[Question #10549] HIV RISK

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21 months ago
I have insertive vaginal and oral sex with a girl I met at a club.  I did a full panel std check which came out negative. After that I had a sore throat so I did rapid blood prick hiv test from a lab at 2, 3 , 4.5, 6 months and a lab 4 gen test at 7 months. It’s been 20 months since then. I have been in a lot of anxiety and stress and did too much google . Anything like dry skin , headache or sore throat I get my mind keeps going back to HIV. Just to be clear I didn’t had any risky encounter after that. Please help me 
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H. Hunter Handsfield, MD
21 months ago
Welcome to the forum. Thanks for your question and for your confidence in our services.

Your worries should be over. It seems you did not understand some basic facts about HIV testing and symptoms that might suggest HIV infection. The symptoms of HIV are not caused by the virus itself, but by the body's immune response to it. The immune response is measured by antibody to HIV. Therefore, it is not possible to have HIV symptoms with a negative HIV antibody test. Therefore, your negative HIV test results prove your symptoms are not due to an HIV infection. No matter how typical the symptoms might seem to be for an HIV infection and no matter when they occur, a negative HIV antibody test proves that they are not caused by HIV. You first test after the start of your sore throat proved HIV was not the cause, and your later tests confirmed it. Your negative antigen-antibody test (AgAb, "4th generation") proves not only that your symptosm are not due to HIV, but also prove you don't have HIV regardless of symptoms.

As it happens, your symptoms actually are not very suggestive of an HIV infection anyway. And you also had a low risk exposure, assuming you are in the US or other industrialized country. It's very rare for the average sexually active female -- even the very most sexually active -- to have HIV. And even if she had HIV, the risk of transmission of the virus from a single episode of unprotected vaginal sex is around one chance in 2,500 -- so the odds were very strongly against you catching HIV. (The risk from oral sex was even lower, no higher than one chance in 20,000.)

So all is well; for sure you do not have HIV. You also can be certain you have no other STD from that event, assuming your "full panel" of tests was done long enough after the exposure (4-5 days for gonorrhea/chlamydia, 6 weeks for the blood tests).

Finally, your symptoms really don't sound at all serious. But if they are continuing and you remain concerned about them, see a doctor. But for sure put HIV and other STDs out of our mind. 

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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21 months ago
. Have you ever seen anyone who could turn positive after multiple oraquick rapid blood prick and a final 4 generation test at 7 months ? 
Yes, this was in US.
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H. Hunter Handsfield, MD
21 months ago
No, I've never seen that. Neither has anyone else;  this is an impossiblity that has never happened. (The only exception is when someone takes anti-HIV drugs as post-exposure prophlylaxis that doesn't work. Even then, a positive result would not be delayed more than 3 months.)

There's no point in asking any more "what if" or "could I be the exception" sort of question. There is nothing that will come to your mind that might change my opinion and advice. Do your best to accept and believe the reasoned, science based reassurance you have heard, perhaps from your own doctors as well as me.
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21 months ago
I’m just concerned. I feel it takes longer for me to recover when I’m sick. Headache and sore throat happens for frequently. No matter how much I try to avoid it has become difficult to move. I have been is so much stress and anxiety. I google my symptoms everyday since the last 20 months. Whatever symptoms i feel has some connection to hiv symptoms . I have googled and some post still shows unsureity for test after 6 months. 
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H. Hunter Handsfield, MD
21 months ago
None of these symptoms suggests HIV and the tests prove you do not have it. You simply cannot look at lists of HIV/ARS symptoms and conclude you might be infected because you have some of them. Almost all HIV/ARS symptoms occur more commonly with other conditions, almost all of them much more common than ARS. All you are doing with daily googling such symptoms is increasing your own anxiety and fears. You can ALWAYS trust the HIV test results. You can NEVER trust symptoms. And there are no medically responsible websites that state that the current HIV tests -- in particular the AgAb (4th generation) blood tests -- ever take as long as 6 months to become positive. It doesn't happen.

Perhaps it will also help you to know that in the nearly 20 years of this and our previous forum, with thousands of questions from people worried about HIV, not one has yet reported they tested positive. You will not be the first. If and when it finally happens, it certainly will not be someone who had a low risk exposure like yours (I expect it would be a male having unprotected anal sex with other men), and it will not be someone who initially had negative test results.

As I advised above, see a doctor about your symptoms if they continue and you remain concerned. It isn't HIV. Do your best to accept and believe this reasoned, science-based advice you have had on this forum and perhaps from your own doctors.

That concludes this thread. Please do not be tempted to post another with the same questions. Thank you and best wishes.
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