Brief Answer:
Please get STD tests done at 4 weeks and HIV at 12 weeks for peace of mind

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. It is clearly mentioned that you had completely protected sexual intercourse and there was no break of condom. Therefore transmission of HIV is completely ruled out.

2. If she did not have any blisters in the skin of genital region then herpes is almost totally ruled out too.

3. Sexually transmitted diseases have a window period and if it is tested within the window period then chances are that the result will be false negative. Oral sex might transmit infections like syphilis and herpes but the chances are more if your partner had mouth rashes.

The window period for syphilis is 4 weeks after which tests will be accurate and for herpes the test is 70 percent accurate after 3 months. For chlamydia an gonorrhea the test is accurate after 2 weeks. You can get tested for syphilis after a month for accurate results.

4. I understand your anxiety is high at the moment, please relax and know that you had protected sex with your partner and therefore there is absolutely no chance of HIV infection. STD risk is low if you have had protected sex.

5. Taking prophylactic antibiotics is not required in your case as there is no symptoms that you are having. You can get STD tests done at 4 weeks and then take treatment if required.

6. For peace of mind you can get tested for HIV and results will be negative if you had protected sex. You can get HIV test by western blot at 12 weeks.

There are other tests also like Rapid 4th generation done after one month or 3rd generation ELISA test done at 3 and 6 months. All tests are highly accurate.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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Brief Answer:
Please find details below and write back if you have doubts

Detailed Answer:
Hi XXXX,
Thanks for writing in back with an update.

1. Please do not worry so much. I regularly have many patients like you and people get worried for no particular even after having protected sex.

2. For trichomoniasis the recommended medicine is metronidazole 400 mg 3 times a day for 5 days and must be taken only with a prescription from your doctor. Please do not take alcohol when taking medicines as it can cause harmful reaction. Candidiasis requires no preventive treatment.

3. From your history, there is no cause of worry as you do not have any symptoms and sex was protected.

4. However you might choose to get the following tests done at 4 weeks
(i) TREPONEMA PALLIDUM ANTIBODY (TPAB)
(ii) TREPONEMA PALLIDUM HAEMAGGLUTINATION
(iii) ANTI CHLAMYDIA ANTIBODIES IgG IgM
(iv) HERPES SIMPLEX VIRUS II (HSV) IgG IgM
(v) HEPATITIS B SURFACE ANTIGEN (HBSAG)

5. For HIV, it is recommended that you do
(i) HIV ELISA for HIV 1 and 2 antibodies at 3 months and western blot at 6 months for confirmation.

6. Rapid 4th generation test is confirmatory for HIV 1 and 2 antibodies and p24 antigen at 6 weeks. This test is not available every where.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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