[Question #7796] Seroconversion on HIV

1 months ago
Hello,

Back in November 2, 2020 I had an intercourse with a prostitute. I always used protection (Condom) and this situation is no different. A couple of months ago a inquired here about having a wet rash on my penis after a month that happened and unfortunately, after 3 different test, on the 12th week I found out that I was indeed positive with HSV-1. I was devastated but since the start of february, I have been taking valacyclovir every day. It has been a rough few months for me to grasp what happened but now I have another concern that's rumbling in my head. I have been thinking that if I caught HSV-1 in that occasion, would have I been also exposed to other stuff even though I used protection. Recently I've been having body ache's, also a mild fever (37 Celcius) for a day or so that really got my anxiety riled up to the fullest. Along with HSV test also included a 4th generation ag/ab HIV blood test at 6 weeks (42 days) and another one at 11 weeks (80 days). Both came back non-reactive. Right after the mild fever, I went and got a Rapid finger prick HIV test (FUJIBIO) also came back negative and puts me at 5 months from the possible exposure.  These recent body aches, feeling fatigue and a possible swollen lymp node is putting me on full breakdown. The anxiety has been killing me and I don't know what else to think as my mind is exhausted. If you could please make sense out these things I would love to hear it. thank you
Edward W. Hook M.D.
Edward W. Hook M.D.
1 months ago
Welcome to our forum and thanks for your question. I’ll be glad to comment. The HIV testing that you have had performed at six weeks and  11 weeks prove that you did not acquire HIV from your November encounter.  You are subsequent finger prick test service to confirm you were earlier results.  Furthermore it also proves that the symptoms you are experiencing are not due to HIV. When symptoms such as muscle aches occur due to HIV fourth generation combination HIV antigen/antibody tests are always positive.

Each of the symptoms that you describe-body aches, fatigue, and swollen lymph nodes are non-specific findings which have many, many causes of which HIV is a rare one. The symptoms often occur together and can be caused by a long long list of other processes. FYI, when studied, over 99% of persons seeking medical care for these sorts of symptoms are found to not have HIV.

Please don’t let the fact that you appear to of acquired HS-1 from your November encounter lead you to think that you also acquired HIV. Your test results prove that you did not.  Currently available HIV tests are amongst the most reliable test and all of medicine. Believe them.

 I hope that the information I have provided is helpful to you. If any part of this reply is unclear please feel free to use Europe to do follow up questions for clarification. EWH
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29 days ago
Thank you Dr. Hook for you input. I just been really on alert about it as I am also experiencing oral thrush to add to the other symptoms I listed. Your help is greatly appreciated.
Edward W. Hook M.D.
Edward W. Hook M.D.
29 days ago
The situation with thrush is similar to the situation with the other non-specific signs or symptoms you mention. Despite the fact that when one goes to Google to search on the topic “thrush” HIV is the first illness to show up, most people with thrush do not have HIV. Persons who have recently taken antibiotics, diabetes, and a number of other predisposing factors are the problems most commonly associated with thrush. Please believe your test results. EWH---
12 days ago
Dr. Hook,

I apologize for the very late reply. but before we close this conversation, I have one more thing to add if you dont mind. The mysteries of my worry about symptoms strikes yet again. I am now also experiencing a mouth sore. As I mentioned here I have HSV-1 but the only symptoms I only ever had was in my genitals. I am just confused, if I have it already, how could it show up in other places. I apologize if It’s a little bit off topic I am just trying to wrap around whats happening to me the past couple of months. As always I appreciate your input, cheers.
Edward W. Hook M.D.
Edward W. Hook M.D.
11 days ago
You are questions about HSV are, indeed, off-topic. You have not provided sufficient information for me to address these questions. If your HSV was diagnosed with a blood test After repeated testing, it may or may not have reflected a true infection versus a false positive.  False positive blood test for herpes are a relatively common problem.

When herpes affects the mouth, it affects the lips, not the inside of the mouth. Your mouth discomfort is a non-specific complaint. If you wish to explore your HSV diagnosis further, I suggest you return to the form with a new question for Terry Warren to address.  EWH
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