|FORMER WORRIED WELL
Jun 21, 2008
Hi Dr Bob
First of all may I congratulate you again on all of your great work.
I hope you can find a moment to have a look at my question. A year ago in November I had relations with a prostitute in Amsterdam. It was on a stag do and I had had a little too much to drink and also had a smoke (something I was not used to!). As you can imagine the whole encounter was a bit fuzzy to say the least! I do recall a condom being put on my penis by the prosititute but I do not recall if it stayed there. Anyway, I went through the usual worried well business, where every symptom was, in my mind, confirmed HIV! I waited 14 weeks (12 weeks being the recommended, I believe) and had an HIV test which came back as negative. Wooo Hoo indeed!!! However, we are now 19 months down the line and I have developed a number of small white bumps in my mouth and on my tongue. I have also recently developed a small white bump on the glans of my Penis. Now all of the worry has come back. I read that HPV (warts) in the mouth only occur in severely immunosuppressed individuals. It should be noted that I went to my local G.U.M. clinic and the doctor said she couldn't tell whether the spot on my penis was a wart! Anyway, the long and short of it is I have the following questions (please note that as a reader of your fine pages, I searched the forum first but couldn't find the answer I needed): 1. Could this be HPV received from the prostitute. If so does this mean I had unprotected sex? 2. Should I be a worried well once more and go for another HIV test. Is it not 1% of people who need to wait 6 months. 3. I now have a 14 month old daughter I am worried that I can give her HPv of the mouth by tasting he food before feeding her of kissing her goodnight. I reaslise you are an extremely busy man. I would be grateful if you will spend a few minutes to give me a reply or at least direct me to a web page or something where my answers can be obtained.
Worried but well (at the moment)
| Response from Dr. Frascino
Hello Worried But Well,
1. Stop jumping to conclusions! You don't even know what the "white bumps" are and I certainly can't diagnose them over the Internet. I suggest you see a dermatologist to get a firm diagnosis. Once you have a diagnosis, the treatment plan will be clear. HPV is transmitted very differently than HIV! HPV can be acquired by mere skin-to-skin contact.
2. Your 14-week negative HIV test is definitive. I see no reason to repeat it. However, if you're worried, you could always get another test to calm your fears. It will undoubtedly be negative.
3. What did I tell you in question #1? Stop jumping to conclusions!
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