Had unprotected vginal sx with a lady I do not know twice on one occasion. I have no previous history of STD and no prior HIV risk at all. Did a test for gonnorhea, chlamydia, and mycoplasma...all negative. The test was done 75 hours after the encounter. The tests included Urethral swab, urine analysis, PCR for chlamydia. The only thing they found was enterococcus growth. The Dr said it was normal but gave me a dose of levofloxacin. Now it has been 12 days since the encounter. The only thing out of character with me is that after I started the antibiotics, it has been feeling like there is a pill stuck in my throat when I eat or drink. I have also had heartburn. I should mention that I was drinking about 2-3 pints of beer per day when I was taking the antibiotics. My dose finished 4 days ago. Questions:
1) Is the STD test I did for gonnorhea and chlamydia ok and is 75 hours enough
2) What is mycoplasma
3) What is enterococcus
4) My risk for hiv infection (i m not circumcized and i do not live in the UK or west of it)
5) Are these out of character signs mean anything in terms of prim hiv infection
The Dr was a urologist and did not convince me with his answers. This is why I am asking you.
I should mention I had hep A and Hep B vaccination years back (my hep B antibodies level was 30 in aug 2008)
These are the answers to you questions:
1.) Yes, as it can be diagnosed already after 2-3 days.
2.) It is a bacteria that can cause non-specific urethritis, or NSU, and it can be sexually transmitted.
3.) It is a bacteria usually found in your bowel, where it is not pathogenic, but sometimes if it is found in the urethra can cause also urethritis. That is why your doctor treated you with those antibiotics.
4.) The estimated risk of HIV infection from a single encounter with an HIV positive woman after unprotected insertive vaginal intercourse is 0.1% or 1 in 1,000.
5.) No; those symptoms you are experiencing are more consistent with acid reflux possibly secondary to the tablets and alcohol. You could take some gaviscon and/or ranitidine and see if symptoms resolve.
You will still need to be tested for HIV, syphilis and Hepatitis B, at least four weeks after event. Your Hep B antibody level is too low and you would require a booster.
Thank you Jose for your answers. But I have a clarification/comment:
I know it is irrleavant and that a test is required, but I see this figure all the time and I don't know how to interpret it, does 1/1000 imply encounters with 1000 different woman or does it mean 1000 different encounters with the same woman !
As for the Hep B vaccine, I have been told that levels above 10 are protective and studies have shown that if the immune system initially responded well to the vaccine, even levels below 10 or even 0 are still protective due to the memory cells activating a response to Hep B virus !! Is there truthfullness to this!
It is an statistical concept. It means that you have one chance out of 1,000 to become infected when having unprotected vaginal intercourse with an HIV positive woman. This could mean both: once out of having sex with 1,000 infected women, or 1,000 times with one infected woman. However the encounter in which one could get infected could be any of those, even the first one, and therefore one should be tested. In your case, your risk would be even less, because ou do not know the status of the lady, and it is more likely that she is negative.
Regarding Hep B immunity, you obviously use different units. We only consider full immunity if the titre of Anti HepBs is greater than 100 mIU/ml, between 10 and 100 mIU/ml, there is low level of immunity and a booster is required, and less than 10mIU/ml, there is no immunity.