43 days ago I was very drunk and went to a strip club in Las Vegas. I went in the VIP room with a Cuban girl and essentially blacked out. I remember receiving unprotected oral sex, fingering the girl and licking her vagina unprotected for a few minutes. I have no memory of any anal or vaginal sex, but can’t say with certainty it didn’t happen. However when I’m that drunk I’m usually not able to sustain an erection. I got an oral and urine gonorrhea and Chlamydia test at 3 days, an HIV RNA test after 12 days and a 4th Generation HIV test at 30 days. Everything was negative. However, on day 37 I started getting a sore throat, achiness, chills with a fever of around 99.5-100.4. In the morning I felt fine with no fever but everything came back in the evening . Again went to bed and woke up fine and it happened one more time. I went to urgent care and they told me to drink lots of water and take a Zyrtec for three days. I felt fine after that, but I’m scared that I have just gone through ARS. Do you feel this is the case?

First, it seems likely that you only had safe sex, i.e. oral but not vaginal or rectal. Even if you did, the chance of HIV from any single exposure -- even if your partner were infected -- is under one chance in a couple thousand. But most important, your HIV test results were 100% concliusive. Those results -- especially the combination of tests you had -- overrule any symptoms you have now or might have in the future. Even if you had highly tyipcal symptoms of a new HIV infection (which you do not), the test results rule. And by the way, ARS always lasts 1-2 weeks, not a day or two.

You're home free. Don't have any more HIV tests. 

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

You came here for professional reassurance by experts. Please accept and believe it. Stop searching the web about it, and do not ask for further clarification. There is no possible additional information you can think of that would change my advice. Time to move on without worry.

1. I am uncircumcised, does this change anything in your assessment?

2. Can I resume unprotected sex with my girlfriend?

Thank you again for your time with my situation. Happy Holidays.

That completes the two follow-up comments and replies included with each question and so ends this thread. I hope the discussion was helpful.