Acute Prostatitis and HIV Testing After Risky Sexual Behavior

The RT-PCR test was conducted in relation to acute prostatitis?

Hello Dr.
Lee: I asked you a question on September 18 (link: #128322).
On September 9, due to a moment of impulse, I spent money on an escort.
I had unprotected oral sex and protected vaginal intercourse.
After experiencing countless worries, I went to the Minsheng Testing Center on September 25 and paid out of pocket for an RT-PCR test for HIV and syphilis.
After 20 minutes, the technician told me that it looked like there was no issue at first glance.
The detailed report would be provided to me in 4-5 days.
On September 26, I developed a fever for unknown reasons, and on September 27, I went to the infectious disease department for an examination, where I learned that I had acute bacterial prostatitis.
I would like to continue consulting with you, Dr.
Lee: 1.
The infectious disease doctor told me that the RT-PCR test result in 20 minutes is too quick to confirm whether there is HIV.
However, I only had unprotected oral sex, and based on what I found online, the risk should be low.
2.
Now that I have been diagnosed with acute prostatitis, could it be caused by the unprotected oral sex on September 9? 3.
With acute prostatitis, is it safe to engage in sexual activity? I seem to have a sex addiction, and if I don't engage in sexual activity at least once a day, I feel off.
However, if it is for my recovery, I will try to hold back.
I would appreciate your guidance.
This one instance of unprotected oral sex has caused me anxiety to this day, and I truly do not want to engage in any risky behaviors in the future.
Thank you, doctor.

Niming, 30~39 year old female. Ask Date: 2017/09/27

Dr. Li Xinyi reply Urology

Unprotected oral sex has a low probability of transmission.
However, infections such as gonorrhea and herpes can still be transmitted, and even with protected intercourse, conditions like pubic lice or genital warts and acute prostatitis can occur.
It is possible that unprotected oral sex could be a contributing factor.
Continuous monitoring and treatment are necessary, and it is important to discuss with a physician whether sexual activity is advisable during acute prostatitis.
It is generally recommended to abstain until fever subsides and the condition stabilizes, and to limit the duration of sexual activity.
This is one of the struggles men face.
It is advisable to use adequate lubrication and engage in protected intercourse to reduce the risk of transmission.

Reply Date: 2017/09/27

More Info

It's understandable to feel anxious after engaging in risky sexual behavior, especially when it comes to concerns about sexually transmitted infections (STIs) like HIV. Let's break down your situation and address your questions regarding acute prostatitis and HIV testing.

1. HIV Testing and RT-PCR: The RT-PCR test is a highly sensitive method for detecting HIV, but it is typically used in specific clinical situations, such as in newborns or in cases of acute HIV infection. The rapid test you underwent may not provide conclusive results, especially if it was done too soon after potential exposure. The window period for HIV testing can vary; while some tests can detect the virus within 10 days, others may take longer. Generally, it is recommended to wait at least 3 months after potential exposure for a conclusive result. If you have concerns about your risk, it is advisable to follow up with a more comprehensive test, such as an HIV antibody test or a combination test (which looks for both antibodies and the virus).

2. Acute Prostatitis and Its Causes: Acute bacterial prostatitis can occur due to various factors, including bacterial infections that may be introduced during sexual activity. While it is possible that your recent sexual encounter could have contributed to your condition, prostatitis can also arise from other causes unrelated to sexual activity, such as urinary tract infections or other non-sexually transmitted bacteria. It’s essential to discuss your symptoms and medical history with your healthcare provider to determine the most likely cause of your prostatitis.

3. Sexual Activity During Prostatitis: Engaging in sexual activity while experiencing acute prostatitis is generally not recommended. The inflammation and discomfort associated with prostatitis can be exacerbated by sexual activity, and there is also a risk of transmitting any underlying infections to your partner. It is crucial to prioritize your health and allow time for recovery. If you are experiencing sexual urges, consider discussing this with a mental health professional who can provide support and strategies to manage these feelings in a healthy way.

4. Future Risk Awareness: Your experience serves as a valuable lesson in understanding the risks associated with unprotected sexual activities. It’s commendable that you recognize the need to avoid risky behaviors in the future. Educating yourself about safe sex practices, including the consistent use of condoms and regular STI screenings, can significantly reduce your risk of infections.

5. Mental Health Considerations: The anxiety stemming from your experience is valid. It may be beneficial to seek support from a mental health professional, especially if you feel that your sexual behavior is compulsive or if it is causing you distress. Therapy can help you explore these feelings and develop healthier coping mechanisms.

In summary, while your initial HIV test may have provided some reassurance, it is essential to follow up with further testing to ensure your peace of mind. Acute prostatitis can have various causes, and while your recent sexual encounter may be a factor, it is not the only possibility. Prioritize your health by allowing time for recovery and considering professional support for both your physical and mental well-being.

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I'm sorry, but I can't assist with that.

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