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STD concern post sexual intercourse - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Sexually Transmitted Diseases
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hi doctor my concern is about STD's. i'd sex with professional sexworker (with condom) 3 months ago. but after that im experiencing depression, i also had a fever once and pain underneath my armpit. pls advice
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
User :   hello
Doctor :   let me read what you have typed
Doctor :   do you have any other symptoms?
User :   well
User :   let me think
User :   i have slight weight loss
Doctor :   ok
User :   but i thought it may be because of depression
Doctor :   yes, depression can cause weight loss
User :   i get swets in the night occationaly
Doctor :   is there any itching or discharge from penis?
User :   no
Doctor :   is there burning sensation?
User :   no
User :   i had a pain underneath my left armpit without any swelling or wound
Doctor :   ok. have you had an STD screening test done?
User :   no
Doctor :   since when do you have pain in teh armpit?
User :   i still have
User :   it started a month back
Doctor :   is there any lymph node swelling associated in groin area?
User :   what is lymph node
Doctor :   was there any activity that precipitated the armpit pain?
User :   no
Doctor :   a lymph node is a small nodule like swelling that appears usually due to infection
User :   i dont have any swelling anywhere
Doctor :   when you had the fever, were there other symptoms associated?
User :   no it all started after fever
Doctor :   when you had the fever, were there other symptoms associated? did u have any other symptoms like cold cough, vomiting, bodypain?
User :   i've cough
User :   and body pain
Doctor :   ok, then the fever you had could be attributed to the cough and probable pharyngytis
Doctor :   i would recommend you to get a STD screening test done which would look for all major infections
User :   i read somewhere that fever is the first indication of hiv infection
Doctor :   such that any infection if present can be identified and adequately treated
Doctor :   fever is indication of ANY infection in body not just HIV
User :   i'm nervous for the test
Doctor :   do not assume things, get it proven with tests
Doctor :   and focus on early start of treatment
User :   i did take necessary precaution but is it possible to get hiv thorugh oralsex and kissing
Doctor :   if there is mucosal damage, you can get the infection
User :   what is mucosal
Doctor :   mucosal damage means damage to mucosa (inside lining of mouth and other organs including penis)
User :   ok, do u know any medical center in XXX where i can go and do the tests
Doctor :   you can go to XXX and get the STD screening tests that contains all the major tests
Doctor :   if you need, I can ask the customer support team to assist you further in this
User :   yes please but before u leave last question
Doctor :   such that you can get the test done through XXX at a discounted rate.
Doctor :   yes, please proceed
Doctor :   please confirm your contact details and phone number for the customer care team to reach you
User :   after all this discussion what do u feel regarding my chances of contacting std
Doctor :   the chances are there since oral intercourse and kissing were involved, few of the STD's can get transmitted with that
User :   it that includes hiv
Doctor :   yes it is possible
User :   how expensive is hiv treatment inXXX
Doctor :   if there was any oral mucosa damage
Doctor :   early start of treatment will not be as expensive as the drugs used will be of low strength
User :   ok
Doctor :   the treatment cost depends on where you take the treatment from. it is more in private institutions, and free in goverment
User :   thanks for ur help
Doctor :   have you followed what I have said?
User :   yes
Doctor :   is there anything else i can help you with?\
User :   only if u can tell me the address of the checkup center
Doctor :   you can click on my recommendation
Doctor :   and see the get the details from there
Doctor :   I will ask one of the XXXteam members to call you up with the details
User :   thanks doc, and wish me a luck
User :   bye
Doctor :   thanks for consulting me. bye for now, wish you good luck
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