Does scrotal burning and redness post-oral sex suggest HIV?

Question

Hello doctor,

I had receptive oral sex (received fellation) with an escort girl three weeks ago. Since then, I have gotten urethritis three days after. I have been treated with Levofloxacin for 10 days. The urethritis got cured, but I kept getting some strange burning sensations in my scrotum and the top of my buttock, but no lesions or bumps were visible. Only redness. The symptoms then disappeared, and for four days, I got ticklings on my back, arms, and chest, but again nothing visible on my skin.

For two days I have had paresthesia on my left foot, left arm, and left hand that does not seem to stop (sometimes I feel it more or less), and sometimes I have some cramps in my leg or arm. I got a 4th-generation HIV test at three weeks, which was negative.

Do you think I have a chance of having HIV (Human Immunodeficiency Virus)? Do I need to retest at four weeks or six weeks? If you do not think I have a chance of getting HIV, what options should I look for?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

Oral sex is least related to HIV. Symptoms are very bizarre and mostly caused by oral sex. HSV (herpes simplex virus) and STI (sexually transmitted infection) are common. The tickling sensation is different as such and may be seen in vitamin B12 deficiency and anxiety. Symptoms come and go at a particular time. You can still go for the HSV test. And an STD (sexually transmitted disease) panel test. No signs you had related to both.

Till then you can take,

Tablet Mecobalamin (Methylcobalamin) 1500 mg, one at night for one month. If you feel better, you can continue for another month if at all required.
Tablet Escitalopram 10 mg (esitelop10): one at night for ten to fifteen days if at all needed. It is not at all HIV.

I hope you have understood.