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Harm reduction


Hello Dr,
I met this girl online and on Jan 31 we decided to meet, We were talking in the car and got carried away ... and the next thing I know is she is stroking my penis and is rubbing her crotch. I figured her with my right hand and after a while, i used my left hand on me until I came. We met again a couple of days after and repeated the act and, this time, she also gave a blow job ....I had a condom on. she then took off my condom and gave a handjob till I came ... on both occasions we sanitized our hands before and after the act ... I also made sure I did not touch my penis.. until I came home again .. rubbed it with alcohol and disinfectant ... now couple of days ago I woke up in the night with sweat... my blanket and bed was soaked (it was a little hot in the room ) .but it never happened to me before .. and I also think I have body ache and headache (I could be imagining) .... my bowel moment is semi-solid ...kinda not normal .when I go through the various blogs ..I see all the symptoms are a match .Dr am I affected with HIV? I had no penetrative sex... but her vaginal fluids might have contacted my penis shaft ....

Sucking nipple

Hi!. My case is this, I hope you can help me with it:
I put a nipple in my mouth (from a sexworker) for a couple of seconds (I didn't suck it or bite). A few minutes later she pinched her nipple and a little drop of white liquid came out (I didn't put her nipple in my mouth anymore). In that moment I didn't had open wounds in my mouth, but I don't know if my gums were bleeding (sometimes do when I toothbrush). What's the risk in my case?

Test results conclusive? Throat swab versus urine test for bacterial STD.

I had a low risk exposure on 30th of October 2015 and proceeded to be tested for HIV, Hep B and C, chlamydia and gonorrhoea at 6 weeks at my local health centre.

These were all negative. I then went back at 12 weeks to get a Hep B and C check again and at 13 weeks to get a final HIV test.

These were all negative.

Would these all be conclusive particularly chlamydia and gonorrhoea. The healthcare nurse said this should be easily detectable by 6 weeks.

My exposure was performing unprotected cunnilingus and receiving unprotected fellatio. The test was a PCR amplification test from urine. Recently I had sore throat so worried that they did not take a swab from the throat as well as the urine. A ENT doctor gave me a course of treatment for general inflammation of the throat. This included antibiotics as well general anti-microbial troches and anti-inflammatories and tablets to reduce acid reflux from the stomach.

Do you think it is worthwhile to return to the doctor to take a swab from throat or if there was any chlamydia or gonorrhoea in the throat, the broad-spectrum antibiotics would have killed it.

Thank you for help

HIV after laundry to the wound

Hello! I am sorry, I have a question...
The really bad situation had happened to me. There was a bbq party and I got a little cut on my finger,
after that I took the bottle of vodka and i tried to desinfected the wound, so I washed my finger with vodka,
then I took a towel and pressed the towell to my finger, but later I found out the towell that I had taken just from the laundry wasn' t clean enough, there was an old dried and washed blood stain on it...
the question is next:
1)Is that situation dangerous?
2)Is testing required?
I know...I heard that air and laundry washing dergent could kill the virus,
but what about the blood-to-blood contact, there was a real blood-to-blood contact! despite to the fact that the blood on the towell was dried and washed. Please help me, give me the suggestion.
Thank you

HIV masturbation?

Hi I recently met a lady, and we did the following
1. She gave me a handjob
2. I masturbated on her buttocks ( but did not enter her anally)
3. I masturbated between her breasts.
I know one can't get hiv this way, but is there still a possibility and should i get tested? Or am I just being anxious?


Thanks for your good selfless works and saving lives. I will be brief and precise. I had sex with three CSW same night with condoms. However, on each occasion, i realized that the condom had partially slipped off when I withdraw. It slips off up to the middle of my penis and in one occasion almost 60% off, but never slipped off completely.

Also, one of the CSW gave me brief oral without condom for like 3 minutes.

Now, 5 days after the act, I have high fever (37.9 deg F, sore throat, runny nose, cough)

I have few questions:

1.Did I put my self at risk on any of these acts above. I know CSW are not necessarily higher risk than anyone else.
2. Can these be ARS symptoms? Can the symptoms come so early?
3. Do I need to test specifically for this act. I recently did HIV testing as required for my job annually..

Thanks a lot for your help. Dying of fear.

Docking/frottage versus anal sex


There has been a question bothering me for some time. I did already some research but couldn't find a correct answer.
I've read that the risk of getting HIV by jerking each other (man&man) is negligible. Also docking and frottage, where precum (or even cum) gets in contact with your or the other one's urethra, would be a negligible risk?

Now I'm wondering... Why is there such a bigger risk envolved with anal sex? Because the dick (and urethra) of the top boy also gets in contact with blood that contains HIV. It's about the same risk you do as with jerking each other, right? Because also fluids that contain HIV gets in contact with the urethra.

I've also read that still while jerking each other, there is a negligible risk that you get infected if your partner rubs precum or sperm on the urethra. Or is this totally wrong? If correct... Why is anal sex then such a bigger risk? Because it's about the same... Blood that gets in contact with your urethra.

The main question I don't understand is how a top can get infected. Because people are saying that the urethra is no way to get infected?

Thanks in advance


Please Assess My HIV Risk Exposure

On December 30th my boyfriend and I tried to have sex. The intercourse was protected, there was no oral/anal action at all. While he had his condom on he failed to achieve full erection, therefore, could not fully penetrate me (only for 10 sec or less). There was no ejaculation either. I did not know his HIV status though he claimed to be a virgin. 3 weeks later I have been experiencing cold like symptoms, low grade fever for a day, fatigue, joint pain and headaches. Are these signs of seroconversion? Should I get tested and what kind of test should I choose now? Antibody or Antigen?
Any input would be greatly appreciated.

My BF turned out to be POZ


Sorry about my post being too long but I have somewhat specific situation and I have not found the info on the net that would calm me down even though I ve been reading about HIV in the past 5-6 weeks.I have been through probably the worst few weeks of my life so far (and Im not trying to be dramatic). I have several questions and this forum seems the best place to bring it up.

So I am dating a guy since August who claimed to be negative as his test in June was negative. I was still insisting that he did a recent test as I also did one myself. On 17 Dec he turned out to be HIV positive and admitted having a risky encounter back in May (which his June test did not pick up). He was also devastated by the news so I believed him and stayed with him as I really didnt/dont want this to be any reason for a break up. However, this situation is not easy especially that I am still not sure about my status.

We had more and more unprotected sex as time passed in our relationship since I started to become more confident with him. I was bottom 100% of the time and I would say we had maybe 10% unprotected, never with ejaculation though. Since it is a distance relationship the encounters were on a 2-3 week basis. The last risky unprotected encounter was on 13 Dec. I was tested negative on 18th Dec right after he told me the bad news (I was already too late for PEP). On 2 Jan we had an unfortunate condom accident after which I immediately started PEP and I am currently doing it. Basically we found something whitish on the outside of the condom.

I was tested negative again before the PEP started on 2nd Jan (3 weeks after last unprotected encounter) and on the 18th Jan (5 weeks after unprotected sex and 2 weeks into PEP). About a week before my last test I had very bad flu like symptoms (sore throat, headache, shivering, sweating, swollen glands) but it faded away as quickly as it came within 24 hours.
My test centre uses 4th generation testing. I am confused a bit about the effect PEP has on the results.

So my questions are:

1. If I was tested negative on my last test 5 weeks after the last unprotected encounter but 2 weeks into PEP can I take it more or less accurate or the 2 week PEP alters this? (I know about PEP altering the test but my case is again somewhat special as the 3 weeks could have been enough to produce enough antibodies, right? Or the PEP can also reduce the number of such antibodies over time?) The last unprotected encounter worries me much more than the condom accident. So if I can somehow be sure about that encounter I will feel much better.

2. Should the symptoms I had for only 24 hours worry me?

3. My HIV specialist foresees the next test on 11 Feb (5.5 weeks after starting PEP and almost 9 weeks after last unprotected sex). Is this a correct time? Can I sleep better after this test in case it is neg?

4. I really dont want this to be a reason for break up as I love my BF and I want to be there to help him through these very bad times he is going through (he started the ART 10 days ago, and he is going through depression - me being the only one he can rely on). But I cannot live my life continuously taking PEP. Is there anyone here who is in a mix-status relationship? It would be great to hear some good practices we should get used to in order to live happy in such a relationship. (of course he sticks to his medication regimen, fortunately so far no side effects and he is also very worried about my status, and he loves me too :) ).

That's the story. Thanks a lot for reading and for all the info you may have.

Risk of HIV Transmission

Hi all,

I am extremely stressed and I am seeking for some advice. A couple of years back I had a mid-life crisis and used the services of several professional sex workers (both women and transsexual). I am married and have kids, but I guess it was a crazy moment (which I deeply regret) and made some bad choices.

All sex was always protected. In some occasions I bottomed, but it was at most for a couple of minutes and never more than 2 or 3 inches deep as was not comfortable. There was never ejaculation from the top in those encounters and they were quite brief. Once with a women a condom broke for a few seconds and we replaced it immediately (I don't think it was more than 30 secs). I am circumcised.

This behavior lasted for a while and then was abandoned completely almost a year ago.

A bit more than a month ago my wife came with an HPV in her pap and somehow started to read again about HIV. Since then, I can't take it out of my head. The more I read on the web, the more anxiety I get. Even though at the time I thought I practiced sex as safe as I could now I get all kinds of second thoughts and can't stop stressing over this. I am experiencing a lot of anxiety, specially thinking about the family impact this may have.

All these episodes happened about 2 years ago and I have been looking through everything that I have to search for flu / cold and the similar (especially close to an encounter). I only had one flu that was quite bad, but only for about 2 days (no rashes, no chills, no muscle pain). The year before that I had a bad cough that ended up in pneumonia (both events around November) - in this case never been in bed and working all the time through it.

Experts, what is your risk assessment of the situation described above? Do symptoms look like ARS? I am freaking out and would love to read what experts in the subject have to share about my situation.

Thanks a lot in advance!


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