So I had penis to mouth oral with a bi sex man whilst getting fingered I was led to believe its low risk but not zero so after few days I left it in the back of my mind unfortunately 4/5 weeks later sore throat and stomach issues lost weight so took a test 4th generation and all other stds all negative but more mouth sores then followed up but at 9 weeks negative at 11 weeks bloods feom doctors said I had low folic acid and stool sample said h.plyri positive which antibiotics have ran there course but continued issues still unresolved. My skin if I have an abration from work are just not healing right also strange. Blantis and recurring oral thrush and anal sores comes and goes too. My clinician was ready to kick. Me out the door by 14 weeks but due to the recurring opportunistic infections she's keeping my file open and saw me at 18 weeks still negative next and last to cover 6 months period i have to wait until 24 weeks now as she's confused 30 years and never saw anyone past 90 days and 6 weeks using 4th generation turn positive.. My questions are

1. Is the risk great enough to have transmitted hiv?

2. Are the symptoms more like the virus has damaged the immune system rather than antibodies being present or antigen? Could this be causing a late positive would antigen still be picked up?

 4. My wife has also developed terrible night sweats and mouth sores and sore throat is this all coincidence? She has no understanding why she's feeling so bad says she feels constantly sweaty and sick.

So out of sheer anxiety over all these symptoms I've booked a private clinic to run an hiv pcr test to see if they can detect the virus itself. This is now 20 weeks would that test be appropriate considered 2 weeks ago 4th generation picked up nothing.?

Thanks doctors 

The PCR test is overkill and will only confirm the testing you have already had.  You do not have HIV and need to look for other causes of the problems that both you and your wife are experiencing.  They are most likely due to other, independent problems.  

Further comments:

The antibiotics which cure H. pylori also have many other side effects.  Check with your doctor to see if they could be part of the problems

Your wife's symptoms have many causes.  In fact, night sweats can be caused by H. pylori and it is possible that you are both infected.

I am confident this is not HIV.  Time to look for other reasons.  If there are further questions, please use your up to two follow-ups for clarification.  EWH

1. Let's say my body hadn't produced enough detectable antibodies upto 18 weeks of 4th generation testing to be picked up can the virus itself cause these problems due to failure of immune response? And if this was the case would my p24 antigen for hiv-1 have a much more likely chance to be positive even upto 18 week's? 

2. I believe my h.pylori has been effectively treated by the 2 week's course of antibiotics but is h.pylori something that's easily transmitted to others? as when asking my doctor about having my wife being tested she was rather dismissive.

I'm currently seeking other root causes for my health issues as they have very much came out of nowhere hence why the frequency of testing but I am very much working with my doctor to pursue other causes but so far unsuccessful at getting to the bottom of all this. 

Thanks for your help

1.  If you had HIV a fourth generation combination, HIV antibodies/antigen test, which is the standard test used this time would certainly light up. Negative tests are conclusive.

2.  No, H. Pylori is not an easily transmitted infection, and is certainly not sexually transmitted. However, you and your wife share meals and likely eating and drinking implements. H. pylori does have a tendency to occur within families.

As you know, we provide up to three responses to each client’s questions.  This 3rd response will complete this thread which will be closed shortly without further comment.  Time for us both to move forward.  Take care.  Believe your test results.  E