[Question #10589] HIV
21 months ago
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I never thought this would be me but dang it here I am. Exposure was June 23, 2023. I did a full panel test that included HIV, syphillis, herpes, hepatitis, clamidia and ghonorrea on day 18, 68, and 95 days post exposure. Exposure was with a person of unknown STD status and didn't last long at all (~~ 10 seconds). I don't know with certainty if a condom was used. This was using the 4th gen test all 3 times. I know that it is conclusive after day 45 and I guess I needed "peace of mind" and did it after 90 days as well. I remain worried about HIV and have admittedly developed paranoia around this. I still just don't feel like myself and am constantly stressed. I thought for sure I'd move on with my life, especially after the 90 day clean bill of health. Online, it says 90 days and after is 99.97% accurate. Is there any reason at all to worry about the .03% chance I could be an outlier, I thought it was 100% after day 90? Prior to this exposure, I was a health nut, extremely driven and hard working, and those things have still fallen to the waste side. I know I have mentally become my own worst enemy, but feeling "off" is keeping the paranoia going. I developed a hemorrhoid which isn't making me feel any better about anything - my stress/ anxiety and diet however have been awful since this happened and I am attributing a lot of what my body is feeling to that. I guess I am just looking for another piece of reassurance to not stress about anything else and to not get consumed by the 99.97% number I saw.
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Edward W. Hook M.D.
21 months ago
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Welcome to our Forum. Thanks for your detailed description of the circumstances of your encounter and the testing you have had. I'll do my best to provide the reassurance you seek.
Let's work through your situation:
1. You don't say much about your partner but, irrespective of who they are, unless you know that they had HIV it is unlikely they did. Even among the highest risk groups, less than 10% of persons have HIV and in most situations and with most partner types, less than 1% of persons have HIV.
2. Your exposure. You don't know if you used a condom or not (really??) but, presuming that you did not, your risk for infection is less than 1 in 1000, even if they did have untreated HIV. Now your mathematical risk is 1 in100,000.
3. Then you tested, not once but three times including twice when your results were conclusive. These tests are amongst the most reliable tests in all of medicine. Adding your negative tests into the calculation, your likelihood of infection is now 1 in millions. You are far more likely to be struck by lightening than to have HIV
You are not HIV infected. Your hemorrhoids is not a sign of HIV.
I urge you to accept your test results and move on. You do not have HIV. Believe the numbers, believe the science. There is no need for further testing.
I hope this summary is helpful. EWH
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21 months ago
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Doctor, I really appreciate this reply. Sorry for not elaborating. Without going into to much detail, this was a non-consensual intercourse experience that was awful, with a person I don't know and will most likely never talk to. Because of this, I do not know if a condom was used or not, unfortunately. Prior to this, I have only had sex with two other people who I know didn't have STDs, so with this happening, my mind assumed the worst and every little thing my body felt after this exposure I assumed it was HIV. My biggest fear is passing this on to my current partner, and this experience has affected our sexual life as I'm still hesitant to have sex with her - even though I know that I have two negative test results that are conclusive, Thank you for your response and further reassurance, it's just been really hard to accept the results and move on, I know I have a lot mentally to work on with the paranoia and I will keep doing my best.
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Edward W. Hook M.D.
21 months ago
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Thank you for sharing the additional details on this traumatic experience. I’m sorry that you’ve had this experience and now have a better understanding of why it is so difficult to be moving forward. That said, I remain confident that your test results are entirely reliable. Similarly, I am confident that you did not acquire anything from this assault, which could be transmitted to your partner. I hope that you are working with a counselor to move forward from Persisting affects of your assault. EWH. ---
21 months ago
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Dr, Thank you for your time and help, I appreciate it. Science tells me I am good and safe, I just need to continue to work on everything else mentally, I'm starting therapy next week with the hopes it'll help.
20 months ago
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Doctor, I realize I have one more question before this thread is closed. I know I have all the information needed to know it is conclusive that I do not have HIV. My wife is pregnant and tomorrow gets her blood drawn for numerous things, including STDs. The anxiety/paranoia is starting to get bad again thinking the worst and doubting my results. I can feel confident/rest assured she will come back with a clean bill of health from an STD standpoint?
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Edward W. Hook M.D.
20 months ago
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Final response.
Please don't worry. I reman confident that you did not get an STI from the encounter you described and that you have not put your wife at risk. EWH
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