
Had Sex Without Knowing The Past History Of The Person. Feeling Itching All Over The Body And Pain In Penis. Risk Of HIV?

Thanks for writing in to us.
I have read your concern about your friend's health in detail.
From what is described regarding his sexual experience, he had a one night stand with a complete stranger but always had a condom on, re confirming and ruling out the possibility of condom failure. Under this situation he would not have been infected by any sexual disease by the sexual route.
The sudden onset of itching in various parts of the body, eyes burning, sensation in throat with a dry mouth and pain in penis, all summed up could be a result of nervousness, anxiety and stress reaction. These are somatic complaints and he might be having thoughts that something is really going wrong inside him after the one night stand, some kind of "I must be surely infected and the germs are spreading throughout my body kind of thoughts". You are probably right in your suspicion.
A less likely possibility could be that the place where he had sex was unclean and unhygienic. This could mean that there were fleas on the bed, or there was a lot of dirt on the sheets, but this will not give rise to symptoms like burning of eyes and dry mouth and pain in penis.
At this point I must also make you aware that there are some sexually transmitted diseases that spread by other means like saliva exchange or close skin contact. These diseases will not manifest over 20 hours as your friend has reported.
I would like you to talk to your friend in detail and try to convince him that he is alright. He could have a good medicated bath and relax.
Hope this answers your query.
Further queries welcome.
Dr A Rao Kavoor


There was not saliva exchange however there was oral given by female to the person in question. Moreover, what are the other diseases that can occur through close skin contact such as touching other persons body.
What are the preventive and diagnostic measures he can take at this time to make sure that nothing is wrong.
Just to make it clear even while oral sex, condom was on
Moreover this person has habit of biting his nails, finger tips, lips and inside skin of mouth. There was no lip kiss but kiss on cheeks from both sides.
Thanks for writing in with an update.
So from the symptoms your friend is having, possibility of a viral flu must also be kept in mind.
As I have confirmed earlier, no sexually transmitted disease will flare up within 20 hours after sex in the way described by your friend.
Coming to your specific queries:
1. What are the other diseases that can occur through close skin contact such as touching other persons body?
Genital warts (spread by human papilloma virus)
Herpes infection
Syphilis
Above mentioned infections are known to be spread through skin to skin contact.
2. What are the preventive and diagnostic measures he can take at this time to make sure that nothing is wrong?
Preventive measures, I would suggest people in general to avoid one night stands and try to build healthy physical and emotional relationships. Your friend has already taken a preventive measure in using condoms during sex.
Diagnostic measures, as you know, some of the infections are also transmitted other than by penetrative sex. To guard oneself from such infections, it would be difficult not to touch your partner and avoid kissing during protected sex, they are an integral part of human sexual behavior. There are very little chances that your friend has been affected by any sexually transmitted disease.
Should there be any skin eruptions any where in the body in the following weeks to come, please do not hesitate to discuss that with a doctor and get necessary tests done. These tests will not come positive right now.
Let me re assure you that your friend is least likely to be affected.
Wishing your friend good health.
Dr A Rao Kavoor


Moreover it was his understanding that condom wasn't broken...he did not inspect the condom fully after completion of act..the itching sensation is real and some white peak (very minor - tip of a needle) are associated at some places.
Thanks for writing in again.
I would like to make you aware that consistent and correct use of the male latex condom reduces the risk of sexually transmitted disease (STD) and human immunodeficiency virus (HIV) transmission. However, condom use cannot provide 100% protection against any STD.
Also going by your friend's situation, the chance HIV transmission is very low but not nil (because you think she might be from high risk group). Many infected persons may be unaware of their infection because STDs often are asymptomatic and unrecognized.
Talking about Combivir, it is a preparation given as post exposure prophylaxis regimen (prevention of infection after coming in contact with infective agent). This has certain guidelines to be taken and works only if started within 72 hours of possible contact with infective agent. To be on the safer side, you may discuss this with your doctor and take it under medical supervision.
I still feel that your friend's symptoms (chocked throat, itching and stomach upset and burning in penis) might stem from viral cause with possibility of anxiety. Repeated itching can cause peaks in the skin.
Lastly, the most reliable ways to avoid transmission of STDs are to abstain from sexual activity, or to be in a long-term mutually monogamous relationship with an uninfected partner.
Hope your queries are answered.
Dr A Rao Kavoor


Thanks for writing in again.
Combivir is a combination of two medicines 3TC and AZT. It has to be taken along with Tablet Kaletra which contain Lopinavir and Ritonavir.
These two tablets should be taken under medical supervision for upto 4 weeks. However if source blood in non infective then medications can be stopped earlier.
Though the combivir kaletra post exposure prophylaxis works in most people, no medication can be called 100% accurate. There are many factors like viral load in source which need to be considered.
As with any medication there may be associated side effects like wheezing, hives swelling in face, lips or eyes.
I suggest your friend contacts the Office of AIDS, Department of Health Services, San XXXXXXX California for further details on HIV prophylaxis medications which may be locally available.
Regards
Dr A Rao Kavoor


Thanks for your query.
I suppose right to privacy and right to medical care is respected by all doctors. In my opinion your partner will not be told if you are put on combivir PEP.
Red rash on back with itching, I think a doctor needs to see your friend and check for nature, distribution and symptoms associated with the rashes. The most feared is herpes infection which causes painful blisters. But this does need to be confirmed clinically.
Hope your query is answered.
Dr A Rao Kavoor

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