Hi doctor,From the last one and a half months, I am in crisis. I tried having sex six months back. That day I did not get erections so she gave me oral. I did not perform vaginal sex because of non-erection, and whatever I have tried that was protected. But I had unprotected oral sex where she gave me a blow job. After two weeks, I have noticed a bump on my penis. I went to my doctor (skin specialist) and he gave me a few medicines for one week. Doxycycline (two times in a day), Zifi (one time in a day), Lycopene, one cream. He also first asked me to go for VDRL test but next moment refused. Still, I tested for VDRL which comes negative (test happen after one-week medicine course), although the bump on my penis now fully healed (after 2 to 3 weeks).I have also tested for HIV RNA and HIV 1 and 2 antibody and p24 antigen, both came negative after five weeks. HIV 1 and 2 fourth generation antibody test negative on the sixth week. My doctor advised me Doxycycline for next one month but I am not taking it for past four months. So, my Doxycycline course goes like one week (two capsules in a day), two weeks (one capsule in a day). My question is how much I can rely on HIV testing after five weeks. RNA and antibody and antigen test accuracy related to the window period after five weeks. Should I again continue with Doxycycline as I got a new bump on my face? Is that syphilis too? Why I got a new bump on my face (picture attached). Which test I have to go for again to detect syphilis or get HIV status? I am facing fever like feeling since two weeks after exposure where fever is not measurable (not more than 98 even) but extreme body aches. Two times I got loose motions too. Itchy body.
Hello. I have noted your concern and I have viewed the attachments (attachment removed to protect patient identity). Insertive oral sex has a negligible risk of transmission of HIV. Moreover, your HIV screening test (p24 Ag and anti-HIV antibody test) is conclusive. This test has a short window period of 2 to 3 weeks and is considered conclusive after that.  The bump on your face seems like an acne lesion. Is it painful? I suggest you apply Clindoxyl (Clindamycin) gel once a day. No need for oral Doxycycline. Since it has been seven weeks since your unprotected oral I suggest you take a screening test for HSV and syphilis (VDRL) and again at 12 weeks for a conclusive result. There is no need to retest for HIV. For more information consult an HIV AIDS specialist online -->