Syphilis Or HIV Exposure?


Apr 10, 2015

I am a 26 usually healthy male. Almost four weeks ago had sex with a 37 year old woman, condom broke unnoticed for we don't know how long. I panicked. 48 hours later was started on pep treatment for possible hiv exposure for 28 days.

10 days later an open sore emerged on the bottom of my penis along with swollen non painful pelvic lymph glands on both sides. Went to an std doctor who said it doesn't look like syphilis but i should get tested in a month. Got tested on 14 day after exposure blood and urine for all std, all negative. Today is 25 days after exposure and i have a few questions :

1. Are 4 weeks after exposure enough for blood and urine tests to show std infections such as syphilis? By the way the sore didn't hurt and was gone after a week.

2. If it is syphilis what are the chances she gave me hiv along with it.? i read a lot and am petrified about this.

3. What are the chances that pep would work if taken 48~50 hours after incident?

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I am straight male in my 30's.

Today I messed up and had sex with a sex worker. The sex was 'protected' at all times - we used a condom. HOWEVER, she sucked and licked my testicles and the very base of my shaft. Sorry to get into the details, but perhaps this is important - we had short vaginal and somewhat rough anal sex. No artificial lubricant was used. I didn't inspect the condom in details afterwards, but it seemed OK.

My last shave 'down there' was 2 days ago. Now I notice that my skin is still somewhat irritated (red bumps), although I don't see any obvious cuts. There is the possibility of micro cuts, though...

Needless to say, now when the sane judgment came back to me, I have a few questions/concerns:

1. What is the major STDs I should be worried about now? It is my estimate that it is Syphilis. I am not really worried about HIV (condom didn't break) or Herpes (it is now kind of common). Genital warts - slim chance, there is a 100 strains and only a few cause the warts.

2. Assuming I have caught Syphilis, am I immediately contagious to others, or first I have to reach 1st or 2nd phase of the disease?

3. Is Syphilis contracted when it penetrates into the bloodstream (i.e. there has to be a CUT), or as soon as skin (any skin) touches the lesion. If there is no lesion whatsoever, how contagious is it still?

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I went back 1 month after possible infection and only tested for Syphilis and HIV - these came back negative.

The morning my results came back (In the UK they just text the results to you) I noticed some semen like discharge from my penis - thought nothing of it, assuming it was just a wet dream type scenario. 

This discharge continued for about a week when I started to get a bit suspicious so I made an appointment at an STD clinic. In the days leading up to the appointment the discharge started to turn to a yellow/green puss type colour. 

6-7 weeks after possible infection I went back for a 3rd time and explained my discharge symptom (only symptom!). The doctor took a swab test and told me immediately that I had some kind of infection, the only way to know for sure what it was, was to do another chlamydia and gonorrhea test. She only prescribed me a 7 day course of Doxycycline.

Two days after taking the medication I had swelling in the veins and tubes surrounding my testicles, but no swelling/pain in the testicles themselves. I was advised by 111 (NHS helpline) to go to A&E immediately, they said it was most likely a symptom of chlamydia and to continue taking the medication. 

Now (Sunday) I finished the course of Doxycycline, discharge seems to have disappeared but the swelling in my scrotum is still present.

I got my results back and I tested negative AGAIN for chlamydia and gonorrhea...

I have no idea what to do now.. did I get flase negatives? Is it something else entirely? Anyone know what I should do?

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I received a lap dance in an adult bookstore.

There was no touching (of me) but by me, save rubbing the legs of my jeans or me touching/ untangling some jeweled thingy from her lingerie.
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Because of the fluid from my penis is there a "way in," for any stds?  Or is Precum something that only goes out not back in.  Does Me touching my penis especially the Precum make me at risk for any stds?

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P.S. The guy says he's clean, supposedly he's just got off the LTR and his ex has recently tested negative for everything. I know for sure I was clean too, haven't had sex for almost a year prior to that and donate blood regularly.

P.S.2 My only symptoms were sore throat, cough and runny nose. I didn't have rash, swollen lymph nodes, fever and all that... I understand this is consistent with the common cold, but yet don't know how to survive till Monday. How do I stop myself from compulsive oraquick testing?

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So my question is , has anyone here caught gonorrhea from oral exposure only ?

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I know my question may have been asked a million times before but I want to get a first hand assessment of my potential risk with HIV based from the series of events that acquired during that night. I was firm to believe that oral sex is safe - up until I read some articles on the internet. Some websites say it's low-risk. Some say it is moderate risk. I do not know which claim is more true than the other

So how this is my last sexual encounter went:

- So I met guys
- I did brush my teeth lightly.
- We basically did give and receive oral sex. No anal sex was done .
- One of the two guys did finger me.
- The whole act last around 30 - 40 minutes
- he ejaculated 5-10 minutes after through masturbation. He "unleashed" it in my legs or in my chest.
- About a minute or two, I gargled water
- We had a small talk after the deed. I was kind of hesitant to believe that he was negative although that's what he did told me. Aside from that, he told me that what we did was a low-risk activity.

Now for my questions:

- Let' say he was indeed positive, what are the chances of him passing the virus on this one time incident?
- From what I have read over at the internet, saliva has a capability to deactivate the virus once any fluid comes contact to it. Is this accurate? Does brushing one's teeth lessen this saliva's capability?
- Is pre-ejaculate just as infectious as semen or blood?
- Would brushing my teeth before or after the act really create cuts/bleeds deep enough that some pre-ejaculate may come in contact with my bloodstream?
- What about deep throat oral sex. What are the risks say he had pre-ejaculate if I was doing it to him?
- Let's also assume that he had a soaring viral load, will this affect my chances? Again, some websites argue that the higher the VL, the higher the risk one is exposed to.
- What are your thoughts about fingering. Is this safer than say, oral and anal sex?
- where I live we have Rapid ICT for testing. How conclusive is it on 6, 8, 10, 12 weeks of testing? Should I be tested after 12 weeks for it to be definitely conclusive or 12 weeks is more than enough?

I know that the only way to know my status is to get tested. It was only been six weeks since the act happened and my anxiety has been killing me to death regarding this incident. I do not want to be the first person documented to have contracted the disease through oral sex.

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