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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can I Contract HIV Infection Through Anal Sex?

Hi there,

My name is John and I recently went to a bathhouse. I am now concern that I might have contracted HIV. I was lured into a room with a African Male and was trapped for about 20 mins with him. I had my ass rimmed for about half a minute as I was trying to resist him from licking there. He is a bisexual man. I am not used to that at all. I also have anal fissures, and whenever I am poked by a cock, I usually tear and it bleeds for a little. For example when my stool is huge or hard, my anus rips and it hurts, but then it heals in maybe 3 days and its normal. I have been eating lots of fiber to make my stool semi soft.

Anyhow back to my concern, I felt him licking my balls which have cuts on the lining (center), I usually scratch until it bleeds, it has been itchy at night for the past 3 months. I was prescribed LAMASIL to stop the itching, it wasn't diagnosed as a STI. The guy I was with might have licked the scratched lining of my balls briefly. Will I get HIV? Also he inserted his large dick inside me, where I have an anal fissure (not bleeding, but hurt after he poked) without a condom, but the cock did not go in me fully, maybe just the tip. Will I contract HIV?

I now have to worry for 3 months before getting tested.
Mon, 15 Sep 2014
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General & Family Physician 's  Response
Hello
For itching you are taking lamasil tablet and there was abrasions on your thighs ( both ) also on the scrotum . You are also having anal fissure . He inserted his penis into your anus ( just tip according to you ) but it hurts .
Now read this :
HIV infection is predominantly a sexual transmitted disease world wide .The most common MODE of infection world wide . is CLEARLY HETEROSEXUAL transmission.
HIV has been demonstrated in the seminal fluid both within infected mononuclear cells and in the cell free state.
There is a strong association of transmission of HIV with receptive anal intercourse , probably because only a thin, fragile rectal mucous membrane separates the deposited semen from potentially susceptible cells in and beneath the mucosa and trauma may be associated with ANAL INTERCOURSE ( and in your case due to large penis , according to you there might be some trauma and injury ).
In your case I recommend you please get in rapid p24 nucleic acid amplification test ( after 2 weeks of initial infection ) .
Also get in standard ELISA test after 3 months period.
Hope this will help you.
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Can I Contract HIV Infection Through Anal Sex?

Hello For itching you are taking lamasil tablet and there was abrasions on your thighs ( both ) also on the scrotum . You are also having anal fissure . He inserted his penis into your anus ( just tip according to you ) but it hurts . Now read this : HIV infection is predominantly a sexual transmitted disease world wide .The most common MODE of infection world wide . is CLEARLY HETEROSEXUAL transmission. HIV has been demonstrated in the seminal fluid both within infected mononuclear cells and in the cell free state. There is a strong association of transmission of HIV with receptive anal intercourse , probably because only a thin, fragile rectal mucous membrane separates the deposited semen from potentially susceptible cells in and beneath the mucosa and trauma may be associated with ANAL INTERCOURSE ( and in your case due to large penis , according to you there might be some trauma and injury ). In your case I recommend you please get in rapid p24 nucleic acid amplification test ( after 2 weeks of initial infection ) . Also get in standard ELISA test after 3 months period. Hope this will help you.