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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fatigue And Itching Sensation On Neck And Scalp Despite Having Safe Sex?

Hi. I visited a massage parlour (brothel) in New Zealand just over two weeks ago, whilst drunk. I was masturbated manually by the masseuse for a while with no condom on. During that time I briefly masturbated her, with very little insertion of any fingers inside her. The next morning I checked my hands and there were no obvious cuts on them. The session ended with me having sex with her in her vagina. I am reasonably certain she put a condom on me for that for that and the sex did not last long due to my drunken state (I don t think I could maintain an erection). Around 1 week ago I experienced a day of fatigue after a morning exercise session and from that time have had some redness and a burning/itching sensation developing on my neck and at times on my scalp. This has developed over the last week - feels prickly and like sunburn generally but the sensation has in the last two days been experienced in my back and hands. I feel flushed at time but can t see any obvious rash (other than flushed skin when I exercise or get stressed about what might be wrong with me). It is also quite humid here at the moment and I exercise most days - so do sweat intensively for a while most days. I am concerned that the sensation of prickly/burning/itchy skin could be a sign of HIV rash. I ve read online that early stage HIV rash does NOT itch. But I ve also read that it DOES itch. Can you help? Also, how long would it take for HIV rash to develop into a noticeable rash once you first feel it - days or weeks? Thanks.
Fri, 19 Feb 2016
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Pathologist and Microbiologist 's  Response
Hi there... well it looks like your not sure if the condom was on while having sex since you were in a drunken state. you can rule an HIV infection earliest by an HIV RNA pcr as early as 12-14 day after the contact, which is accurate. p24 Antigen test by three weeks. Other card tests might be done months later . Itching is a variable symptom which might just be a skin ailment
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What Causes Fatigue And Itching Sensation On Neck And Scalp Despite Having Safe Sex?

Hi there... well it looks like your not sure if the condom was on while having sex since you were in a drunken state. you can rule an HIV infection earliest by an HIV RNA pcr as early as 12-14 day after the contact, which is accurate. p24 Antigen test by three weeks. Other card tests might be done months later . Itching is a variable symptom which might just be a skin ailment