[Question #3573] Am I experiencing ARS Symptoms?

36 months ago
Dear Doctors
I’m concerned about the last 2 episodes. First one on Mar 26th 2018 and the second one on April 2nd. I found both of them from Sugar Daddy websites. The first one unknown HIV status - Had protected sex for 5 mins (don’t think condom broke) and No oral sex. The second one again unknown HIV status - No sex, but unprotected Oral (both receive and give). 
Starting April 8th, have a fever of 100.4 and Sore throat but No visible rashes, lymph nodes or Night sweats. Been taking DayQuil and the fever seems to reduce and again becomes 100.2 for the past 2 days. 
Worried sick. Are these classic ARS symptoms? really confused and worried. Can it be Strep Throat or Mono or Common Cold? 
Please help.
Thank You
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
36 months ago
Welcome to the forum. Thanks for your question.

I guess my first advice is that in the future, you limit your partnerships through online sites to those who know and are willing to discuss HIV status, as well as other STDs. I'm not particularly familiar with Sugar Daddy, but some such sites allow selection of partners by such criteria.

That said, you had entirely safe sex. (Congratulations -- wise move!) Condoms work (when they don't break, and if properly used, i.e. in place before any penetration). Oral sex is low risk for HIV, even unprotected. There have been no proved cases of HIV transmitted oral to genital and very few in the other direction.

You don't make clear your sex or that of your partners. The chance your partners had HIV, or that you caught it, are exceedingly low if everybody involved is strictly heterosexual or female. The chance someone was infected was higher if you and your partners are male. But even so, the odds are very strongly in your favor:  these sorts of exposures rarely if ever transmit HIV.

So by far the most likely explanation of your symptoms is a garden variety respiratory virus, e.g. a cold or perhaps influenza. And from what you say, your symptoms are not "classic ARS symptoms", which generally would include a body-wide skin rash and enlarged lymph nodes. The timing is consistent, but that doesn't mean much when the exposures themselves were such low risk. Another clue is duration of symptoms:  if your symptoms start to improve in the next day or two, it will support a benign cause; ARS pretty much always lasts 7-10 days or longer.

What to do now? You'll probably need testing for HIV to assuage your fears. It would be great if my advice alone settles it for you, but most people in your situation benefit from the additional reassurance of negative testing more than expert advice. Even better, contact your partners, if able, and tell them what's going on; and suggest s/he and you be tested at the same time. You may find s/he is equally worried about the exposure -- and if you both are negative at this time, you both can be 100% reassured about HIV.

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD
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36 months ago

Thank you for your quick response Doctor and sorry for the vague information

Yes, I'm a Male and the 2 episodes were with women. Now that I remember, the first woman, actually asked me for my status and she even said that she is clear of any STD. The second one is of unknown status and we had no sex , except Orals (give and receive)

So far no visible rashes or enlarged lymph nodes. I will definitely update if my fever goes down and my sore throat gets better in the next 24-48 hours.

Thank You