[Question #3042] Still concerned..

38 months ago
Hi Doctors..  

I asked a question regarding unprotected sex that I had 35 days ago.  The sex was unprotected and lasted about a minute with no ejaculation inside me.  Since day 18 I have had a sore throats, swollen gland and1. my neck hurts.. I'm really scared.  I have had the following tests.  

1.  14 day STD panel including HIV blood test.. not sure what kind. 

2.  29 day Rapid Alere combo test at clinic.  

3.  32 day Rapid Alere combo test at clinic.  

All negative 

The clinic told me these are definite but my symptoms keep bringing me back to HIV.  I was reading online that the Alere tests are not as accurate as they should be and this has me scared.. 

Do you think these symptoms are ARS and would they eventually stop if they were because it's been two weeks now.  

Thank you 
Edward W. Hook M.D.
Edward W. Hook M.D.
38 months ago
Welcome back to the Forum.  I'm sorry that my replies a week ago were not satisfactory but they are not going to change.  As I said then "Your tests PROVE that your symptoms are not ARS.  I said this before.  Many other viruses can cause similar symptoms and that is the reason tests are used- to differentiate when these sorts of flu-like symptoms are due to HIV (less than 1% of the time in at risk persons) vs. caused by other community acquired viruses."  Your comment about the Alere tests suggests that you are continuing to seek answers on the internet and I have no ability to correct the many misstatements and information provided out of context which are found all too often there.  In the past the Alere tests have had problems with very early detection but that does not pertain to your situation.  If your symptoms were due to the ARS, both your 29 and 32 day tests would have been positive.  That your symptoms have persisted is far more suggestive of a community acquired viral infection than the ARS which typically resolves over the course of two weeks or less.

EWH
---
38 months ago
Thank you doctor.   

One more question..  just statistically speaking..,  if I had unprotected sex with no ejaculation and 3 negative hiv tests with the last one at 32 days.. if I had a one in 1,000 chance of acquiring it if he was HIV positive what are the odds I would have HIV now? 
Edward W. Hook M.D.
Edward W. Hook M.D.
38 months ago
Your risk for having HIV, based on your history and tests is less than 1 in a million, and that is probably conservative.  To put it in perspective, you are far, far more likely to be hit by lightening that to have acquired HIV from the encounter you have described.  EWH
---
38 months ago
Thank you Dr. Hook.  

I know these will be my last questions answered before you close the thread.  This experience has completely set me into an anxiety driven panic for almost 6 weeks that o am not able to get out of.  Can you just answer these last questions for me to hopefully hold me off until next week for my 6 week test.  

1.). If I tested 32 days days out that is 10 days short of 42 which is considered conclusive.  How likely would my negative result change? 

2.). What are your thoughts of testing at 40 days instead of 42?  With the Alere Rapid test.  Is this still conclusive?  

3.). Anymore comforting words you can give me before you close the thread would be great.  

Thank you again for everything.  


Edward W. Hook M.D.
Edward W. Hook M.D.
38 months ago
Your questions are a bit repetitive.  Straight to the questions:

1.). If I tested 32 days days out that is 10 days short of 42 which is considered conclusive.  How likely would my negative result change? 
As I mentioned earlier, IF you were infected, at 28 days your test would detect over 99% of infections. thus, IF you had HIV (unlikely) there is a very low chance that your test would change. as I also said, we you factor in the fact that you do not know that your partner was infected and consider the statistical improbability that he was, the chance that you are infected and will find it on further testing is less than 1 in  a million.

2.). What are your thoughts of testing at 40 days instead of 42?  With the Alere Rapid test.  Is this still conclusive?  
The published recommendations state use a 42 day criterion.  From a practical perspective, there is little difference between 40 and 42days. 

3.). Anymore comforting words you can give me before you close the thread would be great.
There are no more data I can provide.  I hope my answers will help you address your anxiety. 

As you know, this thread will now be closed.  I wish you the best.  EWH
---
38 months ago
Thank you Doctor!!! 
Edward W. Hook M.D.
Edward W. Hook M.D.
38 months ago
You are welcome.  EWH
---