MEDHELP 翻译 NO.9（和性工作者发生带套xingjiao 悲催的是套破了）
Hi, Doctor.
I read a lot of other peoples` questions first to make sure I wasn`t going to be asking similar questions, but I will feel better if I just go ahead and ask.
Here are the facts:
I have had a lot of sists on my scrotum since I was very young. Some of them are opened due to itching or careless picking.
I had sex with an escort. I recieved oral sex without a condom. We performed missionary and girl-on-top (excuse the terminology) with a condom. At one point during missionary the condom popped. We noticed right away and I pulled out and replaced it. Another thing maybe worth mentioning is the condom was small and didn`t go as far down my penis as far as I am assuming it should, according to what is considered proper usage. Also, I have no doubt my soars on my scrotum were hitting against her genital area, esspecially during missionary.
It`s been just a little under a month since, and I have experienced light off-and-on aches in my neck, lower back pain and sore abdominals (lymph nodes?), plus a random ache in my left bicep. The ache in my lower back was steady, not on-and-off, and lasted for about two days. The aches in my abdominals felt like I had done sit ups the day before, even though I did not, and the aching only lasted a day. The right side of my neck started to ache (very sore and tender to the touch) to the point where it resembled the common cold, but only lasted a day. Then, the lymph node of the left side of my neck seemed a bit enlarged and tight but not tender to the touch. I have not experienced any fever within the last month, or any other common cold-like symptoms as far as I can tell. At least not anything worth missing work or cancelling plans for.
I know it isn`t really worth my time to go and get tested for at least another month or so.. What do you think my risk is? Thank you for your time.
您好，医生
我读了很多恐友的问题以确定我不会问重复的问题，但是如果我能问问的话，我会感觉好些。
事情是这样的。我自从小时候，阴囊上就有多囊肿，有些有口子因为痒或者不小心挑破了。
我和一个性工作者发生了关系。我无套BDKJ。我们进行有套的传教士和女上男下。可是，在传教士时，安全套破了。我们立刻注意到了，我马上拔出来，换了一个套。还有一点之得注意的是，那个安全套太小，没有完全保护住我的JJ，考虑道它正确的使用方式的话。另外，我怀疑我的阴囊接触到了YD部位，提别是在传教士时。
我可能有些感冒，我有一些时有时无的脖子疼，腰疼，小腹疼（淋巴结？），加上左臂二头肌的随机疼痛。我后背的一直疼痛，不是时有时无的，它持续两天了已经。我小腹的疼痛持续了一天。我右边的脖子开始疼（很疼但是柔软），有点像感冒，只持续了一天。之后，我左侧的淋巴结有点儿肿大，和发紧，但是摸起来不柔软。我没发烧，没有感冒类似的症状到目前为止。至少没有让我缺席工作或者取消活动。
我不知道这些是或否之得让我去测试至少一个月后或更多？您认为我的风险多大？谢谢您。
医生：
Hello,
Thank you very much for your post.
Symptoms are not specific of HIV sero-conversion and therefore not relevant. Your symptoms could be related to many other conditions, much more common tha HIV.
It is more important to be able to estimate the possible risk from the sexual encounter and get tested accordingly. Your sexual encounter would have involved STI risks, because the condom failed. However the risk of HIV infection would be estimated in less than 0.1%, assuming the lady was positive and had a high viral load. The risk of transmission through one of your scrotal cysts would be negligible. I do not believe that there would be any significnat risk of HIV infection that way.
For your full peace of mind, I would recommend that you get a full STD screening after 4 weeks of the encounter. Test results would be conclusive, provided they include a HIV Duo test of 4th generation, which includes the p24 antigen.
Best wishes,
Dr José
您好，
感谢您的上传。
症状不是HIV特有的血清转化症状，因此症状和HIV无关。您的症状可能有很多别的疾病有关。预估感染HIV的可能的风险很重要然后有根据地测试。您的情况有风险，因为安全套没起到应有的保护。但是预测的风险小于0.1%，假设那位女士是HIV阳性并且病毒载量很高。通过您阴囊的囊肿传播的可能性可以忽略。我不认为这种有明显的HIV感染风险。为了让您自己安心，我建议您4周以后进行STDS的全面测试。如果他们给您进行4代联合测试，那么测试的结过会是决定性的。
祝好
Dr José
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