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Desperately need your help, please.

Sep 6, 2011

Dear Dr. Bob, I have had a terrible anxiety and stress since my last sexual exposure. I can not work at all and whatever I do is only surfing network about HIV infection. 7 weeks ago, while I was visiting germany and I was drunk. I had a sexual exposure with a prostitute there. During all the sexual exposure she had her pants but topless. She gave me a protected oral sex and then a hand job which lasted for about twenty minutes. 2 weeks after that sexual exposure, I started to have ARS like symptoms. I had unusual Acne pimples all over my body, mouth ulcer, felling chilly and fatigue, swollen tonsil ( only the right one), knee pain and muscle pain. All the symptoms has subsided except swollen tonsil and mouth ulcers. I visited a physician and by sampling he found that the cause of swollen tonsil is not due to bacteria.I am extremely worried about possibility of HIV infection. Another thing is that I have dry skin in my anus sometimes. Is there any possibility of catching HIV virus from the contact of my anus and the bed I was ling on ( if the bed has some semen or blood or ...). I tested for HIV 6 weeks after the exposure which came to be negative. It was a HIV (Ag + Ab) test. Could you please assess my risks and give some advice what to do next. I will donate to your foundation ASAP. I desperately need your expert advice.

Response from Dr. Frascino


I absolutely agree: You have "terrible anxiety and stress since (your) last sexual exposure." What you don't have is HIV!

Protected oral sex and masturbation is not a risk for HIV transmission. Your symptoms are not consistent with HIV acute retroviral syndrome (ARS). Your six-week negative HIV-antibody and p24 antigen test is extremely encouraging, but not yet conclusive. I would recommend you seek consultation with a licensed mental health professional to help you confront and cope with your irrational fears about HIV. You may well benefit from cognitive behavioral therapy (counseling) and anti-anxiety medication. I would also recommend you get an HIV-antibody test at the three-month mark primarily to gain psychological peace of mind. The result will undoubtedly be negative.

Thanks for your support of The Robert James Frascino AIDS Foundation ( It's warmly appreciated. In return I'm sending my good-luck/good-health karma that you are now and will forever be HIV free.

Good luck.

Dr. Bob

Multiple low risks but very clear acute HIV symptoms
RE: PLEASE HELP -Question for the second time, no reply first time.

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