Question 1

I'm really worried about a situation that happened about a week ago. I had an encounter with a commercial sex worker where I was grinding, rubbing, and poking her nude vagina for around two minutes. I had my underwear on, and there was a release of precum, while she was completely naked. She mentioned that she experienced a leakage of fluids. I'm concerned about the possibility of her fluids getting through my underwear and reaching my urethra. Is there a risk of HIV or any STDs being transmitted through this kind of contact, even with my underwear on? Should I consider getting tested, or am I overthinking? I've read some things online saying it might be nothing, but I would really appreciate your advice.

Accepted Answer

You do not need to worry about HIV transmission in this scenario, as the virus does not pass through intact fabric like underwear. Naked frottage (grinding without penetration) carries an extremely low to negligible risk for HIV. However, if you're anxious, you can do an **HIV test (4th generation)** after 4 weeks for peace of mind and rule out other STDs with a routine panel. Rest assured, your described exposure is highly unlikely to result in any infection.

Question 2

I'm really worried about something that's been on my mind for a while. Back in 2002, I got bitten by a dog but didn't get any rabies vaccination at that time. Then in 2008, after getting concerned, I decided to get 3 anti-rabies shots, and because of some psychological stress, I ended up getting more. By 2011, I had taken a total of 12 rabies vaccines. So I'm really anxious now and need to know: Is there any chance I could still get rabies from that bite in 2002 because I didn't get vaccinated immediately? And is it possible to experience any reactions or side effects due to the number of vaccines I've received over the years? Previously, a doctor mentioned there's a very remote possibility, less than 1%, of getting rabies, but I'm just so nervous and can't stop thinking about it. Can you please help me understand if it's still a risk?

Accepted Answer

consult general physician

Question 3

I'm really worried about my syphilis tests. About two months ago, my TPHA level was 1320 and RPR was 12. My doctor put me on doxycycline, 100 mg twice a day for 21 days. After finishing the treatment, I tested again and my TPHA had increased to 1640, with the RPR still at 12. They then gave me a penicillin injection, 2.4 mu, and told me to get tested after another two weeks. This time, my results were TPHA 1640 again, but RPR went up to 14. I even did a test at a different lab and the TPHA was 12560 there. I'm scared and not sure what's going on. Can you help me understand these results?

Accepted Answer

Your test results indicate a persistent syphilis infection, and the treatment outcomes are concerning; the increasing RPR titers (1:2 to 1:4) and varying TPHA results (1:320 to 1:640 to 1:2560) suggest that the infection may not be responding to the treatments administered; consult a specialist,

I'm planning to marry a girl who has hepatitis B. What should I do to protect myself from getting hepatitis B too?

take vaccination

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