Hello, my name is XXXXX XXXXX I am happy to help with your question today.
If you had unprotected penis to vagina or anus contact then there is a potential for risk of STD transmission, and although it sounds like contact was fleeting, then HIV cannot be ruled out 100%.
You should really keep a condom in your wallet at all times for occasions like these so that you never put yourself at risk.
The risk of HIV from full penetration and sustained vaginal intercourse is 0.5% (depends on the study looked at) so minimal penetration will be less than this but not zero.
You should see a STD clinic to check for chlamydia, gonorrhea and herpes and then a HIV test either RNA at about day 21 or antibody testing at week twelve.
And avoid any unprotected intercourse regardless of nature of partner.
it probably doesnt matter to state but i barely tocuhed the anus . and the vag she tried to put it in and i pushed it was so tight that i pulled back before it fully went in and i even think i wasnt fully hard at the time which made it hard to penetrate
i guess im never going to hear the
you have 0% transmission
i most likely have it dont i
i even scared the driver asking him if they test they're girls
according to them they are a highly prestigious
so to speak and they always test they're girls and ask me to coem to the office if i get anything .
also this was a relatively expensive
dunno if it counts for anything
i dont think my brain can stand waiting for another 3 months to be certain
I suspect your risk is tiny, but the problem is that the only way to be sure is to use protection. Also, if this is a quality escort agency then they probably do test their girls but if they do not encourage their escorts to carry condoms then this is slightly worrying.
they offred to ask the driver to go buy condoms for me
even the girl was hessitant
to do without a condom
Use HIV RNA testing at either day 21 or day 28 (depends on your clinic protocol) for a faster test.
called the management to tell me to use one
but i said to him
it was only a blowjob
cause that isnt really dangerous for HIV
but i just HAD to try to penetrate
even if it didnt really went it
i even asked the driver to ask the girl if i actually did went in
she said no
i really dont know what to do
HIV RNA are notoriously unreliable arent they?
It does not sound like you exchange body fluids, but without getting stressed by the test...just do a test so that you have a documented negative.
would one half penetration cause HIV
would i be the first most unlucky person in the whole world to catch HIV like that
We are starting to develop more confidence with RNA testing, although the official policy is to repeat an antibody test at 12 weeks, a negative RNA test can be worth doing.
Your exposure is not enough to suggest that you need antivirals medication.
what do i do
i dont think i can stand 3 months
do i tell my parents?
do i worry them then turn out to be nothing?
do i break they're hearts
its killing me that i betrayed them like this voer and over again
is this a mental condition that i have
i jsut have to say
Do not tell your parents. Go to a confidential clinic for testing, and buy a big box of condoms for future use.
you helped me get through the first 3 months last time . youre word actually calmed my heart so many times . i feared i would die if i didnt keep talking to you
i really do hope that you are actually a practicing doctor
i know common knowledge is to talk to aphisically present doctor
but you seem to calm me down more then my derm can .
i REALLY hope you are an expert in HIV
there are no confidential clinics in Malaysia
i will just have to go to the hospital ive been going to
I am glad this helped last time. I am indeed a practicing doctor, I have looked after HIV positive patients and arranged tests for others.
Your hospital records will be confidential, they will not be able to share information with your parents.
i think so
hospitals should have RNa test right?
especially private ones
Yes, they should be but I do not work in your country so you need to check. But RNA tests are becoming more popular in UK and USA because they can be done so quickly.
but are they accurate
taht is what troubles me about doing it
i dont want to do it
get negative (hoepfully)
then someday when i get married and get tested before that find out im HIV positive for this one enoc**ter i did years ago
The RNA tests have become more accurate. Basically the scientists are able to check the blood and look for actual virus. So it gives a result before the antibodies develop.
But it can be very expensive
but are those scientists in my country .
price is not an issue
price is never an issue about health
i know i contradict myself when i sayt hat
can i feel better if i get the negative on the RNA and move on?
The tests have been produced in USA and UK. Provided that your laboratories have access to the same processing equipment and chemicals then it should be available.
or do i still take the 3 months / 6 months place
also in your honest opinion . is this an exposure i should worry
i know i should cause it was unprotected
but i barely penetrated
and she even said i didnt
and taking into account this escort company is very famous and says they check they're girls and almost screamed at me not to worry
would BBBJ cause HIV?
I do not think your risk is high at all, even with full blown intercourse with a known HIV positive person then the risk per episode is not high.
BBBJ risks is also very tiny, only made higher if the partner was HIV positive with bleeding gums or sores in her mouth.
RNA confirmation is enough?
can i do after 21 days?
way after 21 days
Check with your hospital, I can see that an organisation called PT foundation offers confidential testing but I think they use antibody testing.
also i heard there are antibiotics that i can take 1-2 days after possible exposure to jjust kill the HIV there
If your risk of getting HIV was high then I would have suggested PEP- but your encounter is not high enough to really justify this. The side effects from PEP are horrible - vomiting & loose stools. So not to be taken without consideration. You have 72 hours to decide to take them, so you could ask your doctor for their thoughts.
well if you dont think i should
i really am telling you everything
not holding back anything
trying to not overplay or udnerplay anything i tell you
what i telly ou is what happened
is there anything i can look for as an indication fo HIV infection
how fast are RNA tests? and can i take them way after 21 days?
If this is really going to play on your mind, then go to your doctor and ask for PEP meds. he/she will assess your risk and consider if the risk is worth the side effects.
The RNA tests can be done at day 21 or 28 depending on the laboratory protocol. It varies in different locations.
But is much quicker than waiting 12 weeks.
RNA TestsUnlike antibody tests, RNA tests can detect the presence of the virus itself. They look for HIV's genetic material -- its RNA -- which can be detected much sooner than antibodies. The window period for RNA test detection is 9–11 days.
RNA tests are done from blood samples and it usually takes two weeks for the lab to process the test. However, if you are experiencing some of the classic symptoms of seroconversion (or becoming HIV positive), doctors are often able to arrange to get the results much faster. RNA tests are more costly and used less often than antibody tests; however, they are used in some parts of the United States. Happily
so it says that it takes 2 weeks to get the results back
if you dont think i need a PEP
i dont see the need to pay another doctor to tell me i dont need it
If you came to me, I would discuss the benefit /risk but at the end of the day it is the patient's decision. The medication makes people feel terrible and so tends to be used by people with intercourse that was with a known HIV partner or high risk partner such as IV drug user. Or sometimes PEP is used while waiting for the partner's blood test to come back. So if you had a very willing escort then you could ask her to do an antibody test which would prove she was negative.
i dont think i will ever see he again
its an agency and not an independant escort
Then do the testing, and try not to worry.
does it actually take 2 weeks/
It depends on the lab, our results are available in 7 days.
are actually 1000 RM
are they that expensive
that is about 350 usd
The chemicals they use are very expensive, all our patients get them free on NHS
for somethign that may not be certain
may not be a viable option right now
its 10X more exp thent he normal tests
what are symptoms i should look for and in what range of days should i look for them for HIV and stds if you could state some
Look at this site here: they were offering free tests here
HIV screening is the antibody test is it not?
nto the RNA?
If you were HIV positive then you may get a non specific flu like illness so muscle pain, fever etc within 1 week to about 4 weeks after exposure.
Swollen glands and sore throat are other things to look for,
location of these glands?
under the chin, down the neck, under armpits and in the groin.
so its the 3 months test then for comfirmation
cause at the moment
as much as i want to spend 1000 on a test
i just cant afford i
It is a lot of money.
i just really fail to think i could get , and im sorry if i sound pretentious , HIV for one push ( not even a full push) and maybe a rub at the anus .
HAS anyone gotten HIV in that way?
and ive been looking at the numbers for HIV in malaysia
for some reason males are 3x more affected from hetero sexual sex even when ppl say it is so much more unlikely for a man tog et HIV in this way .
this really troubles me
There are some people where we do not know for sure how they got HIV, but studies do not really explore non pentration encounters.
well is there anythign else youw ant to know or tell me about my encounter? in your minda nd heart do you think im at any risk putting away your doctor coat for 5 seconds
I think your risk is too small to easily quantify the percentage. I just cannot say that the risk is zero.
That is the statistical results for a population, it is difficult to transfer the results of a study to the individual.
It sounds like sge
she does worry about hygeine.
Using water may be to do with the taste, some girls do not like taste of BBBJ
The escorts tend to go to the free confidential clinics.
If positive then the girls are advised to use protection and ideally change profession.
They would also be started on antiviral medication depending on their blood results
Yes, do not do multiple tests. Either wait for 12 weeks and do antibody tests, or do the RNA test.
Do not get downhearted, this is a low risk exposure as contact with escort was so short.
To contract HIV you need
1. a partner who is HIV positive
2. exchange of body fluids
So if we assume that your partner is positive because she is an escort (although we have no proof of that) then the risk is based upon your contact being long enough to allow body fluid from her vagina to come in contact with the urethral surfaces in your penis.
I suspect that your contact was not long enough to allow body fluid contact, especially if she was not well lubricated.
yeah she asked me to put some water to make it slide better i guess ? so if its not lubricated its ahrder to get HIV?
HIV generalyl is hard toge t though right?
for HIV to be contracted other than actually having cuts is for the fluids to go into your urethra right?
would PEP totally eliminate HIV altogether?
this is important because if it does and is not that expensive i would actually do it
getting scared again
also i am wondering
if when i put it in her vag
would it be like incredibly tight where i pushed hard and it barely went in or would that be the anus?
i know that is a really dumb question
HIV risk is reduced by PEP but there have been cases where PEP has failed. However usually we would expect a standard course of 4 weeks to reduce the risk of HIV in high risk HIV cases.
It is the contaminated body fluid coming in contact with your urethral surfaces that is the risk for you, so anal or vaginal...does not really matter. The point is that you had unprotected contact, even if it was limited.
Your contact was limited, but by not using protection then you exposed yourself to the risk and the worry. So really important that you do not do this again.
If the stress of all of this is affecting you then you need to see a therapist to talk through your anxieties and look at ways of coping.
i just cant help but think of the worst . sicne it was un protected . but hen my logical mind comes in and tell me that one insertionc ant possibly cause me to catch anything unless im the most unlucky person in the world . but most of all the not knowing part is whats killing me
how do normal people cope with an active sex life when they have to check every 3 months
Most people have a policy of always using condoms with partners, and only moving to unprotected intercourse when in a monogomous relationship where the partners get a set of STD checks before stopping using condoms.
I had one patient who requested a HIV test when moving into a new relationship so that he could prove to his new partner that he was HIV negative,
But using condoms is the most common and easiest way to keep your mind at ease.
It also protects you from causing an unwanted pregnancy.
lets say i didnt really put in my penis into her vag even a little . would that merit a test?
If you did not put penis into vagina then that would change things, as there was no risk that vaginal fluid would come into contact with urethral surfaces
So I do not think that you should be worried,
Yes, it is the lining of the tube where urine and semen comes through. So fluid has to get up into this to give you a risk. External skin of penis would not allow passage of HIV
If the penis was not fully erect then it was unlikely that there was sufficient pressure to cause bleeding at anus, and if vagina was not penetrated then little risk of vaginal fluid coming in contact,
Was there any fluid or blood on penis when you withdrew?
I think you are trying to overthink this now. To catch HIV you need reasonable amount of contact with infected body fluids, I do not think that the episode that you describe would be sufficient to catch HIV
Impossible to quantify, but usually a sexual encounter of several minutes
I think this was an incredibly low risk encounter but if you had not stopped then could have become high risk.
Try not to focus on this, but do use condoms for all encounters and choose one type of test or the other to have for piece of mind.
Do not focus on it, just get on with life but put a note in the diary for a blood test in a few months. In the meantime ensure you carry condoms.
Yes, just to draw a line under the encounter,
That is the point, I cannot put a figure on an individual risk. Statistics do not help us in your situation.
I am sorry that I cannot quantify this for you, but it is a tiny, tiny risk
why doesnt statistic help in this situation?
Because although studies can quote that rate of HIV from full penetration vaginal intercourse is about 0.05%, this is based on a population of thousands.
but should the risk be lower then for me?
Absolutely, you did not have full penetration and contact was fleeting.
it just sounds scary that you can say its possible that i can get it even when its a tiny chance
I really think your risk is very very low.
why do i feel like i have it?
even more then the otehr time
is this a mental problem
Yes, you have health anxiety and I imagine it is playing a lot on your mind. So the anxiety you have is excessive compared to the risk and you tend to dwell on it.
what do i do?
Firstly, I do think that you need a counsellor to help you put this in perspective. Speaking to someone can help work out why you worry so much about your health but take chances by unprotected contact with escorts.
can you tell me why?
Sorry, considering aspect of people's behaviour is not my expertise. We do have a mental health section if you wish to open a new question in that section where experts may be able to work through your thoughts.
but is this essential?
No, but if your life is being affected by persistant and ruminant thoughts about HIV then it is worth exploring these so that you can get on with your life.
but like you said you cant guarantee that i dont have it . even when the contact was limited
Unfortunately there are a very small number of HIV positive people who cannot identify when they contracted HIV, so that means that we cannot be 100% sure that you are negative. Medicine does not easily provide guarantees for individual patients. We can only talk about high and low risk.
Your enounter was low risk
i just noticed soemthing . i was just casualing looking at my penis when i saw what i thought was dead skin like the ones you see like a scar . right beside the penis hole . i picked it i felt no pain and it came off . im still looking at it and see no scars or anything that would suggest a scar . could a scar develop in 1-2 days and just peel off with no pain and me not noticing it giving it is right beside the pnis ureter.
i would have notices soemthign bigger then the PPP i have . it was just like a scar i just picked off . it was weird
Lack of blister is good. Keep an eye out for any new bumps or sores in the next few days. Or any pain when passing urine.
well ill just wait for the positive test then?
If you get any more bumps or sores then go to STD clinic for general STD screen, but otherwise do a HIV test at the correct interval.
Yes, HIV antibody test at 3 months and then you can put this behind you.
I would be very suprised if it were positive, as your actual risk is tiny. However you always need to consider the potential outcomes of blood tests before taking them.
This area of 'dead skin' could be several things, it could be flaky skin from penis skin being dry, a fungal infection, eczema or a healing blister. If there is no redness or discomfort then there is a lot less to be worried about. Cuts on the end of the penis can occur in fungal infections. However unless there was active bleeding from an open wound then I would not consider this to add to your HIV risk.
Herpes is very common but starts with a tingling area that becomes red, raised and then crusty. This process takes several days so you would notice this.
what about the whole mot thrusting thing?
The thrusting would only be relevant if this increased risk of penis to vagina contact
i dont udnerstand that statement
By thrusting you increase penis coming into contact with vaginal lining
so what does that mean
More thrusting increases risk
more thusting trying to get it in? meaning it didnt even fully went in also increases risk?
No, what I mean is that thrusting into the vagina increases risk. If you did not penetrate then minimal risk.
You are looking at this is too much detail again.
Try to look at the bigger picture.
That your overall risk is tiny, as your contact was limited with minimal (or even none) exchange of body fluids in a person who may be HIV negative.
By overanalysing every aspect then you heighten anxiety without achieving anything concrete.
jsut to make sure which part of the encoutner is low risk?
before that . i just saw this statistics
dunno how accurate it is
but i saw in malaysia for HIV
men are twice as more abundant
and the main contraction oF hiv is from IT
escort or prostitute arent even 4th higher
and odd jobs are the ones taking most of the ppl in HIV
rather then escorts
why is this?
does this help at all?
Hello, yes the data is very interesting, the implication is that escorts must be using protection. However the overall statistics can only be used as a guide and do not help in your scenario.
Your contact was minimal therefore your chance is very low. Try not to focus on it.
I will be offline when you reply, but I will get back to you.
what part of it is low risk?
im rethinking now
adn i cant remember if i did penetrate her
or if i did
You told me that you did not penetrate. So the entire encounter is low risk. You are obsessing about the details, and that is a indicator that you have health anxiety. Dwelling on this encounter is not helping you move on.
im just tryign tog etit right in my mind thinking that =am i sure i didnt penetrate . she even said i didnt so means i didnt right?
Yes, if your partner said that too then that is reassuring.
also if i did get to penetrate her i would have finished like that if you know what i mean
the fact that i finished with just a boojob means i didnt penetrate her i guess
From the description that you gave me when this was all fresh in your mind, this was a low risk encounter and I would encourage you not to dwell on it. It must be affecting your concentration for other things in your life. So try not to rethink this too much.
okay jsut oen more thing
taht when i penetrated i dotn remeber actuallyfeeling something slimy
when i tried to penetrate it felt so tight and dry
and i dotn actually remember penetrating i think
I really do think that you need to spend time talking with a counsellor about your underlying anxiety. There are cognitive behavioural therapies that will help you cope with the anxiety and the recurrent thoughts on these types of episodes.
sorry for the alte rate . just havent been on and still been stressing about thiss. still recalling if i infact penetrated her and if i have HIV , been getting too depressed . can you justify maybe that i dotn have it?
what if i did have full penetrate but not for long
Doctor hoep you reply as soon as possible , i found somethign very disturbing . i found a big dark red ( i wanna say blister) inside my mouth . its big kinda . hasnt happen to me before or i havent noticed before . could this be an std ? how can an std end up in my mount when i didn t do any kind of oral and never had any std anywhere else for it to sread in my mouth. what is this . PLEASE HELP
but it is most likely not std related? because sicne ive been putting on weight . i often bit my cheeks and my cheeks are in contact with my teetht he whole time . so maybe that caused it . is that normal?
but it is most likely not std related? because sicne ive been putting on weight . i often bit my cheeks and my cheeks are in contact with my teetht he whole time . so maybe that caused it . is that normal? adn well now i checked it again it went away ... the blood blister is gone now . i didnt touch it
okay last confirmation . my risk was minimal eventhough it was unprotected because i didnt penetrate enough . it was really hard to penetrate and seems dry . so i guess lube would increase risk? is this all correct?
i still have to go for the 3 month test? i still cant recall all what happened that night . seeing if i did infact penetrate more . seeing as if i could have penetrated easily i wouldnt have stopped till climax . so it can be said that being unable to penetrate kind of saved my life . is this smewhat the summary?
would you be suprised if i did get HIV from thsi encounter? simply because it was that promiscous as the last one caseu i actually had 'sex' the last one
so i have this kind of lump on my butt . it is nowhere near the anus just on the buttcheck. does have a tiny bit of pain like kind of a pimple but as you can imagine i cant really see what it looks like . is this any indication fo STD or HIV?
hello i just found something disturbing again and this does actually look like somethin that needs to be inspected personally . but yeah so i just noticed this bump . well its not a bump totally cause a bump is usually round but this is kind of in a line at the bottom of my penis . its like at the line at the bottom part of the penis linking the shaft and the head . i noticed this when i was masturbating and felt kind of irritation . so i thought maybe it was a cut when after i masturbate with soap so it becomes dry and becomes prone to a cut . so i was thinking could this be soemthing of an std? if it is shouldnt it appear sooner then this or is this still in the window for symptoms. upon seeing the picture i took i does look like a wart . please tell me what you think! :(
But what does it look like to you? Just from the picture. Or in other word what could rule it out most definitely that it isn't std related? looking at it now . would a wart have kind of like peeled skin aroudn it kinda ? cause isnt that like a dry skin cut?
okay but if redness from me touching it counts ?
okay how long would this take to go away for this bead like bump not to be concerning?
are warts big cauliflower looking things that relatively harder then the skin around it? this feels like skin . peeled but it looks like a lump for soem reason . im scared now . so i have a development . upon lookinga t it again today . it looks like its a scar now .a line scar . can this be herpes? doesnt herpes hurt alot? given the position of it?
i was wodnerign if you could reply , its not too much
it is gone now ? its skin now again no scar . does herpes move this fast . examination may not be relevent now cause its gone
wondering to ask if any bumps on the hand mean anything. ive gotten like kind of clusters on my hands. they are bumps that heppen and go away noe i see only crusts. . what i gathered these bumps are commong for ppl with pale or white skin. i have multip other bumps. other more like pore blockage and pimple. are these maybe the start of hiv cuase my immune sysytem is failing or just something loke bacteria. and also how can i tell from a lymph node and a pimple.
sorry about the alte reply i havent been able tog et online recently , stablily i guess . well before i rate you , i must ask again after reading the whole conversation you are totally positive that i contracted nothing from that encounter? is a test warranted a. along answer is much appreciated :)
will do but you said std . what about HIV?
welp . i payed 200 for basically a recomfirmation so i feel kinda cheated abit .....well i have a few more developments . inw hich i have kind of cluster of bumps appearign on my hand . not sure if blisters and i took a picture of my bottom . and it doesnt look smooth ( i know it sounds weird) like what you see on tv . it has bumps and crusts . mind you this is on the buttock not at the anus . and i have no history or anal anything
keep saying axxess denied
well it looks like tiny red bumps . but i really have to jsut show yout he pics . why is the access denied thing ahppening
lemme try this . dont reply to this msg until mayeb you see pics or 5 mins have passed
std or HIV? if not those , what am i doign that are causing these
last attempt at the photos
it looks like what on what side?
on the buttocks? so not HIV or std?
just to make sure. this is you assesment after reading through all the back and fourth between me and dr pauline? also i have these kind of tiny dots appearing . looks like ppp but they are individual . and i will tip AGAIN after this . the dots are in the middle of the picture