[Question #14002] possible HIV risk and blood test results
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2 days ago
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Hello,
For the past 6 months, I have only been sexually active with 1 person. All of our vaginal sexual encounters were with condoms. He would always withdraw before ejaculation, ejaculate inside the condom,outside my body, and carefully check the condom to make sure it had not broken. He is greek like me almost 27 y.o. and straight. Our last encounter was on April 13. It was protected vaginal sex with a condom, used correctly from start to finish, and the encounter was basically brief. On some (not all) OUR ENCOUNTERs, we had unprotected oral sex. When I performed oral sex on him, it was always brief, without ejaculation in my mouth. on April 13, oral sex also occurred briefly, without ejaculation in my mouth. In December, I also had a full STI blood panel, including HIV testing, everything negative & visited my gynecologist and everything was ok.
On April 17 2026, I had a 4th generation HIV test, negative. it was a full STI panel, all negative.With this partner, I have never experienced genital symptoms (itching, unusual odor, burning, discharge, sores). on 05.05.206, I had routine blood tests & noticed slightly low lymphocytes: Lymphocytes: 18.1%, Absolute lymphocyte count: 1.35 (lab lower limit 1.5)
White blood cells were normal overall (7.5). Neutrophils were only slightly elevated by percentage. At the time of the blood test I was under severe psychological stress I had a light sore throat, I have nasal congestion/runny nose for days & a herpes outbreak on my lips, my period was due and started the next day (06.05.26) of these tests. I have OCD. I am worried whether these lymphocyte results suggest acute HIV infection, or are they more compatible with stress & mild viral illness? Do i have to test again ?Thank you
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Edward W. Hook M.D.
1 days ago
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Welcome to our forum. Thank you for your questions and for your confidence in our service. Congratulations as well on your regular practice of safe sex. I believe that you are worrying entirely too much. Unless there is something that you have not told me or do not know, it is unlikely that your partner HIV even if he did, nothing you have reported suggests HIV. Variations in the blood lymphocyte count are quite common, and it is far more likely that the changes you noticed were due to other factors such as a mild community acquired, non-STI viral illness, or perhaps even day-to-day variation related to the stress that you mentioned. In this situation, I see a little Medical or scientific need for HIV testing. Testing, however is a personal choice if you would benefit from a single HIV test showing that you were not infected you could have a standard, fourth generation HIV test at this time which would provide you with conclusive information that you are test changes we’re not due to acute HIV. EWH---
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1 days ago
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Thank you doctor for your answer!
No there is nothing that I am not telling you. I told you everything! So you think there is a little medical/scientific need to get tested?
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Edward W. Hook M.D.
1 days ago
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Correct. I see no medical need for testing. EWH---
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1 days ago
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Ok I am not going to get tested again then is very stressful for me! Thank you!!
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Edward W. Hook M.D.
1 days ago
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I think that is a good decision. I hope I’ve been helpful to you. Again, congratulations on your regular practice of safe sex. It will keep you healthy.
We provide up to 3 responses to each client’s questions. This is my 3rd response so the thread will be closed shortly. Again, congratulations on your commitment to safe sex. EWH
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