Dr. Basti Bharatesh Devendra
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
13 years back, I had protected penetrative intercourse with a female sex worker abroad, and after three years I decided to get tested for STIs and STDs (gonorrhea, chlamydia, HIV, syphilis, and hepatitis B and C). All of these tests above were negative. Now, six years before, I started developing urinary problems whereby I would strain to urinate, and also my bladder would not completely empty after voiding. I also suffer from renal stones for seven years.
Two years back, I had a cystoscopy carried out which was negative. I also had uroflow done, and the flow was shown to be abnormal (weak urine flow). However, recently I found out about HTLV 1 and 2. Now I am concerned that I could possibly have contracted the virus from the encounter I had 13 years back. I am going to have a urodynamics study carried out next month. One of the symptoms of HTLV is the neurogenic bladder. Do you advise that I should go and get tested for HTLV 1 and 2?
Hi
Welcome to icliniq.com.
I read your query and can understand your concern.
The chances of transmission of HIV (human immunodeficiency virus) or other STDs (sexually transmitted diseases) are very low if it was protected intercourse. It is good that the STD tests are negative after more than 2 years. They are conclusive provided there is no further risk exposure. Also, in my opinion, the symptoms mentioned are not related to HTLV (human T-lymphotropic virus). I do not see the need for tests. You can consult your doctor or urologist for further examination, evaluation, and management of symptoms. If you are too anxious about HTLV then you can go for the HTLV antibodies test.
Hope this helps.
Thanks and take care.
Patient's Query
Hello doctor,
Thank you for your reply.
Can I ask what are the chances of one acquiring HTLV 1 virus from first-time-protected and unprotected intercourse? Also, would there be a possibility that one could have tested negative for HIV and acquired HTLV 1 instead? If yes then what would be the percentage of that to occur? Since I tested negative for HIV, would that automatically take the fact that HTLV 1 would be negative as well since they look at the T cell count?
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern.
It has been found that the chances of transmission of HTLV (human T-lymphotropic virus) from female to male are much lower than from male to female. The use of condoms further helps in preventing transmission. However, multiple partners and multiple exposures increase the chances of transmission.
The negative STD (sexually transmitted disease) results further indicate chances of HTLV are very low. There is no proper documentation about HTLV test results and HIV positive or negative test results. With the given exposure and test results, I feel you need not worry about HTLV.
Hope this helps.
Thanks and take care.
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Dermatology
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