Hiv Subtype E

[unlucky1]

Hello

I've had a series of symptoms that can't be anything else other than HIV since I had 3 unprotected moments with 1 girl and 1 unprotected moment with another in Thailand in May / June. I also went down on both as a London doctor told me that you can't get it from oral sex.

I realise you have to be diagnosed before you can say for sure but I've had 2 x extreme allergic reactions to insect bites, fatigue, night sweats, neuropathy comprising of pins and needles, burning feet, pains in hands and feet, persistant sore throat, shooting pains in lymph nodes in groin and armpits. I've also had a fungal infection on my big toenail, most of which has come off now.

It's a complete nightmare to say the least - it was my first trip to Thailand and I stayed with a girl for a few days so stupidly ended up trusting her a bit plus the fact that the longer I'm with someone the more scope for mistakes. When she started saying 'make babies' I got a bit carried away.

I had friends there so didn't do much research pre trip - also a doctor in London last year told me the chances of a man contracting HIV from a women is 1/1500 which made me a bit too complacent.

Anyway, the doctors in the West don't seem to know so much about subtype E. They all dish out very positive stories which I suppose is their job in a comforting / 'try not to stress the patient out' kind of way.

Does anyone on the forum know of life expectancy with subtype E?

I know untreated it is just 5-7 years on average but just trying to work out what the situation may be with treatment.

I'd also be interested to hear if anyone has had similar symptoms to me - the doctor at my latest test told me 'you've not got HIV because the symptoms you've got are symptoms of advanced HIV' which isn't very reassuring.

Thanks very much

Edited October 1, 2008 by unlucky1

[Ijustwannateach]

It sounds to me either like you need to change hospitals or you need to access more informed medical advice. Perhaps the London Red Cross could help? Haven't your doctors been encouraging you to get tested? You say you haven't been actually diagnosed, which I presume means you haven't actually been tested- or have you?- and I can't see how getting advice about a condition you may (or may not) on an Internet forum will help you. The solution is: get tested, and then cross any further bridges when you come to them. You should note that testing will not be definitive until a certain time period after your exposure; but if your symptoms are very advanced it sounds like you should have a high viral load and I would think the applicable tests would confirm the problem if it exists. Good luck and hope you turn out negative.

[unlucky1]

It sounds to me either like you need to change hospitals or you need to access more informed medical advice. Perhaps the London Red Cross could help? Haven't your doctors been encouraging you to get tested? You say you haven't been actually diagnosed, which I presume means you haven't actually been tested- or have you?- and I can't see how getting advice about a condition you may (or may not) on an Internet forum will help you. The solution is: get tested, and then cross any further bridges when you come to them. You should note that testing will not be definitive until a certain time period after your exposure; but if your symptoms are very advanced it sounds like you should have a high viral load and I would think the applicable tests would confirm the problem if it exists. Good luck and hope you turn out negative.

Thanks for responding and your good wishes. I have been tested and tested negative so far but subtype E can take longer to show up especially in the west where the tests can pick up subtype E but aren't specifically primed for subtype E. I get my 16 week test result Friday but I feel I've been lied to by doctors here all the way through. From the 1/1500 stat to them telling me that I've not got it now.

If that's their version of the truth so far not sure how much to believe the 30 more years life expectancy they trot out.

I was just hoping to get a bit of realism from someone who may have experience of or friends with the disease in Thailand.

Thanks

[britmaveric]

Congrats on the negative test results, and next time don't be so stupid. A shag is not worth your life.

[Sheryl]

First of all, what you describe does not seem consistent with HIV acquired 5 months ago.

Most people experience no obvious symptoms from initial HIV infection (type E or otherwise) and those who do, experience a flu-like reaction occurring within a few weeks of the infectuion and lasting just a few days to maybe 2 weeks. What felt like a simple flu (if anything was felt at all) then disappears and there are no further symptoms until the immune system has been weakend to the point where opportunistic infections occur years down the line.

Of the various symptoms/problems you describe the only ones consistent with early stages of HIV infection are the fatigue and sore throat, and the timing and duration of these is unlike the usual pattern of initial HIV infection.

Secondly, as you may know, conventional HIV tests detect antibodies, which take time to form. While most people will show a positive antibody result within 3 months in soem cases it can take as long as 6. The only definitive way to dtermine if an antibody-negative person with exposure in the past 6 months has HIV is to test the blood for the presence of the virus ("viral lodad" or "PCR" tests. The latter is a test of viral load using special techniques to amplify the content of virus in the blood sample so that small amounts become detectable). This is the test you should get given how concerned you are, and I'm sure it is available in the UK although NHS is unlikely to pay for it.

I suggest you get it done for your peace of mind.

Assuming it is negative -- or if you aren't able to get it done and remain antibody negative to the end of the 6 month "window" -=- then the question becomes, what is wrong with you.

The allergic reacions to the insect bites and the fungal toenail infection are probably separate and unrelated problems. Easy to pick up a fungal infection when visiting the tropics (and can aslo occur even in temperate climates), and some people are allergic to insects.

That leaves, as I understand it: persistent sore throat, fatigue, night sweats, neuropathy and pains in the groin and axilla. There are a number of different conditions which could explain this. Your best bet is to see a good internist (because not all of thep ossible causes are infectious) and get a complete work-up. When doing so I suggest you not come in saying you think you have HIV as this will distract attention from looking for other causes: they'll rapidly conclude you don't have HIV and send you on your way. In other words, deal with the HIV issue sperarately, either by waiting out the 6 month period and having repeat antibody tests or (quickest and most definite way, but also most expensive) having a PCR test for viral load. Then let a good internist investigate the possible causes of the sore throat, neuropathy etc.

[unlucky1]

Thanks, I hope you're right but I'm pretty sure I have a viral infection that has affected my immune system. The girl that I caught it from wasn't in the least surprised when I told her on the phone but still said 'me okay', not hugely re-assuring though.

I suppose I just have to sit it out and wait for the 6 month mark.

Good luck and thanks

[wasabi]

I'm not going to say no one has a false negative up to 6 months but it's increasingly rare. About 1 month is the average window period and within 3 months you are in the high 90 percentile of people who will have produced antibodies. Thus if you test negative at 16 weeks. I'd say your chances are very, very small that you will test positive at some point after that. 6 months is really more of a standard for older tests and those with special circumstances such as being on immnosuppressant drugs. Some of your symptoms, while being indicative of primary HIV would not still be effecting you 16 weeks out. The fact of the matter here is, these are something other than HIV.

As far as the misleading information. Well you are up against two big walls. One being HIV still garnishes a lot of fear and moral posturing. Second Thailand has a reputation in the world amongst some small minded folk as being an HIV infected whorehouse. Given these highly sensational elements doctors are likely to inject some kind of paranoia or religious propaganda in what they say. However what you need is facts and results. I really think if your 16 week test is negative then you are negative. But as a way of comforting yourself in the extremely unlikely event you did contract anything you are in an area where excellent health care is available and you could still live for decades under the current medicinal regimen taken by HIV patients by which time a cure may have been found thus making you able to live out your normal life.

Unfortunately you can't go by the reaction of the girl in Thailand, only your own negative test guarantees you are clear. In the meantime try to take up some type of recreational activity to take your mind of things. I'm not belittling your predicament by saying that, only that torturing yourself for months isn't going to help.

[Heng]

Sounds more like you're suffering from guilt... which often leads folks to using Google instead of getting an anti-HIV test at 3-6 months... 9 if you're feeling extra guilty.

[mommysboy]

Sounds more like you're suffering from guilt... which often leads folks to using Google instead of getting an anti-HIV test at 3-6 months... 9 if you're feeling extra guilty.

You do not appear to be Hiv+. And in any case it usually takes years to develop AIDS symptoms. In the early stages illness is confined to flu like symptoms within the first few months.

I wait to be corrected, but as far as I'm aware sub type E is no more transmissible than any other, nor is more progressive, nor takes longer to show up- the gold standard is 3 months.

Nobody is to correct to assert that any activity is safe. It's mainly about blood to blood contact. All human orifices are prone to cuts, tears, burst blood vessels.

Increasingly and according to UNAIDS heterosexual sex is lower risk than was thought, but Thailand has consistently reported higher rates I think, make of this what you will, but until the full story is known REGARD CONDOMS/DAMS AS MANATORY.

It could be, like me, you tend towards hypochondria. You've also had a tough time with tropical illness which most westerners don't experience obviously, and free sex is not so free emotionally maybe you are suffering guilt or burn out.

You are ok.

[unlucky1]

Thanks for the replies all. Regardless of what happens I certainly wish I'd researched Thailand better before coming but it was a bit of a last minute trip.

Rather than regretting things and getting suicidal I'm gonna concentrate on my work during the week and mountain bike at the weekends.

Personally I think abstinence is under-rated as it's the only sure fire way of staying disease free. Once you're with a girl long time anything can happen - just not worth it.

Good luck all - I'll report back once it's conclusive at 6 months

[Carib]

Thanks for the replies all. Regardless of what happens I certainly wish I'd researched Thailand better before coming but it was a bit of a last minute trip.

Rather than regretting things and getting suicidal I'm gonna concentrate on my work during the week and mountain bike at the weekends.

Personally I think abstinence is under-rated as it's the only sure fire way of staying disease free. Once you're with a girl long time anything can happen - just not worth it.

Good luck all - I'll report back once it's conclusive at 6 months

Not sure about your posting....

You wish you had researched Thailand better?? Why ?? Are STD`s or the prevention thereof different than in your home country?

The word hypochondria has already been mentioned, also a `guilt` feeling.

You claim to have been lied to by doctors, but you are just hoping to get a bit of `realism` from "someone" who may have experience of or friends with the disease in Thailand.......

Again: What is different about this type of STD in Thailand than in the rest of the world?

Like I said, I am not sure about your posting, but in whatever way I look at it, you do have a problem.

Follow Sheryls advice, it is a sound one. And if you are still convinced that something is there, and they will not tell you and that you are being lied too, see a shrink.

[mommysboy]

Good posting Carib, but maybe OP is just in a state of shock, AIDS is an area capable of engendering crisis in anyone. Sex related diseases seem loaded with guilt, shame, etc. His is by no means an unusual reaction and he has been clearly suffering of late.

Actually OP, if you are still around, it could be a lot of your symptoms are a product or are being antagonised by sheer panic and cold fear.

What is different about HIV in Thailand? well nothing I think, but in earlier years it was estimated that the incidence of HIV was staggeringly high out here. This spawned the idea that subtype E was more infectious, and from there that it was more aggressive and so on.

Nobody yet knows, but it's more likely the figs were wrong, or that failing that other contextual factors make transmission more likely, eg, presence of syphilis.

[wasabi]

There are different sub types of HIV. Sub Type E more easily attacks langerhan cells which the head of the penis is rich in. This is why thailand has such a high incidence of Heterosexual HIV. In some parts of the world HIV is truly primarily a gay and drug injecting disease with the rare hetereo case but in others like Thailand and Africa the nature of the mutated virus makes it easier for Heterosexuals to catch. Regardless of subtype 3 months produces a highly, highly reliable result and if you are unsatisfied that. There's not a medical professional in the world who wouldn't agree all subtypes will be detected within 6.

[Heng]

Sounds more like you're suffering from guilt... which often leads folks to using Google instead of getting an anti-HIV test at 3-6 months... 9 if you're feeling extra guilty.

You do not appear to be Hiv+. And in any case it usually takes years to develop AIDS symptoms. In the early stages illness is confined to flu like symptoms within the first few months.

You are ok.

Thanks for the vote of confidence, I didn't think I had HIV anyway.

Although a little Googling will "suggest" that subtype E is easier to get.

[mommysboy]

Sounds more like you're suffering from guilt... which often leads folks to using Google instead of getting an anti-HIV test at 3-6 months... 9 if you're feeling extra guilty.

You do not appear to be Hiv+. And in any case it usually takes years to develop AIDS symptoms. In the early stages illness is confined to flu like symptoms within the first few months.

You are ok.

Thanks for the vote of confidence, I didn't think I had HIV anyway.

Although a little Googling will "suggest" that subtype E is easier to get.

This is the problem - a little bit of googling can suggest a lot of things. Check out the UNAIDS website. Meanwhile I'll have a google see if there is any substantiation.

[kriswillems]

It's all about chances:

The chance a woman has HIV in Thailand is probably less than 10%

The chance to get HIV from normal normal heterosexual contact with an infected woman is : 1/1500 to 1/3000

The chance to get HIV via oral sexual contact is at least 10 times lower

The chance that a modern HIV test gives a false negative after 5 months is probably less than 1/1000

The chance you've HIV+ is less than : 0.1 * (1/1500) *0.1 * (1/1000) = 6.6*10^(-9) = 1 in 150 000 000

The chance that you'll die from a comet that hits the earth might be higher!

So get over it and move on.

[mommysboy]

Sounds more like you're suffering from guilt... which often leads folks to using Google instead of getting an anti-HIV test at 3-6 months... 9 if you're feeling extra guilty.

You do not appear to be Hiv+. And in any case it usually takes years to develop AIDS symptoms. In the early stages illness is confined to flu like symptoms within the first few months.

You are ok.

sorry old boy - missed the joke first time round.

Thanks for the vote of confidence, I didn't think I had HIV anyway.

Although a little Googling will "suggest" that subtype E is easier to get.

[Tolley]

It's all about chances:

The chance a woman has HIV in Thailand is probably less than 10%

The chance to get HIV from normal normal heterosexual contact with an infected woman is : 1/1500 to 1/3000

The chance to get HIV via oral sexual contact is at least 10 times lower

The chance that a modern HIV test gives a false negative after 5 months is probably less than 1/1000

The chance you've HIV+ is less than : 0.1 * (1/1500) *0.1 * (1/1000) = 6.6*10^(-9) = 1 in 150 000 000

The chance that you'll die from a comet that hits the earth might be higher!

So get over it and move on.

I would say the figures for AIDs for working girls in Thailand is greated than 10 percent.

And it also seems that many punters prefer not to use condoms.

I think this makes the risks greater in Thailand.

[the scouser]

Sounds more like you're suffering from guilt... which often leads folks to using Google instead of getting an anti-HIV test at 3-6 months... 9 if you're feeling extra guilty.

[Heng]

Sounds more like you're suffering from guilt... which often leads folks to using Google instead of getting an anti-HIV test at 3-6 months... 9 if you're feeling extra guilty.

You do not appear to be Hiv+. And in any case it usually takes years to develop AIDS symptoms. In the early stages illness is confined to flu like symptoms within the first few months.

You are ok.

Thanks for the vote of confidence, I didn't think I had HIV anyway.

Although a little Googling will "suggest" that subtype E is easier to get.

This is the problem - a little bit of googling can suggest a lot of things. Check out the UNAIDS website. Meanwhile I'll have a google see if there is any substantiation.

True, but fortunately for the general public, the HIV/AIDS denialists naturally weed themselves out from the gene pool. In fact the folks who believe man never went to the moon are higher up in their chances to survive the natural selection process.

[Heng]

It's all about chances:

The chance a woman has HIV in Thailand is probably less than 10%

The chance to get HIV from normal normal heterosexual contact with an infected woman is : 1/1500 to 1/3000

The chance to get HIV via oral sexual contact is at least 10 times lower

The chance that a modern HIV test gives a false negative after 5 months is probably less than 1/1000

The chance you've HIV+ is less than : 0.1 * (1/1500) *0.1 * (1/1000) = 6.6*10^(-9) = 1 in 150 000 000

The chance that you'll die from a comet that hits the earth might be higher!

So get over it and move on.

I would say the figures for AIDs for working girls in Thailand is greated than 10 percent.

And it also seems that many punters prefer not to use condoms.

I think this makes the risks greater in Thailand.

Unfortunately, you have both punters who prefer not to use condoms, and then you also have girls (and guys) who use bareback sex as a selling point. Kinda like, "see how much I like you? ... I make everyone ELSE use a condom" Yeah right.

[huggybear]

That leaves, as I understand it: persistent sore throat, fatigue, night sweats, neuropathy and pains in the groin and axilla. There are a number of different conditions which could explain this.

some years back a girlfriend of mine had all this and was diagnosed with Hodgkins Lymphoma

[Sheryl]

Thanks, I hope you're right but I'm pretty sure I have a viral infection that has affected my immune system.

Even if so, HIV is neither the only nor (based on history and symptoms) the most likely. Mononucleosis and lymphogranuloma come to mind.

[unlucky1]

Thanks, I hope you're right but I'm pretty sure I have a viral infection that has affected my immune system.

Even if so, HIV is neither the only nor (based on history and symptoms) the most likely. Mononucleosis and lymphogranuloma come to mind.

Indeed, I would be a bit happier if my symptoms were that of dengue fever; sounds mad but HIV still has so much stigma and it's the most preventable serious disease in the world, which makes many people's first reaction 'what an idiot' and, in the west 'I didn't know he was gay'.

Mono is unlikely due to me being late 30s and that the lymph pains started in the groin rather than neck illustrating that this is likely a sexual infection.

Anyway, it does seem to be more transmittable female to male in Thailand plus the idea that prostitutes (disguised prostitutes or bargirls) wouldn't use condoms was completely new to me. In the West the girls are aware of HIV and always insist.

Only since I got back have I discovered the trend for barebacking. It was me that initiated condoms all the time with the girl I was with and I thought that was weird too. At one point I said 'where's the condoms' and she said 'up to you' that great Thai phrase.

There is no HIV explosion through prostitution in countries such as the UK, Germany and Holland and there needn't be one in Thailand.

There's clearly a lack of education and some fuc_ked up individuals who are insisting that the poor girls don't use condoms.

I came to Thailand knowing a couple of friends had settled down with girls here, one a bar girl one a girl who worked in a hotel. Only came cos I got a cheap flight.

I had a quick scan of a tourist info site that said there was a 100% condom programme and that Thailand was an example of how to tackle HIV (I didn't know it was years out of date).

I had never heard of a male who has been infected with HIV other than gays or Africans and when a UK doctor told me last year the 1/1500 stat I thought that's why.

Anyway, that's me. I made a series of fatal errors but I was well intentioned - I never had full sex without a condom but did have 4 unprotected moments.

I'm not dissing Thailand but it's a place where one is less likely to get away with silly mistakes.

Cheers

Edited October 6, 2008 by unlucky1

[mommysboy]

Thanks, I hope you're right but I'm pretty sure I have a viral infection that has affected my immune system.

Even if so, HIV is neither the only nor (based on history and symptoms) the most likely. Mononucleosis and lymphogranuloma come to mind.

Indeed, I would be a bit happier if my symptoms were that of dengue fever; sounds mad but HIV still has so much stigma and it's the most preventable serious disease in the world, which makes many people's first reaction 'what an idiot' and, in the west 'I didn't know he was gay'.

Mono is unlikely due to me being late 30s and that the lymph pains started in the groin rather than neck illustrating that this is likely a sexual infection.

Anyway, it does seem to be more transmittable female to male in Thailand plus the idea that prostitutes (disguised prostitutes or bargirls) wouldn't use condoms was completely new to me. In the West the girls are aware of HIV and always insist.

Only since I got back have I discovered the trend for barebacking. It was me that initiated condoms all the time with the girl I was with and I thought that was weird too. At one point I said 'where's the condoms' and she said 'up to you' that great Thai phrase.

There is no HIV explosion through prostitution in countries such as the UK, Germany and Holland and there needn't be one in Thailand.

There's clearly a lack of education and some fuc_ked up individuals who are insisting that the poor girls don't use condoms.

I came to Thailand knowing a couple of friends had settled down with girls here, one a bar girl one a girl who worked in a hotel. Only came cos I got a cheap flight.

I had a quick scan of a tourist info site that said there was a 100% condom programme and that Thailand was an example of how to tackle HIV (I didn't know it was years out of date).

I had never heard of a male who has been infected with HIV other than gays or Africans and when a UK doctor told me last year the 1/1500 stat I thought that's why.

Anyway, that's me. I made a series of fatal errors but I was well intentioned - I never had full sex without a condom but did have 4 unprotected moments.

I'm not dissing Thailand but it's a place where one is less likely to get away with silly mistakes.

Cheers

Poor health education probably is one reason why HIV could be more prevalent.

But you still sound unconvinced, eg, fatal errors!!!

I think you got a nasty bug of some sort, but this is not so rare in the tropics.

It does sound like you had your bubble burst. painful I know but best in the long run.

You really don't need to beat down on yourself or Thailand.

[unlucky1]

Poor health education probably is one reason why HIV could be more prevalent.

But you still sound unconvinced, eg, fatal errors!!!

I think you got a nasty bug of some sort, but this is not so rare in the tropics.

It does sound like you had your bubble burst. painful I know but best in the long run.

You really don't need to beat down on yourself or Thailand.

I am unconvinced mate. Extremely. No-one has given me an alternative condition that is feasible or convincing - it's not mono and the symptoms of the other thing Sheryl kindly suggested doesn't fit.

Skeeter syndrome, neuropathy, painful lymph nodes starting in the groin, all the many others.

I'm no hypochondriac. Haven't been to a doctor for more than 6 years and had to register with my local one just to start seeing about this.

I have investigated every condition I can in the hope that it could match what's going on and I've yet to find one.

Anyway, I'm negative till I prove positive, I wasn't coming on for re-assurance I was just a bit down as I'm still feeling rubbish after 4 months, really painful lymph nodes and neuropathic pain mostly - dry sore throat and constant rumbling stomach too.

As I read that HIV in Thailand is more virulent I thought these symptoms may be common to the region but looks like it affects different people in different ways.

Thanks for all the reponses anyway. Hopefully maybe one person will read and realise that casual sex in Thailand just isn't worth the risk regardless of the stats.

[balo]

Some years ago I had the same symptoms as you when I returned back to Europe after spending 2 months in LOS.

I was in a relationship with a girl but I only had protected sex , still I was a bit worried so I took many tests, but it was only a viral infection that weakened my body , and I felt really tired for weeks.

You don't need to worry, but next time remember to bring your condoms.

Edited October 6, 2008 by balo

[geriatrickid]

I find it somewhat odd that you would contract a circulating recombinant form (CRF) of the virus and know that. Although CRF A/E is prevalent in Thailand, it is not the only variant and it isn't that special. The initial symptoms of all the virus variants are similar though. The ELISA would have detected the virus and it did not. It is therefore unlikely that you are infected. As others observe, it may be something very different. maybe dengue? Anxiety can often modify symptoms. Try a physician with tropical disease experience.

Please put your fears to rest about the CRF being more lethal. This belief came from observations that indicated that in the absence of appropriate medication, those with CRF A/E were more likely to advance faster in their illness than those infected with HIV-B. When treated, the patients respond as expected.

If your partner was in the "trade" at a bar, then she was most likely tested several times in the year and this acted to reduce the risk associated with her. Still risky, but much less than the freelancers that fall outside the surveillance system. As a warning to others, many freelancers are often the workers that came up with a positive result and had to surrender their booklet. They get turfed by the bar, and go into the "black market" trade. A large number of freelancers in the entertainment districts are people that came up positive in their tests, so if anyone needed a reason to avoid such people, there it is.

And now, a clarification:

Sub Type E more easily attacks langerhan cells which the head of the penis is rich in. This is why thailand has such a high incidence of Heterosexual HIV. It is believed that HIV enters the penis attacks langerhan cells which the head of the uncircumcised penis is rich in. This is why thailand has such a high incidence of Heterosexual HIV.

I disagree with the above.

1. CRF A/E has the same method of entry as other variants. This sums it up nicely;

How HIV enters the human penis: HIV is most likely to enter the penis of uncircumcised men via superficial Langerhans cells on the inner aspect of the foreskin and frenulum since these sites are not keratinised. The major protective effect of male circumcision can best be explained by the removal of most HIV receptor sites in the foreskin and frenulum.

Source: McCoombe SG, Cameron PU, Short RV; International Conference on AIDS (15th : 2004 : Bangkok, Thailand). Int Conf AIDS. 2004 Jul 11-16; 15: abstract no. MoPeA3048.

The University of Melbourne, Melbourne, Australia (Multiple proofs of hypothesis as evidenced by Bailey longterm studies in Keny & Uganda)

2. HIV had a higher incidence of HIV in the past and an increasing frequency now because of i) IV drug use and ii) unsafe sexual practices, not because of any potent virus. A or C or CRF A/E, don't take the precaustions and the virus can pay a visit. The hot zones of infection now are adolescents and the 20 somethings. The HIV prevention programs missed them in the past 7+ years.

[huggybear]

Thanks, I hope you're right but I'm pretty sure I have a viral infection that has affected my immune system.

Even if so, HIV is neither the only nor (based on history and symptoms) the most likely. Mononucleosis and lymphogranuloma come to mind.

Anyway, that's me. I made a series of fatal errors but I was well intentioned - I never had full sex without a condom but did have 4 unprotected moments.

I'm not dissing Thailand but it's a place where one is less likely to get away with silly mistakes.

Cheers

"Fatal Errors" would mean you have already received some sort of death sentence, you haven't even been diagnosed yet.

Get to a real health prodfessional, get the correct tests done, get properly diagnosed and then come back here and post what you actually have.

Until then, go easy on the doom and gloom of having sex in Thailand.

[Ijustwannateach]

'Casual sex' and 'stupid, unprotected sex' are two very different things.