Concerns About Possible Infection: Risks and Symptoms - Obstetrics and Gynecology

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Is there an infection?


In early December 2016, I met up with a friend to eat, and my friend used their eyebrow razor to help me shape my eyebrows.
I don't recall any bleeding or cuts, but every time I use the razor myself, I feel a stinging sensation when washing my face, as if there are small wounds.
I also forgot whether I felt any stinging after washing my face that day, so I am a bit worried.
In March of the following year, that friend was diagnosed with HIV and syphilis.
I know the risk of infection might be low, but occasionally I can't shake the thought of possible infection.
Recently, I have been experiencing severe psoriasis on my neck, which feels smooth when it's almost healed, but it still itches a lot.
It's easy to scratch, which makes it worse, and my skin feels like it has subtle bumps.
I'm concerned that it might be some kind of rash related to HIV or syphilis.
Additionally, I have red spots on both sides of my collarbone that occasionally itch and feel smooth as well.
A few days ago, my throat felt scratchy, and I felt like I might be coming down with a cold, possibly due to the weather changes.
Today, I noticed two dirty spots behind my last lower teeth.
Ultimately, I want to know if the likelihood of infection is indeed low.
I have a steady sexual partner, so I worry about the possibility of transmitting anything to them or my family.
I don't want to make them sick because of me...
Please assist me, thank you!

N, 20~29 year old female. Ask Date: 2018/04/18

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the inquirer: You can arrange for relevant tests at an anonymous screening station.
For more information, please refer to the website: http://hiva.cdc.gov.tw/.
The staff there will provide assistance.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2018/04/18

More Info


Your concerns about potential infections, particularly regarding HIV and syphilis, are understandable given your recent experiences and the health issues you've been facing. Let's break down your worries and provide some clarity on the risks involved.

1. Risk of HIV and Syphilis Transmission: The transmission of HIV and syphilis primarily occurs through direct contact with infected bodily fluids, such as blood, semen, vaginal fluids, and breast milk. In your case, the use of a friend's eyebrow razor does pose a theoretical risk, especially if there was any blood present. However, the risk of transmission in such a scenario is generally considered low, particularly if there was no visible bleeding. HIV is not easily transmitted through casual contact, and it requires specific conditions for transmission to occur. The same applies to syphilis, which is typically spread through direct contact with syphilitic sores. If you did not have any open wounds or cuts during the eyebrow grooming, the likelihood of infection is minimal.

2. Symptoms and Skin Conditions: The symptoms you describe, such as itching and the presence of red patches or bumps on your skin, could be related to a variety of dermatological conditions rather than sexually transmitted infections (STIs). Conditions like psoriasis, eczema, or even allergic reactions can cause similar symptoms. It's essential to consult a dermatologist for an accurate diagnosis and appropriate treatment. The presence of dry, itchy skin does not necessarily indicate an STI, especially if there are no sores or lesions that are characteristic of syphilis or other STIs.

3. Throat Symptoms and General Health: The itchy throat and feelings of potential illness you mentioned could be attributed to seasonal allergies, a common cold, or other non-STI related infections. It's important to monitor these symptoms and seek medical advice if they persist or worsen.
4. Concerns About Transmission to Partners: Since you have a fixed sexual partner, it's natural to worry about the implications of any potential infection. If you are concerned about HIV or syphilis, the best course of action is to get tested. Regular testing is crucial for sexually active individuals, especially when there are concerns about exposure. If you test negative, you can reassure your partner and continue to practice safe sex to minimize any risks.

5. Mental Health and Anxiety: It's also worth noting that anxiety about health and potential infections can exacerbate physical symptoms. If you find that your worries are affecting your daily life, consider speaking with a mental health professional. They can help you manage anxiety and provide coping strategies.

In summary, while your concerns are valid, the actual risk of HIV or syphilis transmission from the scenario you described is low, especially if there were no visible signs of blood or open wounds. However, if you are experiencing persistent symptoms or have ongoing concerns, it is advisable to seek medical advice, get tested, and consult with a healthcare professional who can provide personalized guidance based on your health history and current symptoms. Regular check-ups and open communication with your partner about sexual health are key to maintaining both your health and theirs.

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