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I Want To Ask About Recent Encounter I Had Two

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Posted on Sat, 21 Sep 2019
Question: I want to ask about recent encounter I had two time massage service ended up with hand job and Brest job using tits on the August 2nd time she was completely naked body to body massage and I have not done sex, the massage lady have touched my genitals a lot with different part of her body except her mouth and gentiles. She were fully naked setting on my back doing the massage and i got in contact heavily with her body upper part like nipple chest tits was too much I had lots of friction with her body , she also heavily kissed and licked my nipple a lot .. since that night , 2/3 days after the 2nd massage later I developed a strange skin rash on my upper thigh, chest and legs only that lasted for less than 3 days and then I had serious fatigue with fever of 38.7 c lasted for 3-4 days and gone with ibuprofen nowadays I have pain in the lymph near my ear and dhairia
doctor
Answered by Dr. Aaron Branch (2 hours later)
Brief Answer:
You are very unlikely to have HIV

Detailed Answer:
Hello, I'm Dr. Branch, thanks for using Ask a Doctor. While the exposure that you describe may have been able to transmit some viruses or bacteria that could cause a rash and fever, I think it is unlikely related to this and more likely that you have a viral illness unrelated to your exposure to this massage lady. In particular, this exposure would not be able to transmit HIV, and I would not be concerned about that, even with your symptoms. While an acute HIV infection can have rash, fever, sore throat, and swollen lymph nodes (usually 2-4 weeks after being infected), many other viruses and diseases can cause similar symptoms, and so they generally are not helpful in determining your risk for HIV. The exposure is much more important, and for you, there would be no concern here.

So in summary, you likely have caught a virus unrelated to this exposure, and as long as it resolves in the next week or so, I wouldn't be concerned, unless you had some other exposure that had risk for HIV or other STDs.

I hope that helps, please let me know if you have any questions about any of that, and I would be glad to discuss it with you further.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Follow up: Dr. Aaron Branch (6 hours later)
today I have completed 29 days since that exposure so I tested quick fourth gen HIV and syphilis test but I don’t know the type of the test it was through a blood sample. Both results were found negative .. the last follow up would be :
1- I don’t need any further STD testing for assurance?

2- Recently I noticed some testis pains that comes without any direct hit but have the same feeling, they are not continuous pain but twice a day if I walked ,is it related to any STI any recommendation ?

3- what is the name of the sypilis blood test and is it accurate at 29 days?
doctor
Answered by Dr. Aaron Branch (10 hours later)
Brief Answer:
No further testing necessary

Detailed Answer:
1. I don't think you need any further testing for this exposure. The risk is small for any STD. Checking for herpes is reasonable with an antibody test, if you didn't get tested for that. The HIV test you took would be about 95% accurate at 29 days, which I think is enough to confirm you don't have HIV, but if you wanted to check at 3 months after the event, it would be almost 100% accurate. Also, the syphilis test would be more accurate at 3 months as well, but again, I don't think you need to test again, only if you are worried.

2. If you are having any pain at the opening of your penis, you should be tested for gonorrhea and chlamydia, though I don't think it would be possible for you to get those from this exposure.

3. There are many kinds, including VDRL, RPR, and others. They are all blood tests. In general, they start to become positive at 2 weeks, and at 3 months should definitely be positive if you have syphilis. So you could consider testing again at 3 months, but I think your risk is very low.

Please let me know if you have any other questions, I'd be glad to help any way I can.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Aaron Branch

General & Family Physician

Practicing since :2011

Answered : 1204 Questions

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I Want To Ask About Recent Encounter I Had Two

Brief Answer: You are very unlikely to have HIV Detailed Answer: Hello, I'm Dr. Branch, thanks for using Ask a Doctor. While the exposure that you describe may have been able to transmit some viruses or bacteria that could cause a rash and fever, I think it is unlikely related to this and more likely that you have a viral illness unrelated to your exposure to this massage lady. In particular, this exposure would not be able to transmit HIV, and I would not be concerned about that, even with your symptoms. While an acute HIV infection can have rash, fever, sore throat, and swollen lymph nodes (usually 2-4 weeks after being infected), many other viruses and diseases can cause similar symptoms, and so they generally are not helpful in determining your risk for HIV. The exposure is much more important, and for you, there would be no concern here. So in summary, you likely have caught a virus unrelated to this exposure, and as long as it resolves in the next week or so, I wouldn't be concerned, unless you had some other exposure that had risk for HIV or other STDs. I hope that helps, please let me know if you have any questions about any of that, and I would be glad to discuss it with you further.