Q. Are there chances of HIV transmission after oral sex if it involves injury by the partner's piercing and associated bleeding

Hello doctor,

Six months back, I had oral intercourse with two women and an unprotected erotic massage by a worker with her saliva and vaginal secretions to stimulate my penis.

Two months later, I was in contact with a woman without sexual intercourse, during which one of her body piercings struck my lips, and I bled. Then after a month, I developed symptoms of dry cough, mild rash on my arms, swollen lymph nodes in the right armpit, behind the left ear, and left groin area. I also experienced the loss of taste and smell, anal dampness, increased flatulence, dyshidrosis on my hands, leg muscle pain, and brown rectal discharge.

I performed a few tests, such as HIV fourth generation, hepatitis B, gonorrhea, chlamydia, syphilis, covid, and mononucleosis, and the test results were all negative.

I also enrolled in 28 days post-exposure prophylaxis course, during which I think the nurse reused the needle during my blood test. I observed a lesion on my penis and a swollen lymph node under my right armpit. Please advise on my risk for diseases like HIV or any other sexually transmitted diseases. I am not sure what is triggering all these symptoms. Kindly suggest.

Hello doctor,

Thank you for the reply.

As I took post-exposure prophylaxis two months after the risky exposure, do you think this would have delayed the seroconversion, and the test result might be inaccurate? I am also concerned about the weight loss of 6 kg in two months. Kindly help.