[Question #8428] HIV RISK with Positive Person
44 months ago
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Hi Doctor,
I had a sexual intercourse with a positive person. He only mentioned it to me after we were done. I used condom the whole time we were doing it and even filled it up with water, just to make sure that it didn't break. I was the Insertive partner (TOP).
He also mentioned to me that he is regularly taking his meds and now considered to be undetectable. (which I'm doubtful as I barely know the person).
After 9 days of possible exposure I got sick. My symptoms were Swollen Lymph Nodes (Feels like I have a stiff neck on the left side of my head so hard to move), Sore throat, Slight Body aches and Fever (not sure if I have as i never really checked myself), Inflamed Nose (Went to the doctor and told me my nose is a bit inflamed), Pressure on my Face, Head ache and unpleasant taste on the mouth and bad breath.
My Questions;
1. What is my HIV risk?
2. Is deep Kissing / Oral Sex with gum disease considered a risk?
3. Is my symptoms considered to be consistent to HIV- ARS? Or more likely to be an acute sinusitis (No history)
4. Does this incident put me at any Risk?
5. If using condom is considered safe sex then why some of the doctors always say its a very low risk when they can just say NO RISK!
I am really scared and losing sleep because of this Doc! My anxiety is through the roof. I hope to hear from you soon
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H. Hunter Handsfield, MD
44 months ago
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Welcome to the forum. Thanks for your confidence in our services.
HIV infected people usually are being truthful when they acknowledge their infections and say they are on effective treatment. I'm not sure why you think it is "doubtful" your partner was not being truthful. If indeed he is on anti HIV drugs with undetectable virus, then you were not at risk. Official advice from public health and HIV experts is that such persons need not use condoms with their uninfected partners. The only potentially risk aspect of your exposure was the anal sex, but with the condom the risk would have been nil even if he hadn't been on treatment. Those comments partly answer your questions, but to be explicit:
1. Assuming your partner was truthful, your risk for HIV is zero.
2. Kissing isn't an HIV risk, with or without gum disease.
3. Your symptoms are indeed "consistent" with ARS, but they are not typical of it. For the reasons already discussed, it is very unlikely you have ARS. However, for reassurance you may wish to be tested to be certain.
4. Discussed above: all in all, very little if any risk. If you can confirm your partner indeed is taking his medications and the virus is undetectable in his blood, it is definitely be zero risk.
5. You're splitting hairs. Some doctor use differnt terminology. There is no significant difference between "very low risk" and safe sex or zero risk. Assuming an infected and untreated partner, there is no such thing as "no risk". Condoms sometimes are not used properly or they break.
So do your best to relax and stop worrying. You are at little or no risk. But if you remain concerned, see a doctor or clinic with experience in HIV and follow their advice about testing to confirm you were not infected.
Final advice: in the future, NEVER have sex without FIRST discussing mutual HIV status!
I hope these comments are helpful. Let me know if anything isn't clear.
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44 months ago
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Hi Doctor,
Thank you for answering my queries.
The reason why I don't trust the person is because it was just a one night stand, so I am unsure if he was telling me the truth.
1.) I just have a follow up question about the symptoms. When you say consistent but not typical, do you mean that what I experienced could be the symptoms of ARS but not the usual symptoms? Could it be my immune system went down because I was in so much stress and depression during that time?
2.) This all happened Feb 2021 and its been 11 months and never got sick neither cold or flu. Do you think its a good sign?
I know that since I used condom my exposure is considered to be very low risk. I guess I just want to hear it from someone credible enough to assess my exposure.
Again Thank you for all your Help Doctor Hunter.. Its been really really uplifting...
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H. Hunter Handsfield, MD
44 months ago
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What? This happened 9 months ago?? And you haven't been tested??? That's obviously the answer here!
I don't see why a "one night stand" partner would be more likely than anyone else to be truthful about his HIV status and treatment.
---1) Correct: Such symptoms could be ARS, but almost certainly are not. (The same symptoms occur with ARS and at least a hundred other medical conditions as well, mostly minor viral infections.) I won't speculate further about the possible causes, since there are so many. I doubt your immune system was "down" or impaired in any way.
2) Absence of symptoms over the last 9 months says nothing one way or the other about whether you might have HIV.
I'm glad to have helped. Thanks for the thanks. Now get tested. Almost certainly it will be negative and will be much more effective in resolving your concerns than anything I can say.