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Avatar universal

Diagnosed with Chlamydia and afraid I might have more

Dear Dr,

I am 21 years old and mostly straight, however recently I went to a club with some friends, and hooked up with a gay (or bi as he said) man. It was a very big mistake, the first one like this I've ever made in my life.

He performed oral sex and then I was the insertive top with a condom on. There was condom failure for a short while, and I pulled out. However, I was recently tested positive for Chlamydia! The doctor says it was early so it can be cured, but if this guy lied about being disease free about Chlamydia, he may have HIV too.

I'm very very nervous and think I definitely have HIV. It's been about 2 weeks since the incident.

My main question is: It takes blood/semen to transmit Chlamydia right? So that must have been present during the short time I was unprotected. So if he also had HIV, my chances are pretty good of getting that also?? How could this have happened and if he was HIV+ is there any chance I didn't get that from the same thing that gave me chlamydia?

Please Doc, shed me some hope, I'm running out
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Avatar universal
Sorry I realize that wasn't a very detailed question.

Can diarrhea alone be a sympton of early HIV infection or is it accompanied by other symptoms.

I found an article stating that this bad diarrhea is very common in people being treated with erythromycin which is what I was taking
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Avatar universal
Dr.

Does watery and frequent diarrhea 10 days after the incident represent a chance of HIV?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
That makes it more likely you acquired your chlamydial infection from the anal sex episode you describe.  It is uncommon for men to carry chlamydia for a year.

HHH, MD
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Avatar universal
Doctor,

Just wanted to add, not sure this matters, that this was my first sexual encounter in about a year, when I was last with my girlfriend of 2 years protected every time. I'm not overly active. Not sure if that matters or not, or if your more likely to contract the disease with multiple exposure
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Assuming you are sexually active with women, in addition to the exposure you describe, there is no way for me to know when and where you acquired your chlamydial infection.  Most health care providers do not routinely test gay men for rectal chlamydial infection, which is very common.  So your male partner probably was telling the truth, but that is no guarantee against infection with chlamydia.  However, if he said he had tested negative recently for HIV, that information probably is accurate.  But if you have been sexually active with women, that's an equally or even more likely explanation for your infection.  (The oral sex with your male partner is irrelevant.  Chlamydia is not transmitted to the penis by oral sex.)

Even if your male partner had HIV, and even if you caught chlamydia from him, that doesn't mean you would have acquired HIV.  HIV is transmitted much less efficiently than chlamydia.  It would be smart to be tested for HIV a few weeks after that episode, but you can expect a negative result.

Good luck--  HHH, MD
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