Around 2-3 weeks I felt a bump in my lower pelvis which I thought maybe could be a groin lymph node. At 32 days I went ahead and got tested for reassurance thinking since I’m pretty sure my ocd made up the incident I’d be able to move on with those results. I got tested and the next day the results came back negative. However the night I got the results back (the day after being tested) I felt another bump a lot lower on my labia majora but close to the crease where the pelvis meets my thigh. I’m not sure if lymph nodes appear that low on the groin. Or if it were a lymph node or just a cyst. However because of my ocd I’m obsessing over it. It lasted at most 2 days then disappeared. 

My question is would ars symptoms such as a swollen lymph node show up after 4 weeks of potential exposure? And if I got symptoms the day after being tested negative would those symptoms be because of ars? Or would the test the day before symptoms start to show up come up as positive? 

As you have already acknowledged, you'll need to deal with your OCD-driven perceptions separately.  As far as the bumps you describe however, they are clearly not due to HIV.  The lymph node swelling that occurs with HIV occurs long after tests become positive and if your bumps (I do not think they were lymph nodes) were related in any way to HIV, the test would have been positive at that time.  Lymph node swelling NEVER precedes a positive test. 

In addition, if you were experiencing ARS, by definition, you would be experiencing a combination of symptoms including HIGH fever, severe sore throat, and widespread muscle or joint aches.  Isolated lymph node swelling is NOT a sign of the ARS.

Finally, at least for the bump on your labia majora- this is not a lymph node- lymph nodes do not occur in that location.  

I hope this information helps you to move forward from your concerns.  There is no reason to be concerned that any of these observations are due to HIV.  EWH

However to make sure things are clear, if I tested negative on day 32 with 4th generation test and then had this bump (or what I fear lymph node) on day 33 at night can I be sure this is not due to HIV or Seroconversion? 

I know symptoms that show up BEFORE a negative test are known to not be related but I’m not sure about potential symptoms that occur immediately the night after testing negative. And especially if ars symptoms can even happen at 4 weeks. 

Thank you. 

You are correct. A negative test on day 32 rules out the possibility that you were undergoing the ARS or any had any evidence of HIV infection at the time of the test.

The ARS is most common 2-3 weeks following acquisition of HIV. 

EWH 

Thank you it was hard to describe the region I meant lol. But I do mean near the crease of the upper medial thigh and vagina lips. I wasn’t sure if lymph nodes exist there or not. 

I wanna be specific in that I want to know if the 4th generation test would’ve picked up an infection the day before symptoms appear. 

Thank you it was hard to describe the region I meant lol. But I do mean near the crease of the upper medial thigh and vagina lips. I wasn’t sure if lymph nodes exist there or not. 

I wanna be specific in that I want to know if the 4th generation test would’ve picked up an infection the day before symptoms appear or would the symptoms need to appear FIRST before a test can be positive? 

I presume that the repetitive nature of your question is a manifestation of your OCD.  One last time, I assure you you did not require HIV from the situation you described, if it happened.

As you know, we provide up to three responses to each clients questions. Thus, this thread will now be closed without further replies. I wish you the best. I hope you will be able to move on. I urge you to seek care for your OCD. EWH

But yes I do go to therapy for my ocd so thank you for all your help. Hopefully I can move past this instant without having to test again.