[Question #12030] Hiv symptoms

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10 months ago
Dear Doctor,
I received a sexual service that is considered zero risk of hiv infection on your forum.My cocern is that after 8 days afterward i develop symptoms of aces in the body headace and tiredness.Is this consistant with acute hiv? Thankyou.
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H. Hunter Handsfield, MD
10 months ago
Welcome. Thanks for your interest in the forum and apparently reviewing other discussions.

The quick bottom line is that your symptoms almost certainly are not at all typical of a new HIV infection and almost certainly you are not infected. That your exposure was "considered low risk" is a far more useful predictor than your symptoms. Even with the very minimal information you have provided, I am confident you do not have HIV.

Contrary to what you might think from various media sources and in online discussions, symptoms almost never are useful in judging whether or not someone has recently acquired HIV. Even in people with high risk exposures plus absolutely typical symptoms of acute retroviral syndrome (ARS, i.e. new HIV infection) -- sore throat, fever, enlarged lymph nodes, skin rash -- the large majority have something else as the cause. And of all people with new HIV, half have no symptoms at all. For these reasons, symptoms very rarely are accurate indicators, whether typical, atypical, or absent.

Finally, as sort of implied above, body aches, headache and tiredness almost never indicate HIV. If you'd like to say more about the nature of your exposure I might have more to say. But from what you have described here, from a medical/risk standpoint, you don't even need testing for HIV. However, probably you should be tested anyway:  negative test results often are more reassuring than professional advice, no matter how expert. (We don't take it personally!) Feel free to be tested if the negative result will help you stop worrying.

Let me know if anything isn't clear or you'd like to say more about why you're worried about HIV. In the meantime, I hope this reply is helpful.

HHH, MD
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10 months ago
Dear Dr Handsfield,
Thanks for your prompt reply to my concerns.I will take your advise that my symptoms are unrelated to hiv.Thankyou for your help.
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H. Hunter Handsfield, MD
10 months ago
I'm happy to hear this. Thank you for your confidence in my perspectives. I'll leave the thread open a few days in case additional thoughts come to mind.---
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