I Want To Ask About Recent Encounter I Had Two
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.
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?
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.