Cold Sexually Transmitted Diseases (STDs)
Hello, doctor.
I would like to ask you a question.
I had sexual contact with a sex worker, and I used a condom throughout the entire encounter, including oral and vaginal sex.
However, the next day I developed a fever and shoulder pain.
I went to see a doctor, and the fever subsided, but my lymph nodes were not swollen.
Is it possible that I could be infected? I also asked the sex worker, and they said they are healthy.
Can symptoms appear this quickly? Thank you.
Xiang, 20~29 year old female. Ask Date: 2022/01/10
Dr. Chen Jiansheng reply Urology
It is recommended to undergo a comprehensive blood test.
Reply Date: 2022/01/10
More Info
When it comes to concerns about HIV transmission and other sexually transmitted infections (STIs) after engaging in sexual activities, it’s important to understand the risks involved, even when precautions like condom use are taken. Your situation, where you engaged in sexual activities with a sex worker while using condoms throughout, is a good practice for reducing the risk of HIV and other STIs. However, there are still nuances to consider.
Firstly, using condoms consistently and correctly is one of the most effective ways to prevent the transmission of HIV and STIs. Condoms act as a barrier that prevents bodily fluids, which may contain the virus, from coming into contact with mucous membranes. However, it’s crucial to ensure that the condom is not damaged during use and that it is used properly throughout the entire sexual encounter.
In your case, you mentioned experiencing symptoms such as fever and shoulder pain the day after the sexual encounter. These symptoms can be concerning, but they do not necessarily indicate an HIV infection. The acute HIV infection phase typically occurs 2 to 4 weeks after exposure, and symptoms can resemble those of the flu or other viral infections, including fever, fatigue, and body aches. However, since you experienced these symptoms the very next day, it is less likely that they are related to HIV, especially since you used condoms throughout the encounter.
It’s also worth noting that the individual you engaged with stated they were healthy. While this is reassuring, it’s important to remember that not all STIs are symptomatic, and individuals can carry infections without showing signs. Therefore, it’s always a good idea to get tested after any new sexual encounter, especially if there are concerns about exposure to STIs.
Regarding your symptoms, fever and shoulder pain can be caused by a variety of factors unrelated to HIV, such as a common viral infection, stress, or even a reaction to something else entirely. The absence of swollen lymph nodes is also a positive sign, as lymphadenopathy is often associated with acute HIV infection.
If you are still concerned about your health or potential exposure to HIV, it is advisable to consult a healthcare provider for testing. Testing for HIV can be done as early as 2-4 weeks after exposure, but for conclusive results, it is recommended to wait at least 3 months. Additionally, if you are experiencing persistent symptoms, a healthcare professional can help determine the underlying cause and provide appropriate treatment.
In summary, while your use of condoms significantly reduces the risk of HIV transmission, it is still wise to remain vigilant and get tested if you have any concerns. Symptoms like fever and body aches can arise from many causes, and it’s best to seek medical advice to ensure your health and peace of mind. Regular STI screenings and open communication with sexual partners about health status are essential components of maintaining sexual health.
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