[Question #12010] HIV Risk and Ars symptoms?

10 months ago

Hello sir,

Sorry for coming up with questions again. Actually 20 days back I had an exposure with an escort. I performed unprotected cunnilingus on her 2 times and she did cum in my mouth. The cunnilingus was vigorous. Then we had 2 times condom protected sex and the condoms seemed intact from beginning till end in bothe the case. I thought it would be a no risk exposure. After 4-5 days I developed a pimple on my upper lip and one of my doctors assuming that the it is HSV provide some antibiotics and it got cleared away. But after 20 days of the exposure that is today I suddenly seems like developing a fever and muscle pain. So fearing might that it is a ARS symptom. Could you please assessing the risk and chances of ARS and advice on further course of action?

Thanks,

Edward W. Hook M.D.

10 months ago

Welcome back to the Forum although I'm sorry that you felt the need. The answers to these questions are present in my reply to you several months ago. Any single exposure to a new partner is relatively low risk- in terms of escorts, STIs, including HIV are rare. Cunnilingus is very low risk for acquistion of STIs, including HIV with the risk of acquiring HIV being less than 1 infection, on average, for more than 10,000 exposures in the unlikely circumstance that your partner had HIV. As I have told you before, if your symptoms are due to HIV, a test for HIV would be positive- when symptoms are present, tests are always positive. It is far, far more likely that your fever and muscle pain are due to influenza, COVID-19, or some other every day, non-STI viral infection. I am confident this is not the ARS and that a test will prove that to you. EWH---

10 months ago

Thank you sir for your response. Today I got tested with HiV 1 and 2 rapid test and the results are negative. Also my fever has subsided without any medication.

Could you please reassess the risk based on my current test results as I think rapid test is not confirmative untill 3 months?

Thanks,

Edward W. Hook M.D.

10 months ago

Your testing is not yet conclusive although it, along with your history, suggests that you did not get HIV. Your test does prove that the symptoms you described were not due to HIV. At 28 days after your exposure, over 98% of recent HIV infections will be detected and at 6 weeks (42 days) results will be entirely conclusive. EWH---

9 months ago

Thank you sir for your response.

I had a rapid HIV test on the 40th day post exposure and the result is negative. Should this be considered conclusive?

Edward W. Hook M.D.

9 months ago

Yes. EWH---