Firstly can I say what a great site you have here and what a great operation you appear to run. I am planning on booking an appointment with you (swapped a couple of emails with Judy your PA earlier today who seemed to be the vision of efficiency!). However before I book, I wonder if I could ask some questions:
Situation: 3 weeks ago I had a meeting with an incall escort, not something i am proud of really and not something i am planning to repeat. There are two specific activities that concern me. Firstly a very brief period of uncovered oral sex. The she inserted an uncovered dildo (quite small) into my anus. That will have lasted for no longer than a minute or so before i stopped it. I have no idea how long before it was previously used by another client and have no guarantee that it was cleaned (although she did make effort to clean it after i had used it).
Symptoms: I have had the following:
- Sore throat ten days after the event that has all but gone. I am left with a feeling of a blocked ear, but my partner is also complaining of blocked sinuses and my daughter has had a cold so my rational self would say it is a case of poor timing
- I also have felt like i have swollen glands in my throat, but my guess is that if you look hard enough for them by prodding that eventually they will swell.
- Finally and these are the most spurious. I have managed to convince myself that i have a rash on both my forearms, that resembles very light coloured freckles. My suspiscion is that I just have never looked that closely at my arms before.
- And I seem to have a white tongue - again I am not sure I have any idea what colour it was before. It is sort of white consistently all over the middle and pink round the edges.
I am also painfully aware of the fact that if you look hard enough for symptoms then they are likely to appear!
So on to my questions:
1) What is the HIV risk of the above incident? My rational judgement says that 1 in 1000 people are HIV positive in the UK multiplied by even the worst case of receptive anal sex which is all i can equate to the above providing a 1 in 200 chance of one time encounter transmission, provides an infection risk of approximately 1 in 200,000?? In addition to that I understand that HIV doesnt last long in the open air. I know that the dildo wasnt used for at least an hour before me, so factoring this in I would assume that the risk is 1 in the millions? Is that correct or am i being wishful.
2) I am planning to book in for a duo test with you next week. I live in Yorkshire, but (and this is a complement to your reviews) would rather combine a visit to yourselves whilst I am in London next week. Technically the end of the 28th day would be 3pm on Wednesday 31st. I wanted to ask whether the test would still be legitimate if i were to take it on the 30th. I have two reasons for this, firstly someone has very kindly bought me a night at the Ritz on the 30th which would be much nicer with a negative test in my jacket pocket and secondly the following day on the 31st I will be travelling all day and would prefer to not receive my results on the East Coast Mainline!! If it is an absolute necessity to wait until the Wednesday then i reluctantly will.
I have had problems with anxiety in the past and have found this a somewhat tough experience once the idea got lodged in my head so I am really looking forwards to a good night's sleep, a relaxing glass of wine and moving on with my largely unpromiscuous life. That said - in my case at least anxiety does wonders for my waistline!
So in conclusion:
1) Is my assessment of risk somewhere near correct?
2) Are my symptoms in any way indicative of ARS ( I think I probably know the answer to this one)
3) What are your views in respect of testing?
PS - Please dont take some of my more flippant comments as not taking this seriously. That is one of my outlets for anxiety!
Listen - long question so I've repeated essence beneath and answered in red - hope thats ok?
Firstly can I say what a great site you have here and what a great operation you appear to run. I am planning on booking an appointment with you (swapped a couple of emails with Judy your PA earlier today who seemed to be the vision of efficiency!). However before I book, I wonder if I could ask some questions:
Situation: 3 weeks ago I had a meeting with an incall escort, not something i am proud of really and not something i am planning to repeat. There are two specific activities that concern me. Firstly a very brief period of uncovered oral sex. The she inserted an uncovered dildo (quite small) into my anus. That will have lasted for no longer than a minute or so before i stopped it. I have no idea how long before it was previously used by another client and have no guarantee that it was cleaned (although she did make effort to clean it after i had used it).
Symptoms: I have had the following:
- Sore throat ten days after the event that has all but gone. I am left with a feeling of a blocked ear, but my partner is also complaining of blocked sinuses and my daughter has had a cold so my rational self would say it is a case of poor timing
- I also have felt like i have swollen glands in my throat, but my guess is that if you look hard enough for them by prodding that eventually they will swell.
- Finally and these are the most spurious. I have managed to convince myself that i have a rash on both my forearms, that resembles very light coloured freckles. My suspiscion is that I just have never looked that closely at my arms before.
- And I seem to have a white tongue - again I am not sure I have any idea what colour it was before. It is sort of white consistently all over the middle and pink round the edges.
I am also painfully aware of the fact that if you look hard enough for symptoms then they are likely to appear!
So on to my questions:
1) What is the HIV risk of the above incident? My rational judgement says that 1 in 1000 people are HIV positive in the UK multiplied by even the worst case of receptive anal sex which is all i can equate to the above providing a 1 in 200 chance of one time encounter transmission, provides an infection risk of approximately 1 in 200,000?? In addition to that I understand that HIV doesnt last long in the open air. I know that the dildo wasnt used for at least an hour before me, so factoring this in I would assume that the risk is 1 in the millions? Is that correct or am i being wishful.You have no risk at all of becoming HIV positive from the episode described. Being sucked poses no risk - having a dildo used on you will give you potentially a sore bottom but nil else.
2) I am planning to book in for a duo test with you next week. I live in Yorkshire, but (and this is a complement to your reviews) would rather combine a visit to yourselves whilst I am in London next week. Technically the end of the 28th day would be 3pm on Wednesday 31st. I wanted to ask whether the test would still be legitimate if i were to take it on the 30th. I have two reasons for this, firstly someone has very kindly bought me a night at the Ritz on the 30th which would be much nicer with a negative test in my jacket pocket and secondly the following day on the 31st I will be travelling all day and would prefer to not receive my results on the East Coast Mainline!! If it is an absolute necessity to wait until the Wednesday then i reluctantly will.enjoy the Ritz - you simply ain't positive. You will never in 1 trillion years become positive from the activity you describe - all very very innocent in my mind
I have had problems with anxiety in the past and have found this a somewhat tough experience once the idea got lodged in my head so I am really looking forwards to a good night's sleep, a relaxing glass of wine and moving on with my largely unpromiscuous life. That said - in my case at least anxiety does wonders for my waistline! Chris, trust me, I'm a doctor - but trust me anyway - you are not and will not be HIV positive from this episode - 1 day will make no difference at all to your test result - but pssst!, I'll let you into a secret, if you do test it will benefit me financially and I know the answer already - you are NOT HIV positive
very best , Sean
So in conclusion:
1) Is my assessment of risk somewhere near correct?You will not ne HIV positive
2) Are my symptoms in any way indicative of ARS ( I think I probably know the answer to this one)Not at all
3) What are your views in respect of testing?Sweetheart, I've describedthem above - you don't need a test, you will be negative and you should spend the money at the Ritz on their marvellous Mille Feuille!
PS - Please dont take some of my more flippant comments as not taking this seriously. That is one of my outlets for anxiety!
So let me get this straight - you are saying i am negative (that was a joke by the way - i am anxious not that anxious).
I think although I may well solely be lining the pockets of a Harley St Doctor that I may pay a visit next week all the same. One thing that has become abundantly clear during this period of madness is that the mind is an incredibly powerful thing and a negative test will just be a bit of scientific reassurance. However I do believe what you are saying.
Why is having a potentially previously used dildo put inside you (other than being odd and painful) not a risk for hiv? Logically and bear in mind i am a project manager and not a doctor you would think it would be. That is more a question of curiosity rather than anything else.
I may visit next week - but also based on the strength of your response i may also not. My main concern is that I want to have the confidence to crack on having a second child and put a somewhat drunken and unfortunate incident behind me.
Hi mate, really....listen to Dr Sean....these guyrs are by far the beeez kneeez on this topic anywhere in the UK and ingact probably the world...they are internationally listened to...check out the profile on the web..you could not get better advice from anybody else.
I know, I had got that impression from reviews and information and advice on here. Hence the reason that i have booked in for next week as a final nail in the anxiety coffin. I think what is clearly more of a psychological solution rather than a medical one but i suppose that is common with many people. I would however say that since receiving Dr Shaun's advice I have had the best two night's sleep I have had in over 3 weeks.
[QUOTESo let me get this straight - you are saying i am negative (that was a joke by the way - i am anxious not that anxious).phew!
I think although I may well solely be lining the pockets of a Harley St Doctor that I may pay a visit next week all the same. One thing that has become abundantly clear during this period of madness is that the mind is an incredibly powerful thing and a negative test will just be a bit of scientific reassurance. However I do believe what you are saying.Good. The mind is indeed very powerful and there is also the suspicion that people have that we might have missed some sublety of the question or that we may not believe the events etc. Obviously we see and read many patients questions and we try to quickly drill down to the key issues. For you, paying for a test is a waste of money - great for people like me, but actually unnecessary for you.
Why is having a potentially previously used dildo put inside you (other than being odd and painful) not a risk for hiv? Logically and bear in mind i am a project manager and not a doctor you would think it would be. That is more a question of curiosity rather than anything else.Now I've added these questions together because they made me laugh a lot outloud. I loved the project manager statement!! Very good and top marks. The answer to the serious bit, now that I've stopped laughing is that HIV is just so very fragile and does not do well with drying, heat changes etc so I think the prospect of finding even a single copy of the virus on the dildo as described originally is just impossible.
I may visit next week - but also based on the strength of your response i may also not. My main concern is that I want to have the confidence to crack on having a second child and put a somewhat drunken and unfortunate incident behind me.Well I think you're absolutely fine but learn your lesson and don't let strange women stick things up your bottom in future.
Thanks for the reply Dr Sean and I am glad I made you laugh, that is actually a sign i think of how much better you have made me feel. Prior to receiving your reply I have actually booked in with you next Tuesday. I know it is a waste of money (in fact in many ways I am glad) and I have thought about cancelling, but I think it would be a final nail in the anxiety coffin which to be honest is now only a tiny bit a jar.
I hope that is ok, I know there is no medical sense but it would just help (i think) after weeks of anxiety to just get that done. In a strange sort of a way it will be money well spent ( a very strange sort of way). Have a nice bottle of red on me, in the knowledge that albeit psychologically you have really helped!
Sincerely though, many thanks for all your help, maintaining a forum like this as well as a private practice really offers a phenomenal service.
No problem - I shall look forward to another laugh!
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