Oral Sex - ARS

[ales666]

Dear Doctor

Sorry English. I hope you understand.

Already posted in the community, but my anxiety brought me here. I need a professional to make a rational analysis and technical case, because I am excited and destroyed by guilt.

I received unprotected oral sex and rimming a person who for reasons I consider to be HIV+.  Lasted at most 10 minutes.

In another week, to prevent chlamydia and gonorrhea (no symptoms), I used Ciprofloxacin 500mg / Azithromycin 1.5 g single dose.

Maybe it's my stupidity, but I was afraid of ARS. 4 weeks later I had a fever for three days with the following characteristics:

- Headache: Strong
- Rash: NO
- Muscle pain and bone: No
- Lymph nodes: No (Reviewed by doctor)
- Sore Throat: No (Normal, Analyzed by doctor)
- Diarrhea: NO

I had a headache and went to the hospital. The doctor requested blood test (CBC), CRP and everyone within range (Reviewed by doctor). My penis and anus has no wounds and burning (normal).

Questions:

1) This fever has any chance of being ARS?
2) Should I get tested for HIV on account of this episode? (I tested negative to two months)
3) Can I have unprotected sex with my girlfriend?

Never commit this mistake again.

Sorry English.

Thanks!

[Edward W Hook, MD]

No need to repeat the test.  No need for worry.  No reason not to return to your monogomous relationship without concern related to the exposure you wrote about. EWH

[Edward W Hook, MD]

Welcome to our Forum.  I would urge you not to worry about ARS or even the possibility of HIV related to the exposure that you describe.  HIV is not spread through giving or receiving oral sex.  The quoted figure for HIV risk, if one has oral sex with an infected partner is less than 1 in 10,000 and, in my estimation that is too high. Some experts state there is no risk at all from oral sex.  Neither of us on this site have ever seen or reading the medical literature of a convincing instance in which HIV was passed by oral sex.  

Furthermore, your symptoms do not match well with the classical ARS which includes rash, swollen lymph nodes, muscle aches, etc.  It is statistically far, far more likely that your sore throat was simply one of the typical, non-HV, non-STD viral sore throats that most people get from time to time and was completely unrelated to your sexual exposure.  

Thus, in answer to your questions:
1.  No, this does not sound at all like ARS.
2.  No, there was no need to get tested. Further, if you had a test at 8 weeks (2 months) this serves to prove what I just said since 8 week test results should be considered definitive.
3.  There is no risk for HIV or other STDs to your GF related the exposure you describe.

I hope my comments are helpful. EWH

[Edward W Hook, MD]

No!  EWH

[Edward W Hook, MD]

You didn't need to test.  The result is as predicted. I repeat, the exposure you describe did not put you at risk for HIV. EWH

[ales666]

I was scared, and did a test 5 weeks, one week after symptoms. HIV and syphilis were negative.....

[ales666]

Thanks, Doc!

[ales666]

Thanks Doc!

I'm from South America and my English is bad.

I expressed it badly, my throat is okay. No problem. Only fever and headache for three days.

The test was two months before the episode, a routine examination. Except for this episode, there was no additional risk.

My final questions: Need to repeat the test now? Any reason to worry? Can I return my monogamous relationship without risk?