What tests should be performed?
I have some questions for Dr.
Hsu.
Under the encouragement of a friend, I tried a partial sexual encounter once, but there was no kissing or oral sex; it was just the other person licking my body and back (I have eczema, so my skin is poor), and I completed ejaculation using my hands and legs.
Afterward, I have been consumed by the fear of sexually transmitted infections (STIs) and have researched a lot, which only made me more terrified.
My questions are: What tests should I undergo to rule out STI infections? Is hepatitis considered an STI? What hepatitis tests should I get? When should I get tested? A urologist mentioned that a panel could be done in three weeks; is that correct? I really regret trying that once...
the psychological pressure is overwhelming.
wen, 30~39 year old female. Ask Date: 2010/05/06
Dr. Xu Weikai reply Urology
Question: Hello, this type of sexual activity should not lead to a sexually transmitted infection (STI).
However, if you are concerned, you can get tested after three months.
As for the specific tests, it is important to discuss them with your physician.
There are many types of STIs, and not all can be screened; it depends on whether there are symptoms and the nature of exposure.
Hepatitis can also be transmitted through sexual activity.
If you have any further questions or need clarification, feel free to ask again for further discussion.
This response is provided by Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Department of Health, Executive Yuan.
Reply Date: 2010/05/06
More Info
After engaging in risky sexual behavior, it's completely normal to feel anxious and concerned about potential sexually transmitted diseases (STDs). The first step in addressing your concerns is to understand which tests are essential and when to get them done.
Essential STD Tests
1. HIV Testing: Given the nature of your encounter, testing for HIV is crucial. The recommended testing methods include:
- 4th Generation HIV Combo Test: This test detects both HIV antibodies and the p24 antigen. It can typically provide accurate results as early as 2-4 weeks after exposure, but for the most reliable results, testing at 6-12 weeks is advised.
- RT-PCR Test: This test detects the virus itself and can provide results as early as 10-14 days post-exposure. However, it is more expensive and not always necessary unless there are specific concerns.
2. Hepatitis Testing: Hepatitis A, B, and C are considered sexually transmitted infections, particularly Hepatitis B and C. Testing for these viruses is important, especially if you have engaged in behaviors that could expose you to blood or bodily fluids.
- Hepatitis B Surface Antigen (HBsAg): This test checks for active Hepatitis B infection.
- Hepatitis C Antibody Test: This test determines if you have been exposed to Hepatitis C.
- Hepatitis A Antibody Test: While Hepatitis A is less commonly transmitted sexually, it can occur, particularly in certain high-risk groups.
3. Other STDs: Depending on your sexual history and the specific activities you engaged in, you may also want to consider testing for:
- Syphilis: A blood test can detect syphilis infection.
- Gonorrhea and Chlamydia: These can be tested through urine samples or swabs from the genital area, throat, or rectum, depending on the nature of the sexual activity.
When to Get Tested
- Initial Testing: You can start with an initial test at about 2-4 weeks after the encounter. This will include the HIV Combo Test and Hepatitis tests.
- Follow-Up Testing: It is recommended to have follow-up testing at 3 months for HIV and other STDs to confirm negative results, as some infections may not be detectable immediately after exposure.
Psychological Impact
It's important to acknowledge the psychological stress that can accompany fears of STDs. Many people experience anxiety after risky encounters, and it can be helpful to talk to a healthcare professional or a counselor about your feelings. They can provide support and help you manage your anxiety.
Conclusion
In summary, after a risky sexual encounter, it is essential to get tested for HIV, Hepatitis B and C, and other STDs based on your specific activities. Initial testing can be done at 2-4 weeks, with follow-up testing at 3 months for the most accurate results. Remember, taking proactive steps to get tested is a responsible way to manage your sexual health and alleviate anxiety. If you have any further questions or concerns, don't hesitate to reach out to a healthcare provider for guidance.
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