[Question #6434] Unprotected sex with hiv +

14 months ago
Hello, I spent a weekend with a hiv positive person and had unprotected vaginal sex multiple times. Over the past months I've been sick. I've lost also 40lbs. My muscles won't stop twitching, lost alot of muscle mass, extreme fatigue and muscle and joint pains everywhere. Very sore throat and still neck, swollen lymph nodes in my neck and groin. I did 4th gen and RNA at 3, 4 and just 4th gen on 5th month. My nose has extreme pressure. What is your assessment? Thanks
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
14 months ago
Welcome to the forum. Thanks for your confidence in our services.

The news is good:  you do not have HIV; something else is responsible for your symptoms. The various HIV tests -- some of them individually and all of them when done in combination -- are among the most accurate diagnostic tests ever developed, for any medical condition. When done sufficiently long after the last exposure, the results overrule all other considerations:  no matter how high the risk of infection at the time, and no matter how typical one's symptoms might seem to be, the test results tell the truth. Your results are 100% conclusive -- indeed you could have had only the antigen-antibody (AgAb, 4th generation) test any time 6+ weeks after the last exposure and it would have been conclusive on its own. With all those later tests, including PCR for HIV RNA, there is simply no chance you have HIV.

That said, it's clear you have a significant medical problem -- or maybe more than one. Some of your symptoms are consistent with HIV, but others are not. For example, HIV doesn't cause muscle twitching and typically not muscle and joing pains; and not nasal congestion or pressure. You definitely should be seeing a physician to figure out what's going on and how to address it. But you can truly put HIV out of your mind:  there is no possibility it explains these symptoms.

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

HHH, MD
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14 months ago
He have four sores in the roof of his mouth. Is it possible to be co-infected which could be causing a false negative? I was tested for every sexually transmitted disease and all was negative. I also have arthritis and osteoporosis. Would this matter? I didnt mention I'm getting small black/green looking moles that's hard on my fingers and on my scalp. I had thrush and my teeth starting to rot.. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
14 months ago
This information doesn't change my opinion or advice. There is no such thing as being infected with HIV and having the negative test results you report; it never has happend. There are no co-infections or any medical condtiions --  NONE -- that cause these test results to be false. Also no medications that can do this. And these additional symptoms also are not typical of HIV.

This forum does not try to diagnose any medical condition:  we don't provide health care, only advice about HIV and STDs. As I suggested above, you should see a doctor to be evaluated in person about all your symptoms. You clearly have serious health issues and it should not be difficult to figure out the causes. If your own doctor hasn't been able to help you, ask for referral to a specialist.

In the meantime, please try not to worry about HIV. I know it is frightening to learn a sex partner had HIV. But for sure you don't have HIV. Good luck in your doctor visits to learn the cause of your problems.

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14 months ago
Hi Doctor, 

Is the window period the same for hiv 2? The reason I ask is because the person I had intercourse with works off shore and is gone for weeks at a time.. sometimes more. It's my understanding that hiv 2 progress much slower than hiv 1 but have the same systoms, and the symptoms comes on slower as well. HIV 2 is even hard to detect with rna testing because the amount of virus low in the body and most people have it for years before testing postive. 

Thank you for your time..
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
14 months ago
The tests you had would have detected HIV2. You do not have HIV of either type. It is true that HIV2 tends to progress more slowly than HIV1, but that's for the speed of immune system damage. The blood tests become positive at the same rate and frequency as HIV1.

You seem to be having difficulty understanding or accepting the scientific evidence and the science-based, reasoned reassurance you have had -- not only on this forum but perhaps from your own doctors. As already discussed, I understand it was stressful and alarming to learn your partner had HIV, and your symptoms are all too real. But they are not due to HIV. Please trust me:  for sure you not have HIV of either type. 

Let me also add something you may not realize. When a male has HIV and is not taking treatment for it, the average risk for his female partner to become infected is about once for ever 1,000 episodes of unprotected vaginal sex. So if you had sex with your infected partner 10 times over that weekend, the chance you caught HIV was only about 1 in 100. So the odds were strongly in your favor. Adding that to your negative tests, there is simply no possibility you are infected.

That completes the two follow-up questions and answers included with each initial question, and so concludes this discussion. You can move on without worry -- and work with your doctor to learn the real cause of your symptoms. I do hope the discussion has been useful.
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