[Question #5423] HIV Risk/Symptoms and Testing

23 months ago
Hello Doctors!
Hope you well

I am not sure if my question have been repeated(exactly) so, Sorry in advance.

Case:
I had protected anal sex with a man as i am the top ( Unknown HIV status, But i believe he is sexually active)

He provided the Condom .. so i don't know the type of the condom and if STDs preventing. The condom was not broken or split,I checked after the act for any sign of breakage but may be there is something i missed.  I was in big anxiety from that moment i am waiting for any symptoms.

Symptoms:
HAPPENED WHAT I AM AFRAID OF.
After 9 or 10 days i had symptoms (mild fever for 1 day , muscle pain in my chest for 1 day and the feeling of Inflammation of lymph nodes in neck  and under my arms about a week ) all of those was not needed to be hospitalised. My anxiety was very high.if i had Sore throat with those maybe i would have a heart attack. 

Q1:
Any chance to get HIV from the mentioned episode even with unknown condom?

Q2:
Is my symptoms HIV infection symptoms?

Q3:
And most important: Now I am in week 5 after the episode and planned to do a HIV combo test after 6 weeks, Is the result is conclusive whether it is positive or negative? 

Q4:
I am welling to do any test available.Do you recommend PCR test as what I heard my lead to positive/negative false results?

Best regards,,
Edward W. Hook M.D.
Edward W. Hook M.D.
23 months ago
Welcome to our Forum. I'll be glad to comment and hope that my comments will be reassuring to you.  The exposure you describe was low risk for a number of reasons.  
1.  Most persons do not have HIV (did you ask him about your status?  If not, I would suggest that you do so in the future).
2.  Even if you did, you used a condoms. Condoms remain the most effective means of preventing acquisition of HIV as long as they do not fail and it sounds like your condom was intact throughout your encounter (when condoms break, they break wide open leaving no question as to whether or not they have failed.
3.  Even if your partner did have HIV (statistically unlikely) and the condom failed (also unlikely) your risk of infection is less than 1 infection for every 1000 exposures  (O.1%). 
Thus, in answer to your specific questions:
Q1:
Any chance to get HIV from the mentioned episode even with unknown condom?
No, there is no meaningful risk for infection.
Q2:
Is my symptoms HIV infection symptoms?
No, sore throat is typically part of the HIV ARS.
Q3:
And most important: Now I am in week 5 after the episode and planned to do a HIV combo test after 6 weeks, Is the result is conclusive whether it is positive or negative
Yes, a six week test result will be absolutely conclusive and, in your situation, I anticipate that it will be negative.
Q4:
I am welling to do any test available. Do you recommend PCR test as what I heard my lead to positive/negative false results?
I recommend doing a standard, 4th generation combination HIV antigen/antibody test.  PCR testing will be less accurate at this time and a waste of time and resources.

I hope this information is helpful to you. Please don't worry.  EWH



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