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About Mark Behar
Expertise
Almost any question or concern about sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), gay men's health issues. There is no such thing as “d/d free” or “clean” (free of infection), so why do so many of us deceive ourselves into thinking that some people are indeed totally free from a potentially infectious disease, like HIV, herpes, hepatitis, syphilis, chlamydia, warts, gonorrhea, etc., just because they say so? Clinical laboratory tests are not perfect, and having a “negative” or “nonreactive” test does not mean that a person is free from infection. Perhaps at the moment the test was taken, the person was uninfected; or, perhaps, the test wasn’t sensitive enough to detect presence of the infection. There is really no way that anyone can determine that they are truly “disease free,” and there are over a hundred of infectious conditions that can be spread without your knowing anything. Rather than trying to “prescreen” or “serosort” a potential sex-mate with deceptive questions that are impossible to know by today’s technologies, a wiser option may be to consider everyone infected with something, and either use appropriate protective measures (“safer sex”), or accept the responsibility and conseqences of possibly “catching” something from someone who’s hotter than expected (pun intended!). There is much research that supports the contention that an HIV positive person reliably taking HIV medications, and having an undetectable viral load, presents a lower risk for transmission of HIV than people who may think or say they are HIV negative, but are not. Food for thought!

Experience
Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answer STD questions submitted to their web site. Professionally lectured at national and regional Physician Assistant and Nurse Practitioner conferences, and at national gay & lesbian health conferences on topics including HIV/AIDS, herpes, hepatitis, STDs, human papilloma virus (the cause of venereal warts), abnormal Pap smears, gay and lesbian health issues, among others.

Organizations
Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; Wisconsin Academy of Physician Assistants; American Society of Colposcopy and Cervical Pathology (ASCCP); Board of Directors, National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Publications
Journal of the American Academy of Physician Assistants (JAPA)

Education/Credentials
Physician Assistant Certified, since 1982; Masters in Physician Assistant Studies; Colposcopy Recognition Award, American Society of Colposcopy and Cervical Pathology (ASCCP);

Awards and Honors
Colposcopy Recognition Award (CRA), from the American Association of Colposcopy and Cervical Pathology; Distinguished Fellow, American Academy of Physician Assistants; Fellow, Wisconsin Academy of Physician Assistants

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI

You are here: Experts > Teens > Health for Teens > Sexually Transmitted Diseases > HIV question

Sexually Transmitted Diseases - HIV question

Expert: Mark Behar - 10/26/2009

Question
Mark, thanks for swift respond to my earlier question.
Just to make sure you understand, relationship with my wife is great.
My deepest concern and fair is about the oral sex I received from a female. weeks after the encounter I got diahear and for days. After I started noticing mild sore throat and headache that comes and goes away quickly but it's been with me for weeks. I'm freaking out and again afraid about my situation.
Sorry to be a burden

Answer
Hi Again, Jose,
The symptoms you mention are not related to having oral sex. However, as I stated before, headache can be due to stress, but can also be due to allergies, nasal drainage, common cold, influenza like illness. Diarrhea can also be due to one of these conditions, as can certain things in your diet like dairy products. Earlier, you expressed concern about your wife and family. That is why I suggested the need for you to consider counseling, since this "extra marital affair" is having an effect on you-- you're worrying about your transmitting something to your wife or kids. If you're "freaking out" it is entirely psychological, and is NOT associated with ANYTHING about the oral sex with someone else.

Sorry if this sounds harsh.
Good luck!
--mark

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