Dear Dr Cordova,
I have read almost all the archive related to my question. However, I get now severe anxiety attacks that I feel sometimes that I am about to pass out. In a nutshell, I give you the worst case scenario of my encounter as I really do not remember its very details. It took place 3 weeks ago as following:
- Out of curiosity, I had unprotected oral sex with a circumcised pre-op transsexual sex worker.
- We kissed and gave each other a head for a very short time with no ejaculation in mouth.
- we rubbed each other's penis using cream/lotion.
- she rubbed my penis for a second round probably with her hand contaminated with her and my cum and the lotion.
- she rubbed my anus externally probably with her hand contaminated with her cum and the lotion.
- I kissed her shaft and maybe got her pre-cum in my mouth.
- I really did not notice her ejaculation.
- I licked her anus with my tongue for a very few seconds.
- I rubbed my penis against her penis for a very few seconds, moreover, I rubbed my shaft against her shaft which probably was contaminated with her sperms/precum and lotion for another very few seconds.
Despite I am not able to distinguish the related rash as a symptom of contracting HIV, I can tell you that I have now an itchy feeling at different parts of my body. I had an inflammation under my both pits. I have a very frequent itchy feeling at my anus. I feel very bad. I get severe anxiety attacks. I do not know if the aforementioned symptoms are generated due to the anxiety attacks or it is vise-versa or maybe for totally unrelated reasons. Please inform me on my STDs risks including HIV. What should I do now? I am very worried and find no one to talk to nor to consult. I really appreciate your work and look forward to hear from you soon. I sent my question before but never got any reply. I hope I get one this time. As I need to exchange with an expert like you Sir.
Oral sex is a safer-sex, low-risk activity. The risk of HIV transmission is extremely low. Some STDs can cause itching at the site of the infection. In your case, that could indicate an infection of Chlamydia or Gonorrhea in the rectum. However, based on the sexual acts that would not have occurred. Your partners penis would need to have been inserted into your rectum without a condom for that to happen. Your other symptoms are not HIV or STD-related.
A full round of STD testing 30 days from the incident will give a definitive answer, but from the situation you described I do not think testing is necessary.
If you do go for testing keep in mind that testing for Chlamydia and Gonorrhea must be done at the site of the suspected infection. By that I mean if you were infected rectally, then you must have a rectal swab done. A urine test would only test for infection in the urethra.