9 days ago I had a sexual encounter with a transvestite. I do not know their HIV status for sure, although they did state that they were fine and had regular check ups. Anyway, I put myself at risk by performing oral without a condom and allowing the person to ejaculate in my mouth, although I spat it out straight away. I also allowed the person to penetrate me with a condom but they stopped after about 30 seconds saying that it had split.
I regretted this encounter straight after and immediately began to panic about the risk of HIV and other STDs. I've basically thought of nothing else for the past 9 days and have been so anxious.
Anyway 3 days after the encounter I began to get mild headaches and a very mild sore throat. I also began to feel very dizzy and these feelings have stayed with me for the past week. I was willing to put these feelings down to a general bug, being made worse by my anxiety, however, Last night I noticed some white dots on the back of my tongue and this has freaked me out!
Do you think my symptoms may indicate HIV exposure? I'm so worried and not being able to take a conclusive test yet is making me feel sick with nerves.
Frankly, I think it extremely unlikely that you will have been exposed to HIV and acquired an infection even if she was HIV positive.
Ejaculation into your mouth carries some although exceptionally low, risk assuming she was HIV positive. The risk is very very low indeed.
The split condom also carries a very very low risk as there was no ejaculation and she stopped on realising the split.
You can test now using a PCR HIV test. There are two available in the private sector - as far as I'm aware the NHS does not offer these. The two tests are 1) HIV PCR RNA for HIV 1 and 2 and heptatitis B and C and this test can be done from 10 days after event and will take around 5 working days to be returned to us. 2) HIV blood spot test which looks for HIV 1 only and has a turnaround time of approx 1 to 2 working days.
The other alternative of course is that you wait until a full 28 days post exposure and then take an HIV DUO test.
I think, as said before, that the prospect of HIV infection from this event is minimal despite what you can see on your tongue.
Thank you very much doctor for your reply. This has helped to put my nerves at ease a little. I intend to visit a local gum clinic tomorrow for a general check up and think I may go private to get the first HIV test that you described.
One final question if I may - the dizziness I am experiencing - is this a symptom of HIV in your experience?