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Having Protected Sex. Tested Normal For HIV, Live, Blood And Urine Test. Should I Go For Second Check Up?

Posted on Sat, 4 Aug 2012

Question: Hello Doctor,
I am male aged 28.The subject is regarding STI/STD'S.
I have no of times have had protected intercourse with different sex workers. I had no exchange of any body fluids and never a unprotected sex (oral or Vaginal). Never experienced anything strange so far. However just felt the need i should get myself tested to make sure things are fine.
I have recently made tests (In April) which said HIV antibodies are negative, my blood profile, liver profile and Urine tests showed completely normal results. The last Sexual intercourse i had was in January. When should i consider myself to be tested again?
Also please advise clearly different symptoms a person can have when he could possible contract a STI??
I am worried about the fact that some people say most STI's can be completely asymphomatic, is this true?

Appreciating your reply.
regards

Answered by Dr. Rohit Batra (1 hour later)

Hi,
Thanks for writing in.
STD infections usually result in discharge, ulcer, erosion, or swelling in the genital area.
HIV infection is associated with flu like symptoms like fever, rash, body pains etc after a week' time post infection.
The antibody test is usually positive after 12week post exposure and hence if you had last exposure in XXXXXXX and tested negative in April, it’s highly unlikely that you might have contacted the disease.
Regards
Dr.Rohit

Above answer was peer-reviewed by : Dr. Aparna Kohli

Follow up: Dr. Rohit Batra (57 minutes later)

Dear Doctor,
Thanks for your reply.
Do you mean to say Ulcer and erosion in genital areas? How do they look like?
I have never had fevers in the last 7-8 years, neither body rashes or Body pains.
However to have peace of mind i consider to go through the tests once again in July which means 6 months after the last intercourse.
Do you suggest this is fine?

Also please advise in general..... would there be changes (abnormalities) in blood, Urine and liver function tests in case if someone may have contracted any sort of STI'S?
regards

Answered by Dr. Rohit Batra (2 hours later)

Hi,
Thanks for your follow up query.
Ulcers and erosions occur in genital area in most cases of STI's. A HIV antibody test if done after 6 months and found negative is a sure shot answer to all your apprehensions.
There is no change in blood profile in patients suffering from STI's.
Specific tests though are available for HSV i.e IgG and IgM for HSV, VDRL in serial dilution for syphilis , HPV serotyping for genital warts.
Let me know if I can address any more concerns.
Regards

Dr.Rohit Batra

Above answer was peer-reviewed by : Dr. Aparna Kohli

Follow up: Dr. Rohit Batra (18 days later)

Dear Sir,
i have further now taken one more time the Immuno Assay(Elisa) and western blot tests which came out negative for HIV antibodies 1 and 2. I have taken up the TPHA which also came out negative. Semen culture and sensitivity showed no growth of any organisms. Urine culture tests showed negative smear for gonococus.
Do you recommend to do any tests further?
These tests were recommended by my physician, i have not contacted him yet after the test results as he has been out of town and is back next week. Just wanted to inform you about the tests in mean time..
Kindly clarify

Answered by Dr. Rohit Batra (2 hours later)

Dear Patient,
Thanks for your follow up query.
The reports are negative for all sort of infections and hence there is no need to continue with any medication.
You can visit your physician in person and get a symptomatic treatment for your problem.
There is no need to take any anti bacterials now and simple drugs like anihistamines to control any apprehensions might be prescribed.

Regards

Dr.Rohit Batra

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