Hello. I had a potential exposure to HIV on 16th Dec ‘2023 - men-men, partner of unknown HIV status, only mutual oral sex and kissing. Sadly, at one point the person put the tip of his finger up my anus, which I immediately took away and, when he’s doing oral sex on me, I felt a bit of a pain (scratch, bite, not sure) yet do not recall seeing any blood. By the time, I was on daily PREP (started on 20th Oct) and keep on taking it. 

Welcome to the forum. Thank you for your confidence in our services.---

Thanks, Dr. Yes, aware of low risk, but never had these issues, much less all at once at 10 days.

Sorry - a final comment re chronology: all doctors on 28th, 29th and 30th Dec said my intercourse wasn’t high risk, PREP is helpful, not likely HIV, etc. They also advised to keep my appt at sexual health clinic on 2nd Jan, which I of course did and attended. At that appt, they checked me out physically and fully, and saw no broken skin, no wounds, no warts etc, and then took blood for first 4th gen test and other STI’s. On 4th Jan was told all was clear but as it’s still within window period plus I was anxious, I went from my town to London to have a PCR, also negative. On 11th Jan I had a pre-booked appt w my Consultant at sexual health clinic - not for these symptoms but only for PREP renewal — we discussed these issues, she said it’s low risk, and advised me to keep on taking PREP and indeed renewed my prescription for 6 months plus  advised testing on 12th Feb. I saw GP last week again due to chills who suggested blood tests- only one liver protein came back slightly raised but they said it’s nothing concerning, all blood tests (white blood cells etc normal). They added HIV is low risk in my case. I will see if I can wait till 12th Feb, otherwise I’ll do a PCR again. Whilst low risk and on PREP, I can’t rust the person I das with plus do have symptoms that exceed anxiety. I’d welcome answers to my questions on my reply comment. Thanks as ever!!!  

You're going into far more detail than we can address on a distant forum. We do not provide medical care, only general advice. Nothing you say in these extensive comments changes my opinions and advice, that you were at little or no risk of HIV and, that your test results are reliable despite PrEP by either you or your partner, that it is exceedingly unlikely you have HIV, and that you are over-thinking and over-worrying about all this. I suggest you discuss all these issues and questions with the doctor or clinic you have been seeing. As I said above, their expertise in all this probably is greater than mine.---
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Thank you very much, Doctor. Again, I do acknowledge my anxiety, it’s just these symptoms. Also, English is not my 1st language so often worry about not writing correctly. Re clinics, kindly note the private one does not know me, I went there for 20 mins only for the PCR test, and regular Consultant at my sexual health clinic agrees with you in that my exposure was low rosk and to test on 12th Feb. 

Symptoms NEVER are usefully indicators for or against a new HIV infection. Most new infections cause no symptoms; and every symptom that can occur with acute retroviral syndrome (ARS) is more common with other medical conditions, mostly mild. Symptoms always are to be ignored, and test results always overrule symptoms.---