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Can HIV Be Contracted Through Sexual Intercourse?

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Posted on Wed, 15 Apr 2015
Question: its been 21 days since i had sex with a sex worker but condom torn off.. still got the fear of getting affected with hiv.. experiencing tiredness.. odour from penis after retracting the skin. size of penis is gone down... penis skin became big n covers up the penis mouth fully.. while sleeping it feels burning inside body.. i kp checking my body often for any sign and symptoms.. i had white thick dischrage from penis mouth.. had burning sensation after passing urninE but just for one day .Itching is always there.. . i took a test after 4 days of sex it hiv1&2 was non reacton 0.23 .. cd4 count was 1200.. am jus confused with all this complication of my body.. found painless bumps on tongue. I experience bad taste every morning.. hav sore or small pimple like structur on my eye lids.. pls do help..
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Screen for all STD's

Detailed Answer:
Hello. Welcome back and thank you for writing to us.

Testing for HIV just 4 days after sexual contact is a bit too early and a negative test this soon cannot rule out reliably rule out HIV.
Your CD 4 count is normal
I suggest you to take up an HIV COMBO/ DUO test at 4 weeks of sexual contact. This screening test has a high sensitivity of 99.8% at 4 weeks.

Not all unprotected sexual contacts with an HIV infected adult would result in HIV.
The chance of acquiring HIV after unprotected sex with an infected sexual partner is 1 in 2500.

The sore or pimple on eyelids could be a simple folliculitis which can happen even otherwise.

Regarding the bumps on tongue I would have been able to help you better if you would have also attached an Image.
They could be a simple aphthous ulcer/ canker sore and is not a specific sign of HIV.
You may use an antiseptic mouthwash for a few days.

As far as tiredness is concerned this is again non-specific & in no way indicates that you have acquired HIV.

Since you had a broken condom during unprotected sex therefore you must screen for all STD's like gonorrhea, chlamydia, genital herpes, syphilis as well as HIV.

Please note--An intact condom adequately protects against HIV, Gonorrhea and Chlamydia.
Genital herpes and syphilis can be transmitted even with protected sex with a condom though the risk is less as compared to unprotected sex.

You may take up a "swab test" for gonorrhea and chlamydia

Kindly also get a "Urine routine microscopy test".

Test for genital herpes is with an "HSV ELISA" and can be taken up at 4 weeks along with HIV DUO test.

Screening for syphilis is with a "VDRL/ RPR test" and can also be taken up along with HIV and Herpes testing at 4 weeks.

Itching and whitish deposition under prepuce could also be because of candidal infection/ yeast infection i.e candidal balanitis.
You may use a topical antifungal e.g clotrimazole 1%+beclomethasone 0.25% combination cream, twice daily for a week.
A single dose of an Oral antifungal e.g fluconazole would also be sufficient in curing it.

Kindly visit a dermatologist in your vicinity. Your dermatologist will examine and advice accordingly.

Please don't be anxious. Just go through the test and hope that they would be fine and that would put your mind at ease.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (30 hours later)
thank yu doctor.. !! i had a normal day... but today 3 to 4 tyms.. i had some itching n pin sensations on my bottom of my foot.... wat say back sode of the foot.. just few hrs passed yellowish urine..!!! whats r the casues of this doctor
doctor
Answered by Dr. Dr. Kakkar (11 hours later)
Brief Answer:
Nothing to worry

Detailed Answer:
Hello and welcome to healthcare magic
This is not the cause of any concern at all. You can take symptomatic treatment for itching and pin sensation, for example: tab cetrizine and you can also add vitmamin B-complex supplement once daily.
Color of urine depends on body hydration and yellow color is due to concentrated urine. Nothing to worry. You must drink at-least 8 to 10 glasses of water daily.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (20 hours later)
hi doctor .. thank yu for guidance.. i hav bitter taste in mouth every morning and while i sleep its like something burning inside my body and breathing is not like normal for me.
doctor
Answered by Dr. Dr. Kakkar (4 hours later)
Brief Answer:
Add a B complex vitamin supplement

Detailed Answer:
Hi.

Altered taste is most likely a result of vitamin deficiency & therefore empirical treatment with B-complex vitamin is what I would recommend in your case.

Your other symptoms seem to be non-specific and are probably related to anxiety associated with the fear of Hiv and I would advice you to consult a physician for the same

Regards
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Dr. Kakkar (46 hours later)
thank you doctor. .. i am having sore in mouth n tongue.. the sore in eye lids is still there and often i have feeling of dirt in eyes... the skin near testicals and thighs is pinkish rashes... !!!
doctor
Answered by Dr. Dr. Kakkar (19 minutes later)
Brief Answer:
Advice regarding oral sores and tinea

Detailed Answer:
Hi.

I suggest you to do antiseptic mouth washes, twice daily.
Topically you may use a chlorhexidine based antiseptic gel, twice daily over the sores.
Continue with B complex vitamin.

For eye lid sore, if it right on the eyelid margin, you may use a topical eye ointment e.g Ciprofloxacin eye ointment, twice daily along with Tobramycin eye drops 4 times/day.
Visit an eye specialist if it does'nt respond. An Oral antibiotic may be required..

The rashes in groin folds are most likely due to fungal infection/ tinea.
You may use an OTC topical antifungal e.g clotrimazole 1%+beclomethasone dipropionate 0.025% cream, twice daily.
An Oral antihistamine e.g cetrizine 10 mg once daily in evening will provide you symptomatic relief from itching.

Regards
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9610 Questions

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Can HIV Be Contracted Through Sexual Intercourse?

Brief Answer: Screen for all STD's Detailed Answer: Hello. Welcome back and thank you for writing to us. Testing for HIV just 4 days after sexual contact is a bit too early and a negative test this soon cannot rule out reliably rule out HIV. Your CD 4 count is normal I suggest you to take up an HIV COMBO/ DUO test at 4 weeks of sexual contact. This screening test has a high sensitivity of 99.8% at 4 weeks. Not all unprotected sexual contacts with an HIV infected adult would result in HIV. The chance of acquiring HIV after unprotected sex with an infected sexual partner is 1 in 2500. The sore or pimple on eyelids could be a simple folliculitis which can happen even otherwise. Regarding the bumps on tongue I would have been able to help you better if you would have also attached an Image. They could be a simple aphthous ulcer/ canker sore and is not a specific sign of HIV. You may use an antiseptic mouthwash for a few days. As far as tiredness is concerned this is again non-specific & in no way indicates that you have acquired HIV. Since you had a broken condom during unprotected sex therefore you must screen for all STD's like gonorrhea, chlamydia, genital herpes, syphilis as well as HIV. Please note--An intact condom adequately protects against HIV, Gonorrhea and Chlamydia. Genital herpes and syphilis can be transmitted even with protected sex with a condom though the risk is less as compared to unprotected sex. You may take up a "swab test" for gonorrhea and chlamydia Kindly also get a "Urine routine microscopy test". Test for genital herpes is with an "HSV ELISA" and can be taken up at 4 weeks along with HIV DUO test. Screening for syphilis is with a "VDRL/ RPR test" and can also be taken up along with HIV and Herpes testing at 4 weeks. Itching and whitish deposition under prepuce could also be because of candidal infection/ yeast infection i.e candidal balanitis. You may use a topical antifungal e.g clotrimazole 1%+beclomethasone 0.25% combination cream, twice daily for a week. A single dose of an Oral antifungal e.g fluconazole would also be sufficient in curing it. Kindly visit a dermatologist in your vicinity. Your dermatologist will examine and advice accordingly. Please don't be anxious. Just go through the test and hope that they would be fine and that would put your mind at ease. Regards