[Question #10157] Unprotected vaginal
25 months ago
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Me and my exgf were having sex penile-vaginal for 5 months
One of the nights I have sex with her twice and 10 days later I have fever 102* F,
went to the hospitals and did HIV1/2 AB/AG after 55 days after exposure and it was negative
And because I’m stupid I continue to have protected and unprotected vaginal sex ON and OFF with her for 4 months again (most exposures protected)
28 days after unprotected I had fever I test for Covid which came back positive (will acute hiv infection cause Covid test to be positive)
25 months ago
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Dear experts what is my risk in this situation ?
Is it maybe I didn’t get hiv from her before my first hiv test and then later I got hiv from her?
I don’t know if she infected or not
But she’s diabetic and she’s doin a CBC blood test every 3 months it’s routinely check up for diabetes
Every time she got slight low, hemoglobin, rbc, rdw and iron but now she have normal range iron with low hemoglobin, rbc, rdw, could this be from HIV?
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H. Hunter Handsfield, MD
25 months ago
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Welcome to the forum. Thanks for your question.
The most important information about your possible STD risk is missing: you say nothing about your partner's sexual lifestyle. Do you have reason to believe she had lots of partners, or frequent change of partners, in the months before your relationship began? Did you? If your sexual lifestyles are average -- occasional new partners, monogamous a time with each of them, and few one-time exposures or experience with sex workers -- then probably you have been at low risk for any STD. And even if you or she had some of these risk factors, there is almost no chance she has HIV or that you have HIV now.
Absence of typical STD symptoms in the two of you also is reassuring and makes infection less likely -- that is, abnormal discharge from your penis, vaginal discharge in your partner, genital sores in either of you. Your illness with fever 55 days into the relationship almost certainly wasn't an STD, as shown by your negative tests at that time. It was not "stupid" to continue sex with your partner the next 4 months. And no, having HIV does not cause false COVID tests. Finally, there is nothing in your partner's medical history (diabetes, her blood tests results, etc) that suggest she has HIV.
Honestly, I see no reason for you or your partner to have an HIV test, or tests for any STD. However, if you remain concerned, the best reassurance would be for both of you to be tested for HIV at this time. Maybe she is just as worried about catching HIV from you as you apparently are from her. Negative test results would prove that neither of you could have infected the other. If you wish additional reassurance, you both could also have standard tests for gonorrhea, chlamydia, and syphilis. If the two of you are not tested together, you can do these all on your own. Almost certainly all results will be negative. I really don't see any cause for worry in the meantime.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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25 months ago
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Hello doctor
My partner she has two boyfriends in her life before me and she was in love with them probably she had sex with them
6 years back I got hsv2 on my pubic hair area I went to hospital and got treated for and it’s gone
And wasn’t any sores on my penis
Will this raise the chance getting hiv
Or I must have sores on my penis
I tested hiv negative many times after I got genital herpes pimples like on my pubic hair area
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H. Hunter Handsfield, MD
25 months ago
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Thanks for the additional information.
In the US, HIV is extremely rare in women with sexual histories like your partner's. There is almost no chance she has HIV. What makes you think otherwise?
Having HSV2 raises the chance of HIV if sexual exposed, even with no visible herpes outbreak. However, you first have to be exposed! And almost certainly you were not. Having said that, pimples in the pubic hair area is atypical for genital herpes, and if you have had no more outbreaks since the first one, probably you do not actually have HSV2. You could have a blood test to confirm whether or not you have HSV2. But even if you do, there is still almost no chance you have HIV. (HIV is an extremely rare cause of otherwise unexplained fever.)
I'll be happy to comment again if and when you report a new HIV test result. While you're at it, consider an HSV IgG blood test as well. (Do NOT have an HSV IgM test, which is very unreliable.)
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25 months ago
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I done the hsv2 test years before and doctor told me I have it
Actually I live in Middle East in Kuwait
I think we have 1000 people diagnosed with hiv and population of kuwaities is less than 2 million
But our kuwait news they said there are people still don’t know they have hiv because they never did the test
People with hiv in Kuwait knew they have it because some jobs required hiv test, before marriage hiv test is a must here and for pregnant women
Doctor Last question is there a big difference between toppings anal and vaginal sex?
Is it really very hard to get hiv from vaginal?
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H. Hunter Handsfield, MD
25 months ago
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Thanks for clarifying your location. Being in Kuwait might raise your risk of HIV, but only a little bit. I would bet that the 1000 Kuwaitis diagnosed with HIV include few women like your partner. However, I understand the cultural situation that might make it difficult for her to be tested, so probably you're on your own. But still, the chance you have HIV is almost zero; you can be tested with confidence in a negative result.
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Insertive anal sex ("topping") is somewhat higher risk than vaginal sex, but even then of course you have to be exposed, i.e. your partner has to be infected. For insertive anal sex the chance of infection is estimated to average 1 in a thousand for each exposure. It's estimated at 1 in 2,500 for vaginal.
Properly understanding HSV blood test results is challenging for some physicians. Your symptoms are so unlike HSV2 that I still doubt you have it and I would encourage you to be retested. You could return to the forum to be confident in interpreting the result: our herpes expert, Terri Warren, probably has more experience with more herpes patients than any health care provider anywhere. I continue to believe there's a good chance that your pubic area infection wasn't herpes (maybe folliculitis?) and that if you test positive, it will be for HSV1 and not HSV2.
That completes the two follow-up exchanges included with each question and so ends this thread. I hope the discussion has been helpful. You can stay relaxed as you wait for another HIV test result. I am confident it will be negative.
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