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I Had Sex With A Woman In Her 40(she Was

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Posted on Sat, 2 Nov 2019
Question: I had sex with a woman in her 40(she was quite dirty, she smelled bad), she was having period. I got flacid and I think some vaginal fluid got interfered bettween condom and my penis because the condom got glued on my head. After having sex I went to sleep and wake up 5 hours later with a terrible pain in stomach and sudden loss of appetite(I could not eat for 3 days and then after I have a forced eating).I felt a very bad smell coming from my nose like blood or iron everywhere. My penis foreskin was covering all my the penis gland and I feel a pain when erect, and I have erectyle disfunction. The same day I notice a white film on my tongue, 2 days later I notice a red dot in my mouth cavity and, I could not sleep for the whole period of time having convulsion like or more strong chils.In my room was smelling like flu and medication. The sexual contact happened on 0000, and since then I am freaked out of having contacting HIV virus. I started PEP after 80 hours after sexual contact. My blood test shows a low level of limfocit. Please help me out with some alternatives that cannot lead to HIV.
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
I had sex with a woman in her 40(she was quite dirty, she smelled bad), she was having period. I got flacid and I think some vaginal fluid got interfered bettween condom and my penis because the condom got glued on my head. After having sex I went to sleep and wake up 5 hours later with a terrible pain in stomach and sudden loss of appetite(I could not eat for 3 days and then after I have a forced eating).I felt a very bad smell coming from my nose like blood or iron everywhere. My penis foreskin was covering all my the penis gland and I feel a pain when erect, and I have erectyle disfunction. The same day I notice a white film on my tongue, 2 days later I notice a red dot in my mouth cavity and, I could not sleep for the whole period of time having convulsion like or more strong chils.In my room was smelling like flu and medication. The sexual contact happened on 0000, and since then I am freaked out of having contacting HIV virus. I started PEP after 80 hours after sexual contact. My blood test shows a low level of limfocit. Please help me out with some alternatives that cannot lead to HIV.
doctor
Answered by Dr. Dr. Antoneta Zotaj (3 hours later)
Brief Answer:
Your symptoms started too soon after the encounter, so it is unlikely they are due to HIV infection.

Detailed Answer:
Hello and welcome to "Ask a Doctor" service,

I carefully read your query and understand your concern.

HIV infection may cause the so-called retroviral syndrome, which is the first clinical appearance of HIV. This is the time that the virus replicates in the body and causes symptoms similar to flu (sore throat, fever, sweating, cough, etc).
The retroviral syndrome happens in a couple of weeks from contracting the infection, this is a necessary time for the virus to increase in numbers and cause symptoms.

In your case, because you had the symptoms within hours to days from the encounter, this is unlikely to be due to HIV infection. This is mostly due to a common cold or even flu as these viruses replicate faster and may cause symptoms within hours (flu) or days (common cold).

So, by what you explain it is unlikely your symptoms soon after the encounter are due to HIV.
On the other hand, it is good you started PEP, just to be on the safe side. You will need to use it for 28 days.

To conclude:
- HIV may cause in early stages flu-like syndrome called retroviral syndrome but this happens after weeks of being infected with HIV (2-6 weeks).
- very likely your symptoms are due to flu or common cold as they started hours to days after the encounter
- please continue the PEP for a total of 28 days to keep yourself on the safe side

I hope this answers your query.
I remain at your disposal for further medical assistance.

Regards,

Dr. Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Dr. Antoneta Zotaj (0 minute later)
Brief Answer:
Your symptoms started too soon after the encounter, so it is unlikely they are due to HIV infection.

Detailed Answer:
Hello and welcome to "Ask a Doctor" service,

I carefully read your query and understand your concern.

HIV infection may cause the so-called retroviral syndrome, which is the first clinical appearance of HIV. This is the time that the virus replicates in the body and causes symptoms similar to flu (sore throat, fever, sweating, cough, etc).
The retroviral syndrome happens in a couple of weeks from contracting the infection, this is a necessary time for the virus to increase in numbers and cause symptoms.

In your case, because you had the symptoms within hours to days from the encounter, this is unlikely to be due to HIV infection. This is mostly due to a common cold or even flu as these viruses replicate faster and may cause symptoms within hours (flu) or days (common cold).

So, by what you explain it is unlikely your symptoms soon after the encounter are due to HIV.
On the other hand, it is good you started PEP, just to be on the safe side. You will need to use it for 28 days.

To conclude:
- HIV may cause in early stages flu-like syndrome called retroviral syndrome but this happens after weeks of being infected with HIV (2-6 weeks).
- very likely your symptoms are due to flu or common cold as they started hours to days after the encounter
- please continue the PEP for a total of 28 days to keep yourself on the safe side

I hope this answers your query.
I remain at your disposal for further medical assistance.

Regards,

Dr. Antoneta Zotaj
General and Family Physician
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Antoneta Zotaj (3 hours later)
What about:"My penis foreskin was covering all my the penis gland and I feel a pain when erect, and I have erectyle disfunction. "?
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Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
What about:"My penis foreskin was covering all my the penis gland and I feel a pain when erect, and I have erectyle disfunction. "?
doctor
Answered by Dr. Dr. Antoneta Zotaj (1 hour later)
Brief Answer:
Detailed answer below

Detailed Answer:
Hello and welcome back,

None of the symptoms you explain (pain with erection or erectile dysfunction) are symptoms that can be caused by HIV infection.
Other sexually transmitted diseases can be transmitted but the symptoms happening so soon after the encounter really lead to other causes for your symptoms and the most likely is anxiety.

Infections take time to replicate in the host before they are able to cause symptoms, so it is unlikely the symptoms are related to any sexually transmitted infection.

I think the fear of contracting an infection and also the unpleasant experience itself is causing some anxiety in you and causing you to experience some of the symptoms you are already experiencing.

As a general rule though, it is advisable to have a check for sexually transmitted infections in case of unprotected intercourse or in the case the condom didn't work well. I would recommend you to speak with your doctor and have a screen for Hep B, syphilis, HIV and possibly get oral azithromycin
2 g single dose as a treatment for potential chlamydia and gonorrhea infections.

To conclude:
- none of the symptoms you are explaining is due to HIV infection (painful erections or erectile dysfunction
- these, I believe can be due to anxiety and fear of having contracted a sexually transmitted disease
- because the condom did not function well, it is best to have screens for sexually transmitted diseases such as Hep B, syphilis, HIV and get the treatment for potential chlamydia/gonorrhea infection (azithromycin). This all to be on the safe side.

I hope this answers your query.
I remain at your disposal for further medical assistance.

Regards,

Dr. Antoneta Zotaj
General and Family Physician




Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Dr. Antoneta Zotaj (0 minute later)
Brief Answer:
Detailed answer below

Detailed Answer:
Hello and welcome back,

None of the symptoms you explain (pain with erection or erectile dysfunction) are symptoms that can be caused by HIV infection.
Other sexually transmitted diseases can be transmitted but the symptoms happening so soon after the encounter really lead to other causes for your symptoms and the most likely is anxiety.

Infections take time to replicate in the host before they are able to cause symptoms, so it is unlikely the symptoms are related to any sexually transmitted infection.

I think the fear of contracting an infection and also the unpleasant experience itself is causing some anxiety in you and causing you to experience some of the symptoms you are already experiencing.

As a general rule though, it is advisable to have a check for sexually transmitted infections in case of unprotected intercourse or in the case the condom didn't work well. I would recommend you to speak with your doctor and have a screen for Hep B, syphilis, HIV and possibly get oral azithromycin
2 g single dose as a treatment for potential chlamydia and gonorrhea infections.

To conclude:
- none of the symptoms you are explaining is due to HIV infection (painful erections or erectile dysfunction
- these, I believe can be due to anxiety and fear of having contracted a sexually transmitted disease
- because the condom did not function well, it is best to have screens for sexually transmitted diseases such as Hep B, syphilis, HIV and get the treatment for potential chlamydia/gonorrhea infection (azithromycin). This all to be on the safe side.

I hope this answers your query.
I remain at your disposal for further medical assistance.

Regards,

Dr. Antoneta Zotaj
General and Family Physician




Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Antoneta Zotaj (47 hours later)
What about contacting a penis ulcer, like chancroid or donovanosis wich have the incubation time minimum of 1 day, also I noticed on my penis a white spot and my urethra doesn t look the same, being a bit bigger hole. Is there a way to send photos?
default
Follow up: Dr. Dr. Antoneta Zotaj (0 minute later)
What about contacting a penis ulcer, like chancroid or donovanosis wich have the incubation time minimum of 1 day, also I noticed on my penis a white spot and my urethra doesn t look the same, being a bit bigger hole. Is there a way to send photos?
doctor
Answered by Dr. Dr. Antoneta Zotaj (1 hour later)
Brief Answer:
Detailed answer below

Detailed Answer:
Hello and welcome back,

Chancroid may cause penile ulcer but this is generally very painful. Donovanosis causes red painful bumps. I mentioned above that you may need to get prophylactic treatment for chlamydia/gonorrhea (this is generally one single dose of 2 g of azithromycin orally). Azithromycin is an antibiotic that would cover both donovanosis and chancroid as well.

This is why taking prophylactic treatment for chlamydia/gonorrhea, which are the most common sexually transmitted infections, would cover these rare infections as well and there is nothing to worry about them.
You may upload photos, you need to write an email to the support team with the attached photos and also you may try the email YYYY@YYYY .

To conclude:
- chancroid and donovanosis may cause genital ulcers but prophylactic treatment with azithromycin ( recommended previously) would cover these infections as well.
- please contact the support team to upload photos, I am not sure if this email is accurate YYYY@YYYY but you may try this as well.

I hope this answers your query.
I remain at your disposal for further medical assistance.

Regards,
Dr. Antoneta Zotaj
General and Family Physician


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Dr. Antoneta Zotaj (0 minute later)
Brief Answer:
Detailed answer below

Detailed Answer:
Hello and welcome back,

Chancroid may cause penile ulcer but this is generally very painful. Donovanosis causes red painful bumps. I mentioned above that you may need to get prophylactic treatment for chlamydia/gonorrhea (this is generally one single dose of 2 g of azithromycin orally). Azithromycin is an antibiotic that would cover both donovanosis and chancroid as well.

This is why taking prophylactic treatment for chlamydia/gonorrhea, which are the most common sexually transmitted infections, would cover these rare infections as well and there is nothing to worry about them.
You may upload photos, you need to write an email to the support team with the attached photos and also you may try the email YYYY@YYYY .

To conclude:
- chancroid and donovanosis may cause genital ulcers but prophylactic treatment with azithromycin ( recommended previously) would cover these infections as well.
- please contact the support team to upload photos, I am not sure if this email is accurate YYYY@YYYY but you may try this as well.

I hope this answers your query.
I remain at your disposal for further medical assistance.

Regards,
Dr. Antoneta Zotaj
General and Family Physician

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Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Dr. Antoneta Zotaj

General & Family Physician

Practicing since :2004

Answered : 4435 Questions

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I Had Sex With A Woman In Her 40(she Was

I had sex with a woman in her 40(she was quite dirty, she smelled bad), she was having period. I got flacid and I think some vaginal fluid got interfered bettween condom and my penis because the condom got glued on my head. After having sex I went to sleep and wake up 5 hours later with a terrible pain in stomach and sudden loss of appetite(I could not eat for 3 days and then after I have a forced eating).I felt a very bad smell coming from my nose like blood or iron everywhere. My penis foreskin was covering all my the penis gland and I feel a pain when erect, and I have erectyle disfunction. The same day I notice a white film on my tongue, 2 days later I notice a red dot in my mouth cavity and, I could not sleep for the whole period of time having convulsion like or more strong chils.In my room was smelling like flu and medication. The sexual contact happened on 0000, and since then I am freaked out of having contacting HIV virus. I started PEP after 80 hours after sexual contact. My blood test shows a low level of limfocit. Please help me out with some alternatives that cannot lead to HIV.