Urological Concerns: HIV Anxiety and Infection Questions - Urology

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I am about to experience HIV-related depression?


Hello! I had an encounter with a hotel staff member on March 10.
A week later, I woke up to find a clear, white discharge from my urethra.
A few days later, I started experiencing pain and itching while urinating.
I visited two hospitals (Taichung Hospital and China Medical University Hospital).
China Medical University Hospital diagnosed me with a Chlamydia infection, while Taichung Hospital only mentioned a bacterial infection.
Both my girlfriend and I took antibiotics.
On April 2, I had a blood test at Taichung Hospital and noticed blisters on my lips, but the doctor said they were not caused by HIV or syphilis.
On April 8, the doctor at Taichung Hospital said my blood tests were normal, and my urine tests were also normal, so the doctor advised that I did not need further testing.
However, starting April 15, I felt something unusual with my right testicle and urination, so the doctor prescribed me antibiotics again.
I have the following questions:
1.
There is a so-called window period for HIV.
Although the doctors at Taichung Hospital and China Medical University Hospital said I do not need to return, should I still get tested again in three months? (Was the test done at Taichung Hospital an RT-PCR test?)

2.
After taking antibiotics, I experienced dizziness and diarrhea.
Is this normal?
3.
Can Chlamydia infections recur (if I only have sexual relations with my girlfriend)? Is it possible to completely cure it?
4.
After my encounter with that woman, I noticed hair loss (which I did not experience before).
Could this be related to a sexually transmitted infection?
5.
I read online that if oral diseases (the doctor did not specify what kind) do not improve after two weeks, it could be a sign of HIV.
Is this correct? (It has been 17 days with no improvement), and I have been coughing and having a cold.
I am very worried about these issues, but the doctor said I am fine, so I don't know who to turn to.
I hope you can help me with these questions.
Thank you!

Aben, 20~29 year old female. Ask Date: 2004/04/19

Dr. Liu Jianting reply Urology


It is indeed a sexually transmitted infection, but it shouldn't be AIDS! It's just a common bacterial urinary tract infection.
If the acute phase is not completely treated, it could potentially develop into chronic prostatitis, which may require a longer course of medication.
If there are any issues, go directly to the hospital for a doctor's examination!

Reply Date: 2004/04/19

More Info


Hello! Thank you for reaching out with your concerns regarding HIV anxiety and related urological issues. It’s understandable to feel anxious after potential exposure to sexually transmitted infections (STIs), especially given the complexities surrounding HIV. Let’s address your questions one by one.

1. Window Period for HIV Testing: Yes, there is a window period for HIV testing, which is the time after potential exposure during which the virus may not be detectable in the blood. Generally, it is recommended to get tested for HIV at least 3 months after a potential exposure to ensure accurate results. The test you underwent at Taichung Hospital may have been an RT-PCR test, which detects the virus itself, but it’s important to confirm with your healthcare provider. If you have any lingering concerns, it’s wise to follow up with another test at the 3-month mark.

2. Side Effects of Antibiotics: It’s not uncommon to experience side effects from antibiotics, including dizziness and diarrhea. Antibiotics can disrupt the natural balance of bacteria in your gut, leading to gastrointestinal symptoms. If these symptoms persist or worsen, it’s advisable to consult your healthcare provider for further evaluation.

3. Chlamydia (披衣菌) Infection Recurrence: Chlamydia can be effectively treated with antibiotics, and if both you and your girlfriend have been treated, the risk of reinfection is low, provided that both partners are not engaging in sexual activity with others. However, it’s crucial to ensure that both partners complete the full course of treatment and abstain from sexual activity until the infection is fully cleared.

4. Hair Loss Concerns: Hair loss can be caused by various factors, including stress, hormonal changes, or nutritional deficiencies. While STIs can lead to systemic symptoms, hair loss is not typically a direct consequence of an STI. If this is a new symptom for you, it may be worth discussing with a healthcare provider to explore potential underlying causes.

5. Oral Health and HIV Anxiety: It’s important to note that not all oral health issues are indicative of HIV. Many conditions can cause oral lesions or discomfort, and the presence of symptoms for more than two weeks does not automatically mean HIV infection. If you have persistent symptoms, it’s advisable to see a dentist or an oral health specialist for a thorough examination.

In summary, your anxiety surrounding potential HIV infection and other STIs is understandable, especially after experiencing symptoms. It’s essential to communicate openly with your healthcare providers about your concerns and symptoms. They can provide reassurance, conduct necessary tests, and help you manage any anxiety you may be experiencing.
Additionally, consider seeking support from mental health professionals if your anxiety becomes overwhelming. They can offer strategies to cope with your fears and help you navigate this challenging time. Remember, taking care of your mental health is just as important as addressing physical health concerns.
Stay proactive about your health, and don’t hesitate to reach out for help when needed. Wishing you all the best!

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