, but I am worried because I put my clothes and underwear on very quickly after the intercourse.

3. I kissed her body with slight use of the tongue. But this was limited to the breasts and neck area. Also, during intercourse, our thighs rubbed - is there a risk of STD/HIV from this?

PLEASE BE BRUTAL AND EXPLAIN THE WORST CASE SCENARIOS - i want to have a HIV/STD health check, but this was only a day ago, so I think it is too early

[H. Hunter Handsfield, M.D.]

"I always assumed that STD's and STI's are the same thing".  Exactly right.  STI and STD are synonymous, just preferences among different people.  (There were some theoretical differences at one time, but they are meaningless today.)

[H. Hunter Handsfield, M.D.]

You're overthinking this out of anxiety.  Your exposures were condom-protected.  Of course there are no data on the specific question you ask, but common sense says there was no risk.  It doesn't matter whether HIV or other STDs survive in secretions or for how long.  Further, you describe a partner who probably isn't infected.  (Insistence on condoms usually means a CSW knows she isn't infected and wants to keep it that way.)

1) STDs and HIV are rarely if ever transmitted by saliva.  No risk.

2) See above.  No risk.

3) They call them STDs because you have to have sex to transmit them. For disease transmission purposes, kissing or mout-skin contact do not count as sex.  No risk.

And that, my friend, is my BRUTAL WORST CASE SCENARIO.  You don't need testing and although if I were in your situation, I would not hesitate to continue unprotected sex with my wife.  Let's not have any discussion.  There is nothing you can say that would change my opinion or advice.

HHH, MD

[H. Hunter Handsfield, M.D.]

It is not a practical possibility you caught HIV or any other STD during that encounter.  That certain symptoms are associated with HIV doesn't mean HIV is the only cause.  There are hundreds of causes of all those symptoms, either in combination or singly, and HIV is among the least common of them.

See your personal health care provider if you remain obsessed about all this.  You likely need psychological counseling as much or more than clinical evaluation.  I suggest it out of compassion, not criticism.  Either way, that's all for this thread.

[chriswake1234]

As you can see below, the CDC lists white spots on tongue as a symptom of HIV....however it does so suggesting this is a LATER sign. What do you think? Thanks Doc

Later Signs and Symptoms of HIV/AIDS
The Center for Disease Control (CDC), gives the following signs and symptoms that may be warning signs of infection with HIV. They are:

rapid weight loss
dry cough
recurring fever or profuse night sweats
profound and unexplained fatigue
swollen lymph glands in the armpits, groin, or neck
diarrhea that lasts for more than a week
white spots or unusual blemishes on the tongue, in the mouth, or in the throat
pneumonia

[chriswake1234]

and i have been sneezing a lot as well.


In terms of the spots, there is one or two larger one's right at the back of my tongue and then maybe five or six much smaller ones running down the middle of my tongue.

really worried

thanks doctor

[chriswake1234]

Doctor, it has been 9 days since my risk of infection - which you stated was a very low to no risk situation.

However, I have just found spots on the back of my tongue. Its relatively cold here and I have been suffering from phelgm and slightly blocked nose for the last two/three days. I am seriously concerned that these are the signs of HIV symptoms

[chriswake1234]

There is some confusion on this site which has led me to be confused.....

What is the difference between STI's and STD's?

If STI's and STD's are different, is their possiblility I have contracted STI's in the situation explained above. I always assumed that STD's and STI's are the same thing.....

Please provide clarity

Kind regards

[H. Hunter Handsfield, M.D.]

Of course it cannot hurt to be tested for HIV and other STDs.  However, the best strategy for that is for all people who are sexually active outside mutually monogamous relationships to be tested from time to time, like once a year, rather than spending time and public resources (NHS, GUM clinics) to be tested every time there is a low risk exposure of the sort you describe.  If you haven't been tested recently, this would be a good time, since it's on your mind.  But not because of these particular events.

There definitely is "such a thing" as being overly concerned about health risks.  Just scan this forum for lots of evidence!  

[chriswake1234]

Thank you - I understand that I am being over-cautiously - but in terms of life and health - is there such a thing?

I will learn from my mistakes and not take part in such activities again

I am not married and still in my youth, at least I have got this supposed thrill of being with an escort in the past.

I will still have STD/HIV tests just to make sure that I am in good health otherwise - it is free in the United Kingdom so why not right?

Thanks again