1 year ago I had an ascus Pap followed by colposcopy. I was told that it looked ok and to return a year later (my follow up is tomorrow). I don’t know if it was cin 1 or less, but assume so given follow up, and  plan to confirm tomorrow. 

I did quit taking birth control 8 months ago, for hopefully near term family planning reasons, and since discontinuing I’ve had some odd symptoms occur which has heightened my concern for other more sinister stds. Symptoms: 1. lost 15 pounds without trying, where before I struggled to lose 5 with intense workouts. I am back to what I weighed 5 years ago 2. Developed mild scalp dandruff 3. Had IBS type symptoms about 1 month after birth control, bad for about 1 month (mornings only), but progressively better since. 4. Tingling/buzzing in my shoulders immediately post pull (resolved), and now occasionally in my feet; mostly when also cold. 5. Pea sized palpable submandibular lymph node under left jaw, but not right. 6. Persistent allergies/drainage. 

I am not concerned about my husband, he has been tested negative for everything (excluding hpv) and donated blood 4 years ago. My last concerning experience was nearly 11 years ago, 10 years before the pap in concern. In college, I was a white 21F, dating white 21M for 1 month. He is definitely heterosexual, non drug user, never in prison. We only had relations once, and our summer romance ended abruptly feeling me a bit used. Drunken Frottage in the shower caused accidental vaginal penetration for less than a second. There may have been Precum, but mixed with shower water, no ejaculation. He immediately apologized for the slip, and we finished with oral sex instead. He ejaculated into my mouth. A year later I did ask him if I had anything to worry about and he emphatically replied no, but offered no testing. I was tested negative for bacterial stds only. He has since married and had two children with his wife, 6.5 and 8.5 year

The title of your question mentions possible associations between HIV and HPV infections. While there is a very small statistical association between these two infections, It remains that it is most unlikely that you were even exposed to HIV and even if this were the case, the possible presence of HPV only modifies risk for HIV a very small amount.

Thank you for your prompt reply, and confidence, it has definitely helped calm my concerns some. 

My main concern on the link between HPV and HIV, was whether the HPV occurrence coupled with other symptoms  was a concern or “early” progression indicator for HIV. You can read many things online, which are unfortunately confusing sometimes, and I found some sites listing a connection between the two. 

As said before, I’ve crunches the numbers on risk as you’ve all shared before. My 

Specific HIV follow up questions: 

1. What symptoms would you expect someone to show after 11 years, if contracted at a young age (I understand this plays into rate of progression)?

2. Do people typically present with gradual progression of symptoms with worsening severity? I’ve read conflicting info on the course of symptom progression. Prior to my abnormal Pap, I’d had illness but an occasional cold/allergies (not even the flu) for the last 10 years. 

3. This person is still amicable with all of their longer term previous girlfriends, whom all have children now. It’s a bit of conjecture, but that would mean his risk for acquiring hiv would have had to come from a 1 or 2 off casual exposure, and then to pass it on again in a 1 off experience to me seems even less likely? My main concern around this has been whether he could have had a one night stand upon returning to college, and have acquired something, and then passed it on to me a few weeks later. I know the PHI window is most infectious. To further, his college town had 17,000 students total, roughly half female. Statistically that would mean there would only be 1 Caucasian non IDU female likely positive? Even typing that I know how far fetched the story seems, but it can be hard to not focus on the “1” in a million/billion and that the 1 might be your scenario.

Again, I appreciate the expertise and real world applicable knowledge you share with anxious users on the forum. 

1.  The natural history of untreated each IV is such that after 9 to 11 years most infected persons have progressed to the stage it which they have covert aids. It is unlikely that that is the case for you.

2.  That’s a difficult question to answer however most persons with progressive HIV infection do indeed get increasingly severe signs, symptoms and manifestations of their HIV infection. Again, the problems you described are not suggestive of the natural history of untreated HIV infection.

3.  I think your assumptions that you could be the one in 1 billion are pushing it. Obviously however this is concerning you and as I mentioned above, I would encourage you to get tested and put these concerns behind you once and for all. Should you test, I am confident testing will show that you were not infected.

Finally, I strongly encourage you to stay off the Internet as a source of information for questions related to HIV. The Internet is not edited and there is much information there that incorrect.  It is hard to tell what is correct and what is out of date, taken out of context, or just plain wrong. 

I hope the information I have provided this time provides you with the information you seek.  If I have missed the ball again, please feel free to follow up. EWH