I have used the site in the past and always appreciate the expert advice. So earlier this week I came down with a 102.5 fever. Had it for a day or so then eventually the fever has gone. I still have some other symptoms headache and some stiff muscles. I did also have chills and I still am waking up at night somewhat sweaty. I’ve never had any other encounters than I’ve discussed with you in the past except one occasion where I received unprotected oral for about 10-15 seconds. That was a few months ago. Out of an abundance of caution, I was tested for syphillis and Gon. Both were negative. My question is, should I be concerned about these new symptoms that seem to be very similar to HIV? Would you recommend HIV testing in my situation? 

This is more of the same. There is absolutely nothing in your symptoms that suggests syphillis, gonorrhea, HIV, or other STIs. That the symptoms are "similar" to HIV applies to almost all symptoms of colds, flu, and other minor viral infections. (Not that influenza is always "minor", but you get the idea.) The fact is that symptoms almost never are useful in judging the possibility of having HIV:  as just noted, the typical symptoms are far more commonly caused by other things; and half of new HIV infections cause no fever or other symptoms anyway. In addition, HIV has never once been documented to be transmitted oral to penis (and only very rarely in the other direction) -- so you weren't at risk. And by the say, I've never heard of unexplained fever turning out to be caused by syphilis, gonorrhea or any other STI.

Should you be tested for HIV? From both risk and symptoms standpoint, there is no need. That said, anxious persons often are more reassured by negative test results than by professional opinion, no matter how expert. (We don't take it personally!) So if you'll sleep better knowing you've had a negative test result, feel free. 

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

HHH, MD

Thank you, I’m aware I struggle with some anxiety and tend to over react for sure. It def helps hearing it from you guys. I would prefer not to test. Hearing it from you is reassuring enough to me. I just wanted to make sure the symptoms weren’t suggestive of a new infection in your opinion and that based on my experiences I should not be concerned.