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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Sex. Took Citalopram. Having Headache, And Severe Migraine. What Are The Findings And Required Treatment?

Hi Doc! I am a 20 year old guy, from Brighton, UK. I had unprotected sex with a girl on 23rd March 2013. My penis hurt a lot after that, as it was my first time. It doesn't hurt anymore, but it did about 2 days ago. I don't really get any sensation while urinating though. Since yesterday, I have been having headache, and severe migraine. I think, I have fever too. I just checked my temperature and it was 99.7 degrees Fahrenheit. Is it possible that I have contracted HIV? She didn't tell me if she had a STI or not. I am not with her anymore, as we had a fight and kind of broke up. Should I have a checkup with my GP tomorrow? I have lost interest in doing anything, and feel very fatigued. That may be also due to the after effects of the Citalopram tablets which I had been taking for 8 months. I don't have any spots or rashes on my penis. Although, I have got some acne on my back. I hope you could help. Thanks a lot!
Thu, 25 Apr 2013
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Psychiatrist,  's  Response
Hello
Welcome to HCM

Single unprotected sexual intercourse with an infected individual may result in transmission of infection. But the incubation period of HIV is not so small it usually takes at least 3 months to show tests positive and to start showing symptoms. One thing you can do is to get the HIV status of that girl checked in consent of her. If she comes negative then there is no need to worry. Second is to wait for few more weeks and get your HIV RNA PCR test done, as it can detect the possibility of infection. As you are taking escitalopram for anxiety continue to take it and don't stop abruptly it will be beneficial to you. The symptoms lek no sensation, rashes on back are not due to HIV. Also migraines are occurring because of stress.

Thanks
Dr. Seikhoo Bishnoi, MD
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Had Sex. Took Citalopram. Having Headache, And Severe Migraine. What Are The Findings And Required Treatment?

Hello Welcome to HCM Single unprotected sexual intercourse with an infected individual may result in transmission of infection. But the incubation period of HIV is not so small it usually takes at least 3 months to show tests positive and to start showing symptoms. One thing you can do is to get the HIV status of that girl checked in consent of her. If she comes negative then there is no need to worry. Second is to wait for few more weeks and get your HIV RNA PCR test done, as it can detect the possibility of infection. As you are taking escitalopram for anxiety continue to take it and don t stop abruptly it will be beneficial to you. The symptoms lek no sensation, rashes on back are not due to HIV. Also migraines are occurring because of stress. Thanks Dr. Seikhoo Bishnoi, MD