The incidence rate of HIV/AIDS and sexually transmitted infections (STIs)?
I recently returned from Thailand with a friend, where we had a Thai bath on February 26.
During the shared bath, I used a condom and did not kiss; I only stimulated my partner's nipples.
After returning, I noticed some itching at the tip of my foreskin (I have phimosis), but the itching has subsided.
However, I also have some itching in my groin area, which is quite red with some small bumps that might be eczema; I occasionally experience itching there as well.
I do not have a fever or any other discomfort.
Am I at risk of contracting HIV or other sexually transmitted infections?
Xiao Di, 20~29 year old female. Ask Date: 2016/03/08
Dr. Li Xinyi reply Urology
It sounds like there may not be an issue.
However, if you are unsure, it is advisable to see a urologist for an examination to find out for certain.
Reply Date: 2016/03/08
More Info
When it comes to understanding the risks of sexually transmitted diseases (STDs) after engaging in activities such as a Thai bath, it's essential to consider various factors that contribute to the likelihood of infection. Based on your description, you participated in a shared bathing experience and engaged in sexual activities, including protected intercourse but unprotected oral sex.
Firstly, it is important to note that the risk of contracting HIV (the virus that causes AIDS) through oral sex is generally lower than through vaginal or anal intercourse, especially if there are no open sores or bleeding gums in the mouth. However, the risk is not zero, particularly if the partner has an STD or if there are any cuts or abrasions in the mouth or on the genital area.
Regarding your symptoms, such as itching and redness in the genital area, these could be indicative of several conditions, including a mild allergic reaction, irritation from friction, or a skin condition like eczema or dermatitis. It is also possible that these symptoms could be related to a sexually transmitted infection (STI), especially if there was any exposure to an infected partner.
The fact that you experienced some itching and redness after your trip does warrant attention. While it is unlikely that you contracted HIV given the precautions you took (using a condom during intercourse), other STIs such as gonorrhea, chlamydia, or herpes could still be a concern, especially since you engaged in unprotected oral sex. Symptoms of these infections can sometimes be mild or even absent, which is why regular testing is crucial if you have engaged in any risky behavior.
In terms of the specific questions you raised:
1. Risk of HIV: The risk of contracting HIV from the activities you described is relatively low, especially since you used a condom during intercourse. However, unprotected oral sex does carry some risk, particularly if the partner has an STD.
2. Symptoms and STIs: The itching and redness you are experiencing could be due to various reasons, including irritation, an allergic reaction, or an STI. It is essential to consult a healthcare provider for a proper evaluation and testing.
3. Presence of HIV in Inorganic Materials: HIV does not survive long outside the human body and cannot be transmitted through inanimate objects. Therefore, the risk of contracting HIV from surfaces or materials that are not biological fluids is negligible.
4. Allergic Reactions to Condoms: Some individuals may have allergies to latex or other materials used in condoms, which can lead to irritation or allergic reactions. If you suspect this might be the case, consider using non-latex condoms in the future.
5. When to Seek Medical Attention: Given your symptoms, it would be prudent to see a healthcare provider, preferably a urologist or a specialist in infectious diseases. They can perform the necessary tests to rule out STIs and provide appropriate treatment if needed.
In conclusion, while your risk of contracting HIV appears to be low based on your description, it is still important to monitor your symptoms and seek medical advice. Regular testing for STIs is recommended for anyone who engages in sexual activities that may pose a risk. Taking proactive steps in your sexual health can help ensure your well-being and peace of mind.
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