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Can STD Be Contracted Through Protected Sexual Intercourse?
Question: Hi, I'm 26 about 8 weeks ago I went on a trip to New York on a Saturday. Later on that night I had sex with a masseuse which I wore protection one which was provided by her and the other was from me. I don't believe anything popped. Her vaginal juices was everywhere. Afterwards I left and proceeded to go to a bar and get drunk which I drunk a lot really fast on an empty stomach (I know dumb right?). I didn't sleep till 5 Sunday morning. That Monday that I returned and for week I was extremely bloated, thirsty, lost appetite, lost weight, had a upper right abdominal pain/tender/burning, lost/broken sleep, was constipated, I had diarrhea maybe 4 times but that's was on different days after eating too much or trying some natural digestive enzymes a friend gave me, after eating I got hot, had muscle spasms or twitches at night and tingling fingers. No chronic diarrhea that lasted for weeks, rash, nothing swollen. Fast forward to today I'm feeling better not quite 100% my mouth is dry off and on, no coughs or runny nose and I still have to watch what I eat upper right abdominal feel a little tight I get gassy and I burp face sweat a little more then usual and its been hard to sleep but no headache nor fever never vomited nor have any mouth sores. Plus I haven't been to the gym for a month so at times my muscles feel funny or tight. But after looking up symptoms online I have become scared that I may need to get tested I think the std symptoms scared me from reading it online. I really would like to get your opinion on the matter thanks.
Brief Answer:
Hiv is unlikely though you should test for other STDs
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query in detail and I have understood your concern.
Protected sex is safe as far as risk of Hiv is concerned.
Nevertheless you should get tested for STDs like syphilis, herpes which can still be transmitted despite protected sex.
Hpv can also be transmitted despite protected sex.
Regarding your abdominal symptoms they seem like those due to gastritis (right upper abdominal pain, bloating) and mild acute hepatitis due to alcohol intake (abdominal pain, loss of apetite, bloating, weight loss etc).
I also suggest you to take a Liver function test
Regards
Hiv is unlikely though you should test for other STDs
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query in detail and I have understood your concern.
Protected sex is safe as far as risk of Hiv is concerned.
Nevertheless you should get tested for STDs like syphilis, herpes which can still be transmitted despite protected sex.
Hpv can also be transmitted despite protected sex.
Regarding your abdominal symptoms they seem like those due to gastritis (right upper abdominal pain, bloating) and mild acute hepatitis due to alcohol intake (abdominal pain, loss of apetite, bloating, weight loss etc).
I also suggest you to take a Liver function test
Regards
Above answer was peer-reviewed by :
Dr. Shanthi.E
Thanks for your response. So far around week 5\6 I did a full std panel which was done by way of Labcorp and everything came back negative. I checked the web site and it said the hiv test was or is done by ICMA. Do you think that the alcohol could have cause the gastritis? And I do think I need a liver scan cause I been drinking a lot of water and juice lately and I took one shot of alcohol and it started to burn and I felt pressure under my chest and heart.
Brief Answer:
Your GI symptoms are probably related to mild hepatitic and/ or gastritis
Detailed Answer:
Hi.
Alcohol can cause acute hepatitis as well as acute gastritis; severity of hepatic involvement can vary from mild to severe.
Your symptoms like upper abdominal pain, loss of apetitis, weight loss, bloating etc immediately following an alcoholic binge were suggestive that there could have been a mild alcoholic hepatitis and/ or gastritis.
A negative full STD panel at 5-6 weeks after this particular sexual encounter rules out possibility of STD(s).
These symptoms are anyways not related to any STD and moreover Hiv is very unlikely from a protected sexual encounter.
You may take up a blood test for liver function i.e liver enzymes as well as an ultrasound abdomen. These would be basic investigations.
I also suggest you to also take an opinion of a gastroenterologist as well.
Regards
Your GI symptoms are probably related to mild hepatitic and/ or gastritis
Detailed Answer:
Hi.
Alcohol can cause acute hepatitis as well as acute gastritis; severity of hepatic involvement can vary from mild to severe.
Your symptoms like upper abdominal pain, loss of apetitis, weight loss, bloating etc immediately following an alcoholic binge were suggestive that there could have been a mild alcoholic hepatitis and/ or gastritis.
A negative full STD panel at 5-6 weeks after this particular sexual encounter rules out possibility of STD(s).
These symptoms are anyways not related to any STD and moreover Hiv is very unlikely from a protected sexual encounter.
You may take up a blood test for liver function i.e liver enzymes as well as an ultrasound abdomen. These would be basic investigations.
I also suggest you to also take an opinion of a gastroenterologist as well.
Regards
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Thanks for your response I'm hoping that's the case. And I'm a get my stomach looked at. I think one of my final questions of the night is ever since I got back that first week I my tongue has a light white coating on it and it doesn't hurt my mouth had no sores but what could I do to fix it? The reason I brought up the std question is because she was a high risk and I wore protection I remember feeling a pop going in but when I looked everything seemed to be in tact when when I changed condoms her vaginal fluid was on her hands so I have a concern about transmission and it throws me off that the place get reviewed daily. Even though I'm not trying to overly worry which I'm not and my first test shocked me. I still have to retest at 3 or 6 months, anyway I see that many online hardly ever seen a 5/6 week negative change I can't say how I feel about that but feeling off for this long something's not right.
Brief Answer:
Testing at 12 weeks would be final. Most likely it would be negative too.
Detailed Answer:
Hi.
A thin white coating on toungue is normal and healthy.
As far as protected sex is concerned you can be sure that it is good enough to protect from Hiv provided the condom was intact.
If you have concerns that her vaginal fluids were on her hands while she provided you a condom, I assume that was not much of a risk because not a lot of vaginal fluids would have been involved this way. Therefore I don't consider this to be a very high risk factor.
Moreover, a negative screening test for Hiv at 5/6 weeks after a risky sexual contact is almost final. This is because majority of those infected with Hiv will develop detectable circulating antibodies by 4 weeks against this virus. Only a small fraction of those infected with Hiv may not have detectable antibodies early on after infection, however, almost all will develop circulating antibodies by 12 weeks Or 3 months. Therefore, screening at 12 weeks after a risky sexual encounter is considered final and conclusive. A negative test 12 weeks rules out Hiv completely. There is no need to test at 6 months.
Regards
Testing at 12 weeks would be final. Most likely it would be negative too.
Detailed Answer:
Hi.
A thin white coating on toungue is normal and healthy.
As far as protected sex is concerned you can be sure that it is good enough to protect from Hiv provided the condom was intact.
If you have concerns that her vaginal fluids were on her hands while she provided you a condom, I assume that was not much of a risk because not a lot of vaginal fluids would have been involved this way. Therefore I don't consider this to be a very high risk factor.
Moreover, a negative screening test for Hiv at 5/6 weeks after a risky sexual contact is almost final. This is because majority of those infected with Hiv will develop detectable circulating antibodies by 4 weeks against this virus. Only a small fraction of those infected with Hiv may not have detectable antibodies early on after infection, however, almost all will develop circulating antibodies by 12 weeks Or 3 months. Therefore, screening at 12 weeks after a risky sexual encounter is considered final and conclusive. A negative test 12 weeks rules out Hiv completely. There is no need to test at 6 months.
Regards
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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