Infectious Disease Specialist Questions

HIV Transmission

Hi Doc! I’m a bit of a mess mentally in obsessing over the possibility of contracting HIV. Twenty years ago I had a sexual encounter that didn’t involve actual sex. I was naked and a woman with her underwear on was grinding on my penis. About a month after that I also saw her at an event and she kept shoving her hand down my pants. I was worried about her having something infectious on her hand. Around that same time for roughly two days, I had a relatively bad pain in my belly button area that went away. I did end up getting an oral swab test at Planned Parenthood ten weeks after the first encounter and six weeks after that second counter and I was negative. I will also mention that this woman is now happily married with two kids. The OCD part of my brain wonders what if she somehow had some infectious fluid on her hand, I tested too soon and I’m an HIV non-progressor. The other cause for concern is that at that ten week mark I got either a bad cold or flu that had a day of diarrhea. The good news is that a) I didn’t have a rash, b) I had a cough with plenty of mucus (not dry), and my brother had the same cold/flu. I’m sure you’re going to tell me I’m being ridiculous. I greatly appreciate your time, Doc.

Male | 46 years old

5 Answers

I do not htink you have anything to worry about from that remote encounter. I would however, assuage your fears and get retested. You can go to any HD and ask to be tested for HIV, Hep B and Hep C....and put these concerns to rest.
Thank you for your message. I am out of office attending a conference. If you need immediate assistance regarding patient care, please contact the Transplant Infectious Diseases physician on call. Otherwise i will respond upon return.
The contacts you had will not transmit HIV. Thanks for the question. Please note that direct contact like this can transmit Herpes or, much less likely, syphilis. You can have serology testing for those. I wish you the best.
Hi, OCD is a complex condition that needs attention. if it is affecting your personal life (that is being in healthy romantic relationships) I recommend seeking a trusted source of support (such as mental health specialists and/or friends and family who educate themselves so they can provide proper support respecting your individuality but not fueling your OCD cycle).
Education on what this disorder is about is the best weapon as this is very exhausting and frustrating for you to be dealing with it on your own.
I wish you all the best
Thank you for your question. I appreciate how difficult this must be for you. Considering your exposure history and testing results, I would highly recommend scheduling a visit in our office so we can discuss your risk and appropriate next steps in person. Our office phone number is 772-464-9746, we look forward to hearing from you. *Jana Eschbach* *Chief Marketing Officer* *Midway Specialty Care Center, a 501 (c)3 organization* *Phone:(772) **486-1828* www.midwaycare.org [image: image1.png]