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Need your advice!!

Doctors,

You may notice this question on the international forum as well, but that was a mistaken post on my part so please don't disregard.  I have received replies on the normal user site but i really need you're expert advice at this time.  Thank you!

Received unprotected Oral from a stripper approximately 5 weeks ago for about 6-9 minutes.  During the act she sucked on my penis and testicles.   After the incident, a day later i noticed a small cut on one of my testicles where the act occurred.  I assume the cut may have come from the zipper on my pants.  I understand the risk of exposure is supposedly low to none for a normal  act of oral with no abrasions or cuts but this is really concerning me.  Since  then i have had the following symptoms.  Day 6-9 Difficulty urinating and stomach pains with no discharge from penis, went to the ER and tested negative for UTI, chlamydia and gonorrhea, Dr. felt the act was low risk and said i should get HIV test at 3 month mark.  Since then stomach problems have remained and still have extreme gas and difficult bowel movements if at all and continued trouble urinating.   Days 19-28 myalgia and severe muscle twitching in legs, primarily thighs that went away about day 28. Days 23-25 minor sore throat primarily located on the right side with low grade fever, low grade fever less than 100 F has continued through until today which is day 37.  Also have had significant sweating from my feet and hands.  

I had a 3rd gen uni-gold rapid test at day 30 which was negative but i'm still having these symptoms and i'm really concerned and freaked out.  Could this be ARS?  If not, is it possible that the original urinary symptoms are in fact NGU?  Can NGU cause all of these symptoms without a noticeable discharge?

Also I'm really concerned about my family.  If in fact i have HIV, can i transmit this to them through casual contact?  

Thank you and am really looking forward to your response!!!
4 Responses
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to the Forum. This note will serve to confirm what Teak, Lizzie and others have already told you on the Community sites.  The act you describe is very low risk for STD or HIV.   There is no risk to you from the contact of your partner's mouth with your scrotum, even if a cut was present.  

As for receipt of oral sex, oral sex is an inefficient way to transmit STDs.  Of the bacterial STDs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through oral sex; chlamydia is not and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise tiny.   If you had gotten gonorrhea or NGU you would have most likely developed symptoms of urethritis (penile infection).  Even if your partner had an STD (any STD and it is likely she did not), most exposures do not lead to infection.

The quoted figure for HIV risk, if one receives oral sex with an infected partner is less than 1 in 10,000 and, in my estimation that is too high. Some experts state there is no risk at all from oral sex.  Neither of us on this site have ever seen or reading the medical literature of a convincing instance in which HIV was passed by oral sex.

Finally, just to further prove that you do not have HIV, if your symptoms were due to the ARS, your recent HIV test would have been positive.  

Bottom line, you have been tested and evaluated, as well as told there is virtually no risk.  You need to believe the advice you have received.  To ask again and again will serve no purpose.  As for what might be causing your symptoms, I do not know. Anxiety and guilt are certainly candidates.  They however are NOT due to HIV or an STD acquired from the exposure you describe.

Take care.  EWH
Helpful - 1
300980 tn?1194929400
MEDICAL PROFESSIONAL
Sorry to hear that your symptoms have persisted.  They are not likely to be due to the situation you suggest. If you had become infected through the cut, it would be expected that there would be local inflammation and irritation at the area of infection (the cut) long before it caused systemic effects of the sort you suggest.  I suspect that the timing of these symptoms is coincidental to your exposure but not casued by them.  EWH
Helpful - 0
Avatar universal
Dr.  I wanted to update you as to recent test results and also follow up with one more question if possible.  

Tested Neg for HIV, Syphilis, Chlamydia, and Gonorrhea at local STD clinic at 6.5 weeks.  I am comfortable with accepting the HIV results as conclusive, but am still having some of the symptoms as described in my initial post.  I am still having issues in both my legs, that i think might be associated with some sort of disseminated infection.  They feel quite strange and have been having burning sensation within the muscle tissue and in my ankles with continued low grade fever.  Now to the question,  is it at all plausible that some sort of bacteria could have entered my body through the cut i described, that may not be detected in the urine tests because they may not have entered my body through the urethra?  I know this seems unlikely but would really appreciate your advice.  Thank you again!
Helpful - 0
Avatar universal
DR.  Thank you for your reply and reassurances!  I am trying to move beyond this and believe that no STD exposure occurred. Your comments regarding the recent test and symptoms have certainly started to put my mind at ease. I sincerely thank you for the continued support you provide to those of us who have made poor decisions and potentially have put ourselves at risk.
Helpful - 0

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