[Question #3608] Hiv Phobia,

36 months ago
Hi dear Dr hook/Dr hunter ,it's my second time in this forum unfortunately and I'm still scared to death, exposure end of September 2017, I'm male had heterosexual intercourse with black csw, I was completely drunk but I remember it was protected with condom, couldn't finish so removed the condom and did some masterbation, she spit on my penis!! Didn't ask for that but couldn't stop her unfortunately ، since then after 2 days had painful urination very tender organ.. a week later had ARS similar symptoms.. Passed after 2 weeks... Including night sweat mouth ulcers severe weakness about 8 kg weight loss out of 90kg muscle joints pain.. Was pretty much sure that I contracted hiv so went for 4th generation lab test after 8 weeks, was negative!!, most symptoms passed apart from strange migratory joint pain especially in big joints but including wrists, improved a bit!! Also tingling numbness in arms and legs which became severe nowadays, second combo test at 16 weeks at different lab - - very reliable one in Israel also negative!! Again was pretty sure it's false negative, had consulted with Dr hunter handsfield Dr Sean Cummings as well and some local hiv doctors who didn't examine me but reassured me that I'm negative, what's killing me indeed nowadays are nail fingers pain in all of the fingers in both hands with transverse white discoloration.. And also I think I'm losing a lot of fat in some areas of my face, chin around eyes.. Performed a 3rd generation finger prick which uses blood some days ago at an hiv center, don't remember the manufacturer, - - 6 months plus after the single time risk exposure!! Once again negative!! Are we talking about false negative!!??? By the way I consulted with Dr Sean Cummings and Dr hunter handsfield after my 2nd test at 16 weeks they assured me everything is OK, what do you think Dr?? Please help me cause my life became a total mess, lost job and almost losing my wife and everything


H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
36 months ago
Welcome back to the forum. Unfortunately, you have cut and pasted your question from some other format, and apparently the forum software doesn't recognize the line breaks in that format. I can see only the first ~25 words. Please type the question directly into the follow-up window below, or otherwise assure your entire question is visible. Sorry for the hassle.

HHH, MD
---
36 months ago
Hi dear Dr hook/Dr hunter ,it's my second time in this forum unfortunately and I'm still scared to death, exposure end of September 2017, I'm male had heterosexual intercourse with black csw, I was completely drunk but I remember it was protected with condom, couldn't finish so removed the condom and did some masterbation, she spit on my penis!! Didn't ask for that but couldn't stop her unfortunately ، since then after 2 days had painful urination very tender organ.. a week later had ARS similar symptoms.. Passed after 2 weeks... Including night sweat mouth ulcers severe weakness about 8 kg weight loss out of 90kg muscle joints pain.. Was pretty much sure that I contracted hiv so went for 4th generation lab test after 8 weeks, was negative!!, most symptoms passed apart from strange migratory joint pain especially in big joints but including wrists, improved a bit!! Also tingling numbness in arms and legs which became severe nowadays, second combo test at 16 weeks at different lab - - very reliable one in Israel also negative!! Again was pretty sure it's false negative, had consulted with Dr hunter handsfield Dr Sean Cummings as well and some local hiv doctors who didn't examine me but reassured me that I'm negative, what's killing me indeed nowadays are nail fingers pain in all of the fingers in both hands with transverse white discoloration.. And also I think I'm losing a lot of fat in some areas of my face, chin around eyes.. Performed a 3rd generation finger prick which uses blood some days ago at an hiv center, don't remember the manufacturer, - - 6 months plus after the single time risk exposure!! Once again negative!! Are we talking about false negative!!??? By the way I consulted with Dr Sean Cummings and Dr hunter handsfield after my 2nd test at 16 weeks they assured me everything is OK, what do you think Dr?? Please help me cause my life became a total mess, lost job and almost losing my wife and everything

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
36 months ago
Thanks for reposting your question.

Unfortunately, the forum really cannot help you any further. The evidence is conclusive you do not have HIV, and I am not going to go over the reasons yet again. You have my opinion and advice from your previous thread, as well as that of other acknowledged experts including Dr. Cummings. The problem here is one of mental health, i.e. why you are having such difficulty with all this. You had both a virtually zero risk exposure plus 100% conclusive HIV test results, proving that any and all symptoms you have had are due to something other than HIV. (The symptoms are not typical of HIV anyway.)

As I recommended in your previous thread 2 months ago, I still strongly advise professional counseling as the only rational approach. Many resources for such are are available to you. In fact, I suspect that Freedom Health (Dr. Cummings' clinic) may have such professionals itself -- but if not, surely they can recommend some excellent options for such services.

Best wishes to you.

HHH, MD

---
36 months ago
Good morning Dear Dr. 
As a matter of fact Im not a hypochondriac type generally speaking, it's just that I'm working in the medical field, I saw so many articles regarding hiv rheumatological dermatological neurological manifestations of hiv.. In the past I thought it's completely asymptomatic disease after the ARS Episode, but what I did experience in my own body is really alarming indeed, I think the only way that might prove I don't have it is by performing such a test that looks directly at the virus.. But the problem is that this is not a confidential test in my country, in the other hand I have your opinion which I admire more than anything and I have 3 tests negative beyond the window period, logically speaking I should believe I'm negative but as long as I have symptoms which appeared after that incident, for me that is the alarming issue indeed.. You know dear Dr, physicians can be the worst patients ever, for that I beg your pardon. 
I wish you a pleasant day. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
36 months ago
I was unaware you are a physician. If so, you undoubtedly understand that there are many causes of rheumatological, neurological, or dermatologic symptoms; and that HIV infection or ARS would never cause only these, without other more typical manifestations. And you should know, either form your own training or online investigation, as well as your previous thread on this forum, that the modern HIV tests like you had are among the most accurate diagnostic tests ever developed, for any medical condition -- and that HIV test results therefore overrule all other factors, including exposure history and symptoms. You could have had the highest possible risk (e.g. IV injection of HIV infected blood) and the most typical symptoms of ARS, and it wouldn't matter:  the test results tell the truth.

That you chose "HIV Phobia" as the title of this question also shows that you know, intellectually, that this is an emotional/psychological problem for you, not an actual HIV infection. As you also know, phobias are not helped by simply hearing the facts and scientific truths once again. Nobody ever got over claustrophobia, acrophobia, or arachnophobia by being told for the hundredth time that closed spaces, heights, and spiders are harmless. Similarly, you're not going to get past your HIV fears by hearing once more that your test results are valid. If your fears about it continue, professional counseling or other psychological care should be your next step. I recommend it from compassion, not criticism. But there is no point in continuing to have HIV tests or ask questions on this forum, of Dr. Cummings, or anyone else.
---
36 months ago
Good morning Dr. 
I totally agree with your scientific evidence based approach, it just can't be that I would be probably among the first cases ever which had repetitive false negative answers, the problem is that I have this  kind of Phobia.. It is irrational and overwhelming.. Having these symptoms which can be typical for HIV made all of this unpleasant picture, I already recognized the psychological/psychiatrist elements of the problem and went several times for CBT and counseling but failed totally, the reason is that I keep searching the medical literature and the internet for rare seronegative cases and strange case reports.. Mathematically speaking after 3 very reliable tests and please correct me if I am wrong, if we assume that 25% chance she had hiv then the formula should be 0.25*0.01*0.001*0.001*0.001, statistically speaking the odds are really encouraging but I saw in some places that if there's a clinical suspect along together with repetitive negative results then one should go for different testing approach, this is the last time that I will bother you, I apologize, I promise to work on myself professionally very very much in the regard of the Phobia, in the other hand I will check out with neurologist/rheumatologist what's going on, this is the best that I can do, thank you dear Dr, and once again forgive my ignorance. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
36 months ago
Your statistical calculation looks reasonable and amounts to zero chance you have HIV. Can it be 100% guaranteed? Perhaps not, but the chance is low enough that worry about, further steps at diagnosis, or changes in sexual practices with potential partners all would be irrational. We all live with life's uncertainties. I also cannot guarantee you won't be hit by a meteorite, but I would not advise you to take any steps to prevent it.

That concludes this thread. Please note the forum does not permit repeated questions on the same topic or exposure. This will have to be your last one; future new questions about this exposure, testing, and your fears about HIV or other STDs will be receive no reply and no refund of the posting fee. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. I trust you will understand.

I do hope the two conversations help you move on, in particular to seek professional counseling. Best wishes and stay safe.


---