[Question #105] worried about hiv, hsv and hcv c

38 months ago
i was virgin then for the first time in my life I had unprotected exposure with a lady 4 months ago. 1 week, 12 weeks and 16 weeks after exposure both of us got tested in lab quest for 8 test panel including herpes blood test 1/2 igg and HIV 4th generation. the results were negative for both us in everything. Is the lady harboring any stds? Is my test results conclusive? could she infected me by any stds if she tested negative 16 weeks after exposure? i have dry white patches on penis skin and black dots. also i have inflammation on my lift shoulder with a lift back pain. i dont know if this symptoms on my shoulder and back related to stds or injury. 
38 months ago
i got hiv anxiety because the lady test results one week after exposure was:  
HIV 1/O/2 Abs-ICMA 
 HIV 1/O/2 Abs-Index Value <1.00 <1.00 
 Index Value: Specimen reactivity relative to the negative cutoff.
 HIV 1/O/2 Abs, Qual Non Reactive Non Reactive

Edward W. Hook M.D.
Edward W. Hook M.D.
38 months ago

Welcome to our Forum.  I'll be glad to comment.  First sexual experiences are often a time of mixed emotions and concerns about the possibility of having acquired an STI of one sort or another.  In a perfect world, both partners would be checked and share test results before they have unprotected sex.  This doesn't often happen however leading to the sorts of concerns you express above.  Give the results you mention however, you really have essentially nothing to worry about.  Even if you had not been tested, as it turns out most people (even so-called higher risk persons who have had multiple other partners in the past) do not have STIs AND only a minority of single exposures to infected persons lead to infection.  Your test results add further assurance.  Your partner's test results show that she did not have HIV to transmit to you and your multiple subsequent HSV and HIV tests serve to confirm that you did not acquire these infections.  I presume that you were also tested for more common STIs such as gonorrhea and chlamydia following the exposure.  If so and these tests were negative, it is time for you to be completely confident that you were not infected by the exposure you describe.  I see no reason for further testing or for concern related to the exposure you have described. 

For future contacts, unless both you and your partner have been tested and shared results, my advice would be to rely upon consistent and correct condom use.  this will make your exposure safer and help you avoid further anxiety.  EWH

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38 months ago
Dr. Hook. I am just afraid that she is harboring any stds even if she tested negative 16 weeks after exposure because she had more than 20 partner in the past year.  yes we both tested for 8 test panel from lab quest. the results were negative or non reactive.  is it fine to start a new relationship, or should i retest in different time before i have a new exposure?  Thank you!
Edward W. Hook M.D.
Edward W. Hook M.D.
38 months ago
It is fine to start a new relationship. You (and she have both been tested.  The tests are very good and should be believed.   Really! EWH
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