I am 25 year old male from india ,had a condom protected oral sex with a female sex worker .she looked ok did not have any visible lesions or sores on skin or on lips .she put condom on my penis and rolled back till the base ,held the base from her grip and performed oral on me for about 3-4 min after that she removed it easily and we did not indulge in any other for of sex ,the condom remained intact and ok as far a I remember also I did not have any cut or open wound on my penis neither did I have any std bcoz that was my first and last time I did it so far. After this act roughly in the midst of seventh month I had sore throat after eating junk food outside one day followed by high fewer all of this lasted for a day or two I do not remember having any diarrhea. Now 20 days ago I noticed 3-4 white lesions under my tongue got them checked by physician who prescribed me bifilac which took for two days also I was having constipation for past 3-4 days before going to doctor then I felt some problem the third day with my throat so I visited a ent who prescribed me becelac fort after which I had two small rashes on four day I continue taking the same medicine for a week the rashes grew a little and turned dark brown and purplish and started to fade away eventually soon after I stopped taking it meanwhile I went to another ent he did endoscopy of my throat and told me my throat was fine and that he did not see any palpable LAP only a slight effect of tonsils I took the medicine but did not continue after one day and went back to my physician coz I was more worried about the rash on my elbow he prescribed me bifilac and b -complex again even my mouth ulcers had not gone completely so he gave one ointment to apply also soon after starting to tak bifilac I has a itchy rash on abdomen next day the redness around it shrinked a lil ans a white head bump in the center next 2 days I had two more rashes in similar fashion each on one day gap one on my rib area and another one on my thigh .today I noticed multiple tiny bumps with white center raise suddenly on my rib area near shoulder and neck after a pinch feeling got terrified but soon they started settling down in 2-3 hours .i also have a history of nasal allergies severe sneezing had sneezing problem thrice for 1-2 days ech time in last twenty days following cold due to sitting under ac also had my cbc blood work done twice in same twenty days both seem normal to my physician also tlc count did drop between the two from 11000 to 4900 but remained in reference range doc says report is normal he also asked me for a gi endoscopy .constipation still there though not severe. I did not tell any of the docs about the sexual act .been also to a skin and vd doc she examined and said the skin issues are possible drug reaction I did tell her about my encounter with CSW .been under lot of stress and anxiety for last 20 days do not know what to do really scared .i had protected oral , am I at any possible hiv or any other sti risk .do I need to worry about taking a test or am I worrying for no reason and I should just move on .i would appreciate expert notions from related doctors.
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Hello Mr. Lybrate-user. Read your complete history. First thing I need to say stop panicking as the act was performed on a condom. There is less chance of transmission through saliva unless you have visible compromise of the skin in genital area. The oral complications you have mentioned were thoroughly examined by ent specialist and diagnosed clearly that it's a vitamin deficiency. The decline in platelets is almost negligible and your tc is in normal limits. While coming to the rash, many of the drugs got skin rash as side effect and same was confirmed by a dermatologist. So stop panicking. Too much stress is the reason for your constipation. I have been treating 8000 hiv patient in a month and one thing I need to stress is hiv has become a chronic manageable disease now. With proper medication the life expectancy is same as hiv negative person. If you still need further further assistance. Please contact.
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