Your HIV tests are definitely conclusive. The 35 day result was nearly so, but for sure the 48 and 71 day test results proves you did not acquire an HIV infection. You also are in the clear in regard to hepatitis B and C.

Your syphilis situation appears to have been mis-managed in a potentially important way. Standard practice is that all partners of persons with infectious syphilis should be treated with benzathine penicillin, as presumably you were. Having had sex with your regular partner before your syphilis diagnosis, she was exposed and potentially infected and should have been treated. She must be treated now, without waiting for additional blood test result in her. In addition, because of this lapse, you may need re-treatment as well:  your regular partner was potentially infected and you therefore re-exposed. You and your partner should both check back with the doctor who has been managing your syphilis. In addition, I would advise all patients with syphilis to see a genuine syphilis expert, such as an infectious diseases or STD specialist. Please consider it if you are not certain about your current physician's expertise.

Let me know if anything isn't clear.

HHH, MD

As for syphilis, I did see an infectious disease specialist. He only was concerned with treating me. I have not got the follow-up blood work done yet.

When my partner and I had sex, I was not aware I had syphilis. I was treated after that time. However, we did have protected sex once following treatment. 

I am confused as to how syphilis is spread. Is it solely by contact with a chancre or another physical manifestation of the disease...or by fluids? What is the likelihood of transmission per contact with no physical symptoms?

Thanks for your time.

This is a very high priority. A true STD expert would not have managed you or your partner in any way other than what I have recommended. The official advice is slightly different than I said above, but it doesn't change the standard advice for you and your partner. Here is a direct quote from CDC's current (2021) guidelines:  "Persons who have had sexual contact with a person who receives a diagnosis of primary, secondary, or early latent syphilis within 90 days before the diagnosis should be treated presumptively for early syphilis, even if serologic tests are negative."

Thanks for the response. We will take get on top of this situation immediately. It seemed strange that they didn't give her the treatment. Her doctor actually said she didn't need to test again. We were just waiting until a bit of time had passed in order to retest outside of the window period.

Yes, your HIV test results are conclusive. Many or most agencies and experts no longer advise 3 month testing; others just haven’t gotten around to it or have hyper-conservative views about it.

That concludes this thread. I hope the discussion has been helpful. Best wishes and stay safe.