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Pelvic pain and tiny red rashes on forehead after protected intercourse. Chances of HIV?

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Dr. Praveen Rodrigues

Dermatologist

Practicing since :1993

Answered : 1196 Questions

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Posted on Fri, 8 Feb 2013 in HIV and AIDS
Question: I had some tiny red rashes on my forehead. ( I never had the on my forehead before). after a week most of them are disappeared, but one of them turned into a light brown spot (like a 2mm mole). there are also two similar spots on my both forearms. I have been really anxious and experienced stressful moments since I had a protected sex 3 months ago and I think I may get HIV. I have occasional mild (and dull) ache in my pelvic area (near groin area). I took a test at week 8th, but it came negative.
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Answered by Dr. Praveen Rodrigues 2 hours later
Hi there XXXXXXX.
At the outset, having read through your complaint & your detailed description of your symptoms, may i say that from a HIV point of view, you dont seem to have anything to worry about. More so, because you state the sexual act was a 'protected' one & albeit that does not always guarantee safety, followed by a negative test for HIV more than 6 weeks later is fairly conclusive.
The tiny red rashes are acneiform lesions from the description as are the ones on your arms. Both put together are suggestive of a pityrosporum infection (fungal) most likely a condition called ptyrosporum folliculitis & is NOT an indicator of an HIV infection per se nor an AIDS defining condition.
I suggest, it is best to XXXXXXX up with a dermatologist nearest you on the ground for its treatment as any medication i may suggest for the same would require you to have a prescription & that is best done @ Ground 0.
The dull ache in the pelvic area may be an incidental finding & again may be some form of mild UTI (water & perhaps the occasional beer (alcoholic or not depending on the rules applicable in your area & your preference) to help flush out any infection.
From what i glean, this seems more a case of anxiety or venerophobia & if so, may i suggest confiding in a trusty friend for comfort or a counsellor/psychologist may be the order of the day & help you further if my reassuring words dont suffice.
If you like, 6 mths from the inital date of exposure, a second ELISA for HIV test may be done & if negative, consider the matter done & dusted.
Good Luck & Godspeed & please do continue the practice of safe sex should you indulge albeit my personal recommendation for you is to practice monogamy & a single faithful partner & wish you continued good health! Cheers!
Dr Praveen Rodrigues MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Praveen Rodrigues 41 minutes later
Dear Dr. Rodrigues,

Many thanks for your response, I have attached the related photos for you. I am wondering if the negative HIV early detection test( RNA, PCR) as well as negative antibody test at the end of the 3rd months are conclusive?
the red rashes were on my forehead, they were disappeared except the one which turned into light brown color (like a mole). Regarding my forearms, I should say that I just suddenly found a light brown spot on each of my forearms.
doctor
Answered by Dr. Praveen Rodrigues 3 hours later
Hi there Again.
I have gone through your attached photographs & read your concerns regds the tests done.
I would still stick to my initial stance that the tests done indicate that you are in the clear & more so if it was a PCR test that you had done. Conclusive.
Like i said, the transient rash is not an indicator of hiv/253657?iL=true" >AIDS or HIV positivity or any STD for that matter. The light brown spots are most likely a condition called seborrheic dermatoses & are benign & would do well with the use of good photoprotection.
Cheers & trust this clears the air for you & wish you all the best.
Dr Praveen Rodrigues MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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