Hallo Dr. Your professional input will be of great importance to me. I have already posted my situation here before but I will repeat for the sake of keeping things in one post. About 5 weeks ago I had protected sexual encounter with two CSW. Both cases condom slipped but was visibly hanging outside vagina. I replaced with new condom both times and continued with sex with one CSW and only hand job with the other. Anyway 8 days later I discover a clear discharge after I pass urine. I also begun to notice some very slight tingling once in a while at the tip of my penis. Same day I first discovered discharge I started having bad stomach cramps with on and off diarrhea and a very sore neck. The neck was so sore some what painful and my lymph nodes along my jaw and between jaw and neck were swollen (still swollen today) Stomach cramps and the on and off diarrhea persisted for a week but neck is still sore only not as much as before. Almost two weeks after exposure I also discovered right inguinal lymph node. I visited a doctor who prescribed azythromycin without performing any tests. Around day 22 I had night sweats that went on for about 4 -5 days. My armpits started getting sore with a feeling of dull pain. I have later come to discover small lamps underneath my armpits that I believe are swollen nodes. Initially after convincing myself that all this is due to anxiety I had unprotected sex with my wife. Now I am scared to death I might have infected her. I am a real mess and totally dysfunctional. I have read in various forums including this one some people who had very sore neck during seroconversion eventually tested positive. Dr. I am mortified especially due to the fact that I may have infected my wife. I am currently on day 35 post exposure. What are your thoughts? Thanks..
2015-04-07 11:30:11
Welcome to the forum. Thanks for your confidence in our services. I reviewed your discussion on the community forum and agree with the advice you had there. Your CSW partner is statistically unlikely to have HIV and you had safe sex with her. Withdrawal of the penis while the condom remains in the vagina is not considered a high risk exposure; protection against HIV was complete. The rest of your story is confusing. The possible urethral discharge and urinary discomfort could mean you acquired a urethral STD like gonorrhea chlamydia or NGU -- but it seems you weren't tested for these before being prescribed azithromycin. (BIG mistake!) However there is no way to tie in any of your other symptoms to that sexual exposure. I agree that many of your symptoms likely were physical manifestations of anxiety. At this point I have two main recommendations: 1) First and most important have an HIV blood test preferably a 4th generation or "duo" test; enough time has passed for a conclusive result which you definitely can expect to be negative. (Don't have an oral fluids test which is the only standard HIV test that doesn't give definitive results until 3 months.) 2) Return to your doctor (or perhaps a new one) for a comprehensive medical and sexual history and careful physical examination. An STD/HIV expert would be ideal because such a person's reassurance may be most reassuring. In the meantime I am very confident you don't have HIV and it is also unlikely you in fact have any STD. Even if your urinary symptoms reflected NGU chlamydia etc you were treated with azithromycin before having sex with your wife so it is unlikely you placed her at risk. I hope this has helped. Best wishes
2015-04-07 11:31:18
