Possible HIV infection or what

[minguelh]

Hi,
I have a long story here a couple of years ago I had a exposure with a sex worker (Latin america) which had a piercing on her tongue. She performed Oral sex on me while putting her piercing in Urethral opening to show me her piercing how nice it was after this she performed 20 sec of the oral sex and stop cause she saw white bumps on corona of my penis. After this we has protected sex. This all happened around 5 o'clock in the morning now the same day at 4 o'clock in the afternoon I have started to feel really sick. I had severe sore throat, pain in abdomen and high fever which lasted until the next day. I went to doctor where he check and did not see anything which was causing the severe sore throat which was still present together with a fatigue feeling. Next day same thing I went to the doctor for the severe throat on which he could find anything he prescribe me some  throat lozenges which made the throat become better on which i was feeling better and went work the next day. Now today almost 3 years later i have red color in the center of my tongue which is become less visible and i have found some white spots (lines) on the left side of my cheeks additionally I have lots of mucus with cough (not heavy) and some abdominal pain (which has gone already after 3 days). But what i still have is the slight red spot on my tongue and with once in  while a small white spot in my mouth on my cheek, when i remove the white spot i got an red ulcer with slight white border. Additionaly since last year I notice 1 small (really small) wart on the shaft of my penis.

1. Now can these after 3 years symptoms be sign of HIV? (everything online says it's HIV since i don't any of the other possible causes they are reporting)
2. Was the sore throat be sign of initial (acute) HIV?

I am trying to understand because everything online relates to HIV, that's why i went back to summarize what happen with my only possible exposure and posted it in a professional forum instead of keep googling? I do remember everything because i normally don't get Sick for years.

Hope you can elaborate a little on the questions.

Thanks for the support you guys are giving to the world.

[Teak]

See your doctor if you are concerned about signs and symptoms, they have nothing to do with HIV.

[minguelh]

Ok, Teak thanks a lot for the good summary. Now based on your knowledge what else would you suggest i check for the:
- white that showed up on my inside cheek (this is the second time i see one in 2 weeks)
- slight red spot in the middle of the tongue;
-Cough with excise green mucus?

Thanks

[Teak]

No incident HIV infections among MSM who practice exclusively oral sex.
Int Conf AIDS 2004 Jul 11-16; 15:(abstract no. WePpC2072)??Balls JE, Evans JL, Dilley J, Osmond D, Shiboski S, Shiboski C, Klausner J, McFarland W, Greenspan D, Page-Shafer K?University of California, San Francisco, San Francisco, United States

Oral transmission of HIV, reality or fiction? An update
J Campo1, MA Perea1, J del Romero2, J Cano1, V Hernando2, A Bascones1
Oral Diseases (2006) 12, 219–228

AIDS: Volume 16(17) 22 November 2002 pp 2350-2352
Risk of HIV infection attributable to oral sex among men who have sex with men and in the population of men who have sex with men

Page-Shafer, Kimberlya,b; Shiboski, Caroline Hb; Osmond, Dennis Hc; Dilley, Jamesd; McFarland, Willie; Shiboski, Steve Cc; Klausner, Jeffrey De; Balls, Joycea; Greenspan, Deborahb; Greenspan
Page-Shafer K, Veugelers PJ, Moss AR, Strathdee S, Kaldor JM, van Griensven GJ. Sexual risk behavior and risk factors for HIV-1 seroconversion in homosexual men participating in the Tricontinental Seroconverter Study, 1982-1994 [published erratum appears in Am J Epidemiol 1997 15 Dec; 146(12):1076]. Am J Epidemiol 1997, 146:531-542.

Studies which show the fallacy of relying on anecdotal evidence as opposed to carefully controlled study insofar as HIV transmission risk is concerned:

Jenicek M. "Clinical Case Reporting" in Evidence-Based Medicine. Oxford: Butterworth–Heinemann; 1999:117
Saltzman SP, Stoddard AM, McCusker J, Moon MW, Mayer KH. Reliability of self-reported sexual behavior risk factors for HIV infection in homosexual men. Public Health Rep. 1987 102(6):692–697.Nov–Dec;

Catania JA, Gibson DR, Chitwood DD, Coates TJ. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior. Psychol Bull. 1990 Nov;108(3):339–362.

There is no debate (among experts) about the HIV risks associated with oral sex. The risk is so low that almost nobody who cares for HIV infected patients has ever had a patient believed to have been infected that way. Among experts, it's a semantic issue about using terms like "no risk" and "very low risk". There is no difference between my or Dr. Hook's use of "low risk" and other experts' "no risk".
DR. HANSFIELD

"And oral sex is basically safe sex -- completely safe with respect to HIV and although not zero risk for other STDs, the chance of infection is far lower than for unprotected vaginal or anal sex. Please educate yourself about the real risks. If you stick with oral sex and condom-protected vaginal or anal sex, you have no HIV worries and very little worry about other STDs. " DR HANSFIELD

"I am sure you can find lots of people who believe that HIV is transmitted by oral sex, but you will not find scientific data to support this unrealistic concern..." DR HOOK

"HIV is not spread by touching, masturbation, oral sex or condom protected sex."- DR. HOOK

in the public HIV Prevention forum of MedHelp, TEAK and the other moderators maintain that oral sex in all forms is a zero risk activity. Would you agree with this assessment?
I TOTALLY AGREE / DR GARCIA
"HIV is not spread by masturbation, through oral sex, through kissing or other casual contact." Dr. Hook
"The observation on thousands and thousands of observations is that HIV is not spread by oral sex (of any sort)." DR HOOK
"I would not say your risk ,if he had HIV is "slim to none"- that's too high.  I would say they are effectively zero.  How much of his ejaculate or other genital  secretions you may have swallowed makes no difference.  EWH "
"As far as HIV is concerned, there is no known risk of getting HIV from performing oral sex on an infected partner, even if that person's genital secretions get into your eyes or if you swallow." Dr.Hook
HIV is not spread by oral sex, giving or receiving, even if sores, gum disease or blood is present
DR HOOK

[minguelh]

Teak this is from the CDC see below which is the information www.thebody.com uses.
http://www.thebody.com/content/30024/hiv-transmission.html?getPage=2#q6

[Teak]

We can't help what incorrect information you obtain from other websites.

[minguelh]

Ok, but on different sites i was looking last night they consider this as a possible risk. For example http://www.thebody.com/ I am not anxious but i just want to understand

Additionally if there was blood present when she was putting her piercing in my Urethral opening? would this post a possible exposure? Aren't these symp. related to HIV?

[Teak]

HIV is not transmitted by oral sex.

[minguelh]

No exposure?
So symptoms are not relevant to HIV? Or are they to soon? Is there a reason why you conclude this?

Thanks

[Teak]

You never had an exposure.