[Question #2209] Test results

47 months ago
Hello drs I want to get some feedback i had some casual protected heterosexual encounters back in january and february then stopped for about the second half of february, so about 3 weeks passed and had another encounter of protected sex on march 18 and got tested on april 16 because a bunch of weird stuff started happening, i developed vomit, diarrhea and chills 1 week and 4 days after which all subsided that same day. started having gastro issues at exactly 3 weeks and 1 day after the encounter once again. I developed a 100 degree fever, chills, vomit and diarrhea, the vomit and diarrhea subsided after i expelled everything in my stomach and my doctor brought down the fever with an injection and it never cambe back, everything was gone within the noght before to about 5 pm the next day. I tested exactly 29 days later, around 4 weeks and 1 day after the encounter, which i wore protection and i even ejaculated inside of her with the condom so i checked after to see if it had ruptured and from what i can remember in was in good shape, should i be worried about my 4 week hiv 1 and 2 blood test not picking up an hiv infection, i tested negative btw I am just worried because i am in a relationship and she is pregnant and is getting lab work done in 2 weeks. They drew blood from her already which i thought was for screenings but they said it was just to confirm pregnancy and check thyroid function since she had a suspicion she had that. I asked the dr and he said they didnt do labs until two more weeks which will be her 8th week, buy i am worried that they maybe did screenings, found something and are confirming it and just havent told us is she tested positive for hiv. I am suffering extreme guilt and anxiety
Edward W. Hook M.D.
Edward W. Hook M.D.
47 months ago
Welcome to our Formum.   I will be glad to comment.   The symptoms that you report we're not due to HIV.   If they had been, the HIV blood test you had after they occurred would have been positive.   When  persons develop symptoms related to recently acquired HIV, blood tests become positive within a few days of the onset of symptoms.  Rather, my suspicion is that you coincidentally acquired one of the every day viral illnesses that most of us get us get from time to time. 

By way of background, condoms remain the best method for preventing infection but an infected partner and are highly effective. I would add  that while you say little about your partners, most people do not have HIV and most exposures to infected partners, even without condoms, do not lead to infection. 

You are in the clear for the exposures you have described.  EWH
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47 months ago
I got sick on monday going into the 4 th week, went to the doctor because my fever was what i thought too much but it was ony 100 degrees and was good by the next day, i tested negative sunday one day after my 4th week....i'm just worried since i tested at 4 weeks my test inst picking up the infecion and i got my pregnant wife sick...one of te two women is single and i think to be somewhat promiscous, she says she is nt and that shes careful and visits her gyno frequently, but her encounter is approximatey 8 weeks back so i feel comfortable about her, the other is one of my closest female friends i had ongoing sex with her aince november 2016 she had one boyfriend, and has only been with him and me, and she says he told her hes gotten check twice, when he got married in december and last month as well. I dont know if i believe that what do you think are my odds doc
47 months ago
For some reason i keep trying to find an excuse to dread about the fact that 4 weeks is not conclusive and i was at risk
47 months ago
Forgot to mention around the same time i had blood work done and they found raised bilirubin of 1.9 and alt of 80 everything else normal...would infection cause this?
Edward W. Hook M.D.
Edward W. Hook M.D.
47 months ago
Nothing in the additional information you have provided me causes me to have any concern.  In fact it gives me additional confidence that your exposures were low risk, that your recent illness is coincidental, and that you are over reacting.  I see nothing to worry about.  Your elevated bilirubin is not due to STI and should be discussed with your regular doctor.  EWH---
47 months ago
Lastly do you thibk my 4 week negative blood test could be considered conclusive in my case?
Edward W. Hook M.D.
Edward W. Hook M.D.
47 months ago
Yes, given the circumstances of your very low risk exposure, I would consider your test results conclusive.  While recent data suggest that a very small proportion of persons at risk for HIV can take up to six weeks to become positive, you are not someone at risk for this.  I urge you to believe your test results.  I see no medical reason for further testing,  

As this is my 3rd reply as part of this thread, as per Forum guidelines this thread will be closed later today. EWH
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