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Dr. Rick, MD
Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 7364
Experience:  20+ years as a doctor. Internal Medicine Internship in NYC
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Hello, I am a 30 year old Male who is very concerned. I hope

Resolved Question:

Hello, I am a 30 year old Male who is very concerned. I hope that someone can answer my question.

Exactly 93 days ago, I had sex with a woman who I now believe is/was a prostitute. I used a condom to have intercourse, however, she did give me oral (blowjob) without the condom. I have visited several doctors because following this encounter, I had a lot of pain in me testicle.

I was tested for common STDs such as chlamydia, gonorrhea. It's possible I was tested for more, I know that I saw 4 doctors and they all cultured my urine.

The pain in my testicles according to my doctors is either prostatitis or what they call muscle spasms in my anal / perineum region (I am slowly recovering for really horrible pain in anal/perineum area). Currently I am on a medication called Terazosin 5mg, which is helping my perineum pain.

I am very concerned about HIV and I am scared - About a week ago, I felt a tingling and itchy feeling in my throat, and now slowly over the past couple days, I feel like I have a sore throat or tonsil. I have been reading a lot about symptoms, and I notice that when I swallow i feel like there is something there, and I think either my tonsil / lymph node is swollen BUT I REALLY DON'T KNOW.. Two weeks ago I was checked by my doctor physically and there was no swelling. But now suddenly last week I am feeling some very mild pain/bothersome in my throat and sometimes when I swallow i feel like it stings my ear.

1) Am I being overly paranoid about HIV?

2) What are the chances I could have gotten it based on the above encounter?

3) Are my symptoms alone indicative of HIV?

I can't explain how terrified I am, to the point where I don't even want to get tested - I feel like my life would be over.

Please help
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Rick, MD replied 2 years ago.
Let me address your questions in order:

1. Yes

2. less then one in 2,500 which is a number used for unprotected sexual contact with a highly infected person. Receiving a blowjob would be considered to be a less risky behavior.

3. No.

Does this make sense to you?

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Let me know if there is anything else you would like to discuss pertaining to this issue.

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Customer: replied 2 years ago.
Makses sense.

What are the chances of the following:

1) There may have been some fluids on her hand from lubricating her vagina, and then touching my penis causing HIV?

2) Using a condom for intercourse (which I did) and still getting HIV - I am paranoid that maybe when I took off the condom after we were done, her fluids may have gotten to the my penis?
Expert:  Dr. Rick, MD replied 2 years ago.
1. So low as to not even be worth worrying about

2. Once again, very low....less then one in 2,500 chance.

I think you would feel a lot better if you went and got tested.....
Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 7364
Experience: 20+ years as a doctor. Internal Medicine Internship in NYC
Dr. Rick, MD and 3 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Thanks doc, I appreciate the straight forward answer!
Customer: replied 2 years ago.
Hello doctor, I'm sorry that I am following up on this again.

Aside from my above symptoms (soar throat, headache, and slight pain in my ears) Today I feel that my lower left abdomen, directly above my thigh area - but still above the waist, I feel a sharp pain randomly and occasionally. It just started today.

Should I be concerned about HIV now? I know that you've assured me earlier but I need to ask so that I can put my mind at ease. I have a doctors appointment next week.
Expert:  Dr. Rick, MD replied 2 years ago.
No problem. I'm happy to help.

No. You need not be concerned about HIV infection from what we discussed. I'm glad to hear that you have a doctors appt next week so you can have a complete exam and possible testing should you so desire.

You have less of a chance of catching HIV from the activity you mentioned then I have of my middle daughter never asking me for money ever again lol!

All humor aside, you will be OK from an HIV point of view.
Customer: replied 2 years ago.
What can the shooting pains be in my abdomen? And without any disrespect to you at all, I posted this question to the HIV section of this site just to get another opinion. I hope that won't offend you.

As for your daughter, you can tell her that when I was young I got a measly $5 every two weeks, and boy was I happy!! :)
Expert:  Dr. Rick, MD replied 2 years ago.
Not sure about the shooting abdominal pains....it could be something you ate, the flu (it's going around now) anxiety, or a million other things....but I don't think it is HIV.

No problem. I always believe that it is smart to get a second opinion and I know that there are some good docs on the HIV site. In my case I was at the front lines of the HIV/AIDS epidemic in Greenwich Village, NYC in the early 90's. Back then almost 90% of my patient load and admissions were due to this beast and, since we had no good treatments yet, they died quick. As a matter of fact the guy who wrote the songs for the movie Little Mermaid was a patient of mine...

Hopefully between what we have discussed, what the JA docs on the HIV/AIDS section tell you and what you learn from your doctor next week everything will be fine and you can chalk this event up to a bad choice and move on.

It is a pleasure to chat with you. Let me know if there is anything else I can do.


And, now, the obligatory word from our sponsors: :o)
I hope that this information was helpful for you. Please, allow me get credit for my time and effort in assisting you and please give me positive feedback for this assist. I will be glad to answer additional questions until you are satisfied. Thank you very much.

Positive Feedback and/or Bonus is welcomed and appreciated.
Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 7364
Experience: 20+ years as a doctor. Internal Medicine Internship in NYC
Dr. Rick, MD and 3 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Awesome! Glad to hear you've had that much experience. I am more comfy now.. Have a great night, and again I really thank you for putting so much effort in my response.
Expert:  Dr. Rick, MD replied 2 years ago.
It is my pleasure. Have a good evening.

And I don't think my daughter will buy the 5 bucks every fortnight and I'm happy shtick.......
Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 7364
Experience: 20+ years as a doctor. Internal Medicine Internship in NYC
Dr. Rick, MD and 3 other Medical Specialists are ready to help you

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