[Question #11357] Question #11339 Follow-up
15 months ago
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Hi, me again as I have already booked my HIV lab blood drawn exam for the end of the week
Although I still have some questions and details that went missing in the previous thread that I find better to address now.
It's important to stress that I never had any fever, night sweats or swollen lymph nodes nor diarrhea.
a) I am umcircuncised and what I have is balanopostitis not balanitis, I believe that increases fairly the risk of getting HIV in an unprotected
vaginal sex. How likely am I to get HIV in a insertive vaginal sex with no ejaculation having balanopostitis and being umcircuncised?
Could there be an estimative, like in numbers?
b) A little over than 4 weeks post-exposure, I began having a very mild sore throat that cleared up in 1 or 2 days.
Then, again, a little over than 5 weeks post-exposure, I again have a slightly sore throat that cleared up in 1 day.
Is this typical of ARS Symptoms?
c) Over than 5 weeks post-exposure, I also have mild body aches that cleared up in one day or two.
Is this typical of ARS Symptoms?
d) At this point, over 6 weeks of post-exposure, is it safe to assume that probably every ARS Symptom would already have cleared up and what I happen to feel is undoubtfully related to this event?
15 months ago
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d) At this point, over 6 weeks of post-exposure, is it safe to assume that probably every ARS Symptom would already have cleared up and what I happen to feel is undoubtfully UNrelated to this event?
correcting the typo
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Edward W. Hook M.D.
15 months ago
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Welcome back to the Forum although I'm sorry you felt the need. On this occasion I happened to pick up your recent questions and will be answering. In preparing to respond I reviewed your interaction with Dr. Handsfield and agree with all that he said. Ill go directly to your questions"
a. The average risk of acquiring HIV from unprotected sex with an untreated, HIV infected person is less than 1 infection per 2000 sex acts. As explained by Dr. Handsfield, it is Uncircumcised men are at slightly higher risk but no higher than 1 in 1000 chance, i.e. IF your partner had HIV, which is unlikely as Dr. Handsfield explained, the likelihood that you were NOT infected would be more than 99.9%
b. The ARS does not occur more than 30 days after an exposure. It usually occurs at 10-20 days. Most typically the symptoms are severe and do not come and go. What you describe does not sound like the ARS
c. No!
d. 6 weeks is too late for the ARS to occur.
I think you are worrying entirely too much. EWH
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15 months ago
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Thanks for the answers, Doc. Really reassuring. But there are still unclarified questions.
a) Do you think having balanopostitis would not change highly the stake of 1 in 1000 times in urcircumcised men to get HIV? I'm afraid it can increase dramatically the risk.
a) Do you think having balanopostitis would not change highly the stake of 1 in 1000 times in urcircumcised men to get HIV? I'm afraid it can increase dramatically the risk.
b) I've read both in this forum and on other places that ARS Symptoms can be mild. Is it true? Is it more common for the symptoms to be mild or severe?
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Edward W. Hook M.D.
15 months ago
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Straight to your follow ups:
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1. Beyond the fact that you are uncircumcised it is unlikely that balanopostis would further meaningfully increase any risk.
2. Over half of persons acquire HIV report no symptoms at all. The classical description of the ARS, however, involves severe symptoms, including a severe sore throat, high fevers, and widespread muscle joint aches. Symptoms are an unreliable indicator of HIV acquisition. Persons who are concerned about symptoms as being possibly related to HIV should test. When symptoms are present due to HIV, tests are always positive.
Once again, I think you are worrying entirely too much
EWH
15 months ago
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Thank you, Doc.
For the next and last follow-up question.
As I still have to wait for the 4th gen test that I booked, I decided to bite the bullet today and did a quick finger prick 3rd generation test today at 45 days post exposure. How trustworthy is this?
Thank you for your continued support.
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Edward W. Hook M.D.
15 months ago
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This is strong evidence you were not infected but not conclusive. A 4th generation test at this time will be conclusive evidence that you did not acquire HIV from the low risk encounter you described.
This completes this thread. There should be no need for further questions. EWH
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