Could I Have Contracted HIV? Risks After Sexual Encounter - Urology

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Have you contracted HIV?


Over a month ago, I engaged in sexual activity with another male, where we performed oral sex on each other.
The other person attempted to penetrate me anally without a condom, but only the glans made slight contact.
Afterward, I contracted genital warts and urethritis, for which I have received medical treatment.
However, I have been experiencing persistent diarrhea.
Recently, I also feel a sensation of something stuck in my throat and occasionally have difficulty breathing.
Could this be a sign of HIV? I apologize for bothering you, doctor, and I appreciate your response.
Thank you.

Liao Xiansheng, 20~29 year old female. Ask Date: 2015/12/10

Dr. Xu Weikai reply Urology


Mr.
Liao: Hello, in Taiwan, the prevalence of HIV combined with condyloma and urethritis is quite high.
It is recommended to seek medical attention as soon as possible for expert diagnosis and treatment.
If there are any unclear points, feel free to ask again for further discussion and research.
Responses on the internet should only be used as a reference; it is essential to visit a healthcare facility for proper medical care.
This message is from the Department of Urology, Taitung Hospital, Ministry of Health and Welfare, responding on behalf of Dr.
Hsu Wei-Kai.

Reply Date: 2015/12/10

More Info


When it comes to concerns about HIV transmission following sexual encounters, it's essential to understand the risks involved, the symptoms that may arise, and the importance of timely testing and treatment.
Based on your description, you engaged in oral sex and had some degree of anal penetration, albeit not fully. The risk of HIV transmission varies depending on several factors, including the type of sexual activity, the presence of cuts or sores, and the HIV status of your partner. Oral sex is generally considered to carry a lower risk of HIV transmission compared to anal or vaginal intercourse, but it is not risk-free, especially if there are open sores or bleeding gums involved.
Regarding your specific situation, if your partner is HIV-positive, the risk of transmission through oral sex is significantly lower than through anal sex. However, any unprotected anal intercourse, even if it is just the tip, does carry a risk. The exact percentage of risk can vary widely based on individual circumstances, but studies suggest that receptive anal intercourse has a higher transmission rate compared to oral sex.

You mentioned experiencing symptoms such as persistent diarrhea, a sensation of something in your throat, and occasional difficulty breathing. While these symptoms can be concerning, they are not specific indicators of HIV infection. Early HIV infection may present with flu-like symptoms, but many individuals do not exhibit any symptoms at all during the acute phase. The symptoms you are experiencing could be related to other conditions, such as sexually transmitted infections (STIs) like gonorrhea or chlamydia, which you mentioned you have been treated for, or they could be unrelated to any sexual activity.

The most crucial step you can take is to get tested for HIV. The window period for HIV testing is typically around three months, during which time the virus may not be detectable even if you are infected. However, if you are experiencing significant anxiety or symptoms, it may be beneficial to consult with a healthcare provider sooner. They can provide guidance on appropriate testing and may recommend an early test, along with follow-up testing at the three-month mark.

Additionally, if you are feeling overwhelmed or having thoughts of self-harm, it is vital to seek support. Mental health is just as important as physical health, and talking to a professional can help you navigate these feelings.
In terms of prevention for the future, consider using condoms consistently and correctly during all sexual encounters, as they significantly reduce the risk of HIV and other STIs. Regular testing for STIs, including HIV, is also recommended, especially if you have multiple partners or engage in high-risk behaviors.

In summary, while your symptoms may be concerning, they are not definitive indicators of HIV. The best course of action is to get tested and seek medical advice for both your physical and mental health. Remember, you are not alone in this, and there are resources available to help you through this challenging time.

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