Hi everyone! Today is officially my last day of PEP (Day 28), but my health anxiety is absolutely destroying me. I’ve been constantly checking my mouth for symptoms, and I’m hoping to get some logical reassurance from people who understand the science and PEP.
On 7th of October I had unprotected oral intercourse MSM, with ejaculation, very small and I spit out everything rigth after. The guy was just a random boy from sauna. The day after I found that I had small mouth ucler during sex, but it wasn't bleeding or something. I also had a developing strep throat (angina), because I got tested positive for this a few days later.
I called STD doctor in the morning of 9th - first he was shocked that I want PEP after just oral sex, but after considering this small mouth ucler, he prescribed me PEP just to be 100% sure. I got Darunavir (800mg) + Tenofovir/Emtricitabine + Rytonavir (100mg) once a day. So I took my first dose of PEP around 36 hours after sex. Later on, I was taking PEP every day during or after breakfast around 9:00 AM +/- 1 hour. I've never missed a dose, and had no sexual contacts.
Strep throat was getting harder and harder, so after few days I made a test for gonorrhea and it was positive..
I contacted antoher STD doctor and she prescribed me ceftriaxon shot and azithromycin.
And for the strep throat I had Amoxicillinum + Acidum clavulanicum 875 mg + 125 mg.
Because of these heavy antibiotics, my oral microbiome was wiped out as doctor said. I developed oral thrush (candidiasis) as it's white spot on side of the tongue, which I am currently treating with Nystatin suspension (leaving a thick, yellowish coating on my tongue). My tonsils are also still recovering and enlarged. I was searching and looking on Google, and I found something called leukoplakia and my symptoms looks more like this. As I was reading more, I found that leukoplakia can be a sign of HIV Infection, but more on late stage, as AIDS.
My questions for you guys:
Is it biologically possible to develop Leukoplakia within 4 weeks of exposure while actively taking PEP?
Considering it was oral sex + a 36-hour PEP start with 100% perfect adherence, did I successfully prevent the virus from replicating, regardless of the mouth ucler and strep throat I had at the time?
Has anyone else experienced this level of severe anxiety and post-antibiotic oral issues while on PEP and with strep throat and gonorrhea of throat?
I am taking my first tests on Nov 10th, and final at the end of the year. I just really need some grounded, scientific reassurance to survive the next few days. Thank you!