Welcome to the forum. Thanks for your question. Your English is fine!
First, it is unlikely your partner had HIV; the chance of HIV is of course elevated in sex workers, but still the large majority of female sex workers do not have it. Second, even if she did, there was little or no chance you caught HIV. Condoms work to protected vaginal sex, and oral sex almost never transmits the virus (some experts believe no risk at all).
Your symptoms the very next day were not due to any infection from the sexual exposure. No infection, STD or otherwise, can start to cause infections that quickly; it takes at least 2 days. Such immediate symptoms must be due to chemical irritation, allergy, or perhaps anxiety -- but for sure no STD.
Yes, HPV (human papillomavirus) and HSV (herpes simplex virus) are entirely different viruses and cause different STDs. They do not look the same. The skin problem your /friend saw on your penis doesn't sound like herpes, and herpes is never treated by freezing. A genital wart (caused by HPV) is more likely. However, genital warts typically appear 6-12 months after exposure, and never before 2 months. So whatever it was, it had nothing to do with your recent sexual exposure.
I recommend you stop getting informal care from your friend. See a genuine STD expert, either in a public clinic or a private physician and get professionally evaluated for all STDs (herpes, warts, chlamydia, gonorrhea, syphilis, and an HIV test). In most of Europe, including Italy, most STD specialists also are dermatologists.
In the meantime, don't worry about HIV. There is no chance you were infected in the exposure described above.
Best wishes-- HHH, MD
Congratulations on the negative HIV test result. The combo test, like yours, is accurate any time 4 weeks or more after the last exposure. Therefore, your negative result does cover all your past sexual exposures, including the one 33 days ago.
Your doctor is correct -- your symptoms do not suggest an STD. On one hand, it is good for sexually active persons to test for common STDs, like chlamydia, from time to time. But it isn't possible to catch chlamydia through a condom, and your symptoms are not suggestive of chlamydia or any other STD.
It is unusual to test semen for chlamydia. The proper specimen is a swab from inside the urethra, or a urine specimen. Talk with your STD specialist about it.
That will end this thread. Do your best to move on without worry.
Dear doctor,
Yesterday i took and HIV test Combo 33 days after this exposure. I was very worried about this test, also because i never took one, and i also had others possible risks in the past years, bet the test came out NEGATIVE. The test was a combo Hiv1/2 immunofluorescence. This covers all past sexual intercourses, but does it cover also the last one after 33 days, even tough it was a very low risk intercourse?
For the other problem, I still feel a sensation of itch and the penis has some red stain, even if they are pretty difficult to se. I went to a specialist in STD's, but he said i have nothing evident for a particular decease, so at the moment I'm doing nothing in that area, just waiting for it to pass... Have you got any suggestions? Maybe tomorrow I will have a Sperm exam to Clamidia..
Regards
I repeat my advice to see an STD expert and follow his or her advice.
Routine STD testing usually includes only the infections I listed above and you do not need any others. In fact, you probably don't actually need the HSV test, unless the specialist recommends it.
I agree it is very unlikely you have gonorrhea.
Feel free to report the outcome after you have been professionally evaluated. But I will have no more comments or advice until then.
Dear Doctor,
thanks for your quick answer. Now what i want to do is a complete check up of my health status. I know for Hiv test (which really scares me!) is too early, when can i take it with decent results? And what about other tests? What kind of test should i take to check EVERY possible STDs?
Can we try to exlude some STD now by calculating three weeks from exposure? For example, I should not have Gonorreha, due to the fact that i've no pain in pissing and i've no losses from the penis..
Thank you again,
Luca