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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could The Soreness On The Penis With Dizziness Be Due To STD?

Hi

My story is that I am currently away travelling in south east Asia and over 7 weeks ago I had drunken unprotected sex with a taxi girl in Cambodia so I'm pretty sure she was a prostitute and I'm also worried I may have had a sore on my penis from masturbation earlier that day. Since then I've been worried pretty much every day, two weeks after I got a sore throat and felt a bit dizzy but after the sore throat went I've continued to feel lethargic and kind of light headed and unbalanced when I walk but not when I am lay down.

I did a 4 weeks rapid finger prick test in kuala lumpur which came back negative and then a 6 weeks HIV 1 and 2 antibody test which also came back negative. I have also done a hep c test and a syphilis test which have both come back negative. At about 7 weeks now I have got a mouth ulcer and have been getting cold sweats now and again as well as a few chills now and again. I don't know if this is anxiety related as doctors here in Thailand think I'm suffering from anxiety. Can you give me any advice or help put my mind at rest?

Thanks

Mark
Tue, 9 Dec 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

Unprotected sex is definitely a risk factor for STD's including HIV.
HIV antibodies usually appear in the serum of infected individuals at 1 month post infection, which can be detected by antibody test. However rarely they may not appear as late as 3 months.
In your case a rapid finger test for HIV antibodies has come out negative on 2 occasions i.e 4 weeks and 6 weeks, therefore, in all likelihood you would be negative.
Hep C does not carry much of a risk from sexual transmission.
However, there is still a very small possibility of infection which can be conclusively ruled out by testing at 3 months.
Your symptoms may be unrelated and some of these if not all may be related to anxiety as well like cold sweats, mouth ulcers.
I will suggest you to get a repeat test for HIV antibodies at 3 months to get a conclusive result.
Moreover, if you develop any ulcer, or growth or wart in the genital area you must get yourself checked with a specialist.

Regards
Always practice safe sex with a condom
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Could The Soreness On The Penis With Dizziness Be Due To STD?

Hello. Thanks for writing to us at healthcaremagic Unprotected sex is definitely a risk factor for STD s including HIV. HIV antibodies usually appear in the serum of infected individuals at 1 month post infection, which can be detected by antibody test. However rarely they may not appear as late as 3 months. In your case a rapid finger test for HIV antibodies has come out negative on 2 occasions i.e 4 weeks and 6 weeks, therefore, in all likelihood you would be negative. Hep C does not carry much of a risk from sexual transmission. However, there is still a very small possibility of infection which can be conclusively ruled out by testing at 3 months. Your symptoms may be unrelated and some of these if not all may be related to anxiety as well like cold sweats, mouth ulcers. I will suggest you to get a repeat test for HIV antibodies at 3 months to get a conclusive result. Moreover, if you develop any ulcer, or growth or wart in the genital area you must get yourself checked with a specialist. Regards Always practice safe sex with a condom