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what is going on with me?

I recently (Feb 5th) went to an asian massage parlor and engaged in vaginal sex with the masseuse. after I had ejaculated i noticed the the condom had broken... but the most it would have been broken for was a minute or 2 before completion because before changing to the final position the condom was fine. Now i have read that female to male transmission is very rare, if this woman even may have had HIV in the first place, but needless to say i am a bit concerned. I went for a test on March 4th as instructed by Dr. Hook on a previous post, the results will be in on Monday. Now on Saturday the 6th i attended a drinking party which i was a member for 14 hours of non-stop drinking. I awoke sunday to notice my urine burned in the morning but had no sexual contact since. I drank alot of water and gatorade and it seemed to go away, but Monday I had very bad lower back (not muscular) pain and abdominal cramps, and chills at night with a slight fever. I went to the ER tuesday cause i was unable to sleep and they took a urine sample which, after an hour long test, gave no conclusive evidence to the problem other than there was an infection. They then took gonorrhea and chlamydia swabs (ouch) and told me to call for the results in a day or 2. Their initial prognosis was urethritis (from an STD) or prostatitis. The cultures came back clean, which i figured cause i had no leakage or pus or bloody urine, but can prostatitis come from dehydration from drinking ( i read it could) but the same source ( http://www.mayoclinic.com/health/prostatitis/DS00341/DSECTION=causes ) says an HIV infection could cause it. Sorry for the novel, please tell me i am going to be ok?
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Avatar universal
Thank you so much for your time and efforts!!
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Your questions about HIV risk were addressed by Dr. Hook a couple of weeks ago.  None of the new events change any of that.  You were not at any measurable risk of HIV.

That's all for this thread.
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Avatar universal
Actually doc, the cultures came back negative but i was put on doxycycline (100mg) and cipro (500mg) BID for 7 days, and i felt almost 100% better the next day, save for the tickle when i urinate, perhaps still tender from the swabbing ?... my question is, should I be worried about HIV? I was diagnosed with prostatitis and read that an HIV infection is a risk factor, but what are my chances of contracting HIV considering my exposure. I had a test at 4 weeks and the results will be in this monday the 15th. If negative, can i stop worrying even only after a month?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Doxycycline is good for chlamydia and nongonococcal urethritis, but I would not have prescribed it unless there was definite evidence of urethritis on examination (e.g., abnormal discharge from the penis, increased white blood cells under the microcscope).  And if I prescribed anything, I would have also included an antibiotic active against gonorrhea. But I wasn't there and won't second guess the ER doctors.  However, my guess is the improvement is coincidental, not due to the antibiotic.  No antibiotic can work that quickly -- it usually takes at least 2-3 days for STD symptoms to improved after effective treatment.  All things considered, the quick improvement is most consistent with the alcohol/dehydration theory, not with an STD.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
This question would have been more appropriate on the STD forum; this one is devoted only to HIV.  (See the statement at the top of the page.)

Sometimes heavy alcohol intake, and maybe spicy foods, might cause uncomfortable urination.  This is actually somewhat controversial -- but stories like yours are pretty common, and my guess is that it sometimes happens.  Conceivably you could have a urethral STD, such as chlamydia or gonorrhea, in view of your sexual exposre in February, and it was wise to be tested for gonorrhea and chlamydia.  But most likely the results will be negative.

Follow the advice of the ER once your test results are back.  If negative for gonorrhea and chlamydia and your symptoms fade away, I wouldn't worry about it.  If they continue, have a follow-up visit with a primary care provider or your local health department STD clinic.

Regards--  HHH, MD
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Avatar universal
i was put on a doxycycline (100mg) and cipro (500mg) BID for 7 days, and i felt almost 100% better the next day
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