[Question #11508] HIV

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14 months ago
Hi Doctors, 
I am in need of some reassurance as I can't shake my anxiety. Please review my first question I initially posted. I want to give you my testing timeline: October 14th tested for all STD's, November 27th tested for all STD's, and February I was tested for Chlamydia, Gonorrhea, syphilis, and HIV. Everything has come back negative. However, I am having very odd symptoms still and now I am in full blown panic. I was initially tested back in February due to the fact that I was starting a new relationship and wanted to make sure I was safe and that my partner would be safe as well. We both got tested together and everything was negative. We have been in a monogamous relationship but on Thursday 6/20/24 my partner started having urine issues, brown urine, stinging, and urgency to pee. I was tested again 6/20/24, however the doctors did not want to test for HIV or other STI's. So we just did Chlamydia and Gonorrhea- Negative again. I also purchased Oraquick again yesterday which was negative. What do I do? Can I stop worrying about the possible HIV infection? Could 3 4th gen HIV tests be wrong? I am losing my mind. 
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H. Hunter Handsfield, MD
14 months ago
Welcome back, but I'm sorry you found it necessary. I carefully reviewed your two previous discussions with Dr. Hook and agree with all he said.

Symptoms almost never are useful indicators of new HIV infection; the blood tests are far more reliable. The blood tests for HIV are among the most accurate diagnostic tests ever developed, for any medical condition. The results ALWAYS overrule symptoms, no matter how typical for HIV they may seem to be; and exposure history, no matter how high the risk at the time. The answer to your closing question is no:  there is no possibility the HIV test results are wrong. This has ever happened, even once! Nobody with HIV tests negative at the times following exposure that you were tested. It simply doesn't happen.

The other STD tests you had are just about the same. And in addition your own test result, you have those in your partner.

Your partner's symptoms suggest he might have a possible non-STD urinary tract infection. STDs like gonorrhea or chlamydia do NOT cause burning on urination unless there also is abnormal discharge from the penis. Darker urine usually is related to diet and fluid intake. In any case, our forum is limited to HIV and other STD issues; we do not attempt to address other medical problems. Certainly your parter should continue to follow up with his doctors. As for your own symptoms, I don't even know how to interpret what you mean by "very odd".

Whatever is going in either of you, it's not HIV or any other STD. I am completely confident you have no infection of any kind related to your Venezuelan painter a few months ago. Please do your best to stop worrying about that aspect, while you continue to follow up with your own doctors about other explanations.

I do hope this information helps you move along without worry. Let me know if anything isn't clear.

HHH, MD
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14 months ago
My symptoms are achy joints, swollen lymph nodes in groin, dry burning tongue. I guess my issue with accepting the results is the fact that I had a mono-like illness and I was so sick for a week with no diagnosis of what was going on. I’m worried the lab did not report accurately or looked at my history and that I’m a female and just said it was negative when it was actually positive. I’m also scared that if I was infected that I don’t have antibodies which is why I’m getting all these weird symptoms … I’m in therapy right now working through my anxiety, but I’m constantly thinking about having HIV
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H. Hunter Handsfield, MD
14 months ago
With apology, there was a typo in my reply above. Note the change: "Symptoms almost NEVER are useful indicators".

That "the lab did not report accurately" is nonsense. And there is no way in the world that "the lab looked at [your] history"; laboratories do not do that and do not have access to patients' histories. And anybody in a lab that "said it was negative when it was actually positive" would be subject to criminal prosecution. There is no such thing as "I don't have antibodies" to HIV; and anyway your tests were not only for HIV antibodies, but for the virus itself.

I'm glad to hear you are in therapy, because all these are frankly irrational thoughts and indicate a troubled and disordered mind. I strongly suggest you print out these comments and discuss them with your therapist:  I am confident she will agree with me.

Please do not take these comments personally. I am genuinely concerned about your mental health. But not about your physical health in relation to HIV.
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