[Question #8531] Reassurance
43 months ago
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43 year old white male. My exposures were in 2015, so not recent. In 2015 I performed oral sex on two men, breifly (no more than 1 min) there was no ejaculation. At the time I had asked about these on two other forums (Thebody, poz.com) where I was told not to be concerned and that testing for HIV was not warranted, so I kind of just went on with my life. I have been in a hetero relationship since then with no other risks.
I was recently tested for hiv during a routine physical, but I have concerns. In the last few years I have experienced:
Lymph node swelling in armpits that comes and goes. I may have pinned this down to the use of antiperspirant. Could antiperspirant cause lymph node swelling.
A couple of random bouts of canker sores, which is unusual for me.
I had a rash around my collar bone area that looked like molluscum.
Abcess/boil near anus. I do have pilonadal cyst that moved down closer to there after a surgury, so could possibly be related.
My blood was drawn last Thursday (1/13) and I have not received my test results which is causing me concern. Is it normal to wait this long for lab results? My concern is that when I had a previous test done in 2013 I had a false positive, and the results took longer due to confirmation western blot test which was negative.
Do you think I can have HIV? My anxiety is getting the best of me. I know HIV from oral sex is very unlikely but I'm feeling like I was the unlucky one. I guess I'll find out... Soon I hope.
Thank you.
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H. Hunter Handsfield, MD
43 months ago
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Welcome to the forum. Thank you for your question.
You needn't be at all worried. First, you received accurate advice from TheBody.com and poz.com: you had virtually no risk for HIV from the two exposures 6+ years ago. So you definitely can expect a negative test result this time.
Your symptoms are not typical of an HIV infection or immune deficiency. But even if they were -- or if your exposure had been high risk -- it won't matter when you get the negative test result. The HIV blood tests are among the most accurate diagnostic tests ever developed, for any medical condition. When done sufficiently long after the last exposure (6-8 weeks for most tests), the results overrule everything else: no matter how high the risk of HIV infection when exposed, and no matter how typical someone's symptoms seem to be for an HIV infection, the test result rules and the other factors can be ignored.
I'll be happy to comment further if you'd like to let me know the HIV test result when you have it. Stay mellow in the meantime: there is almost no chance of a positive result.
I hope this information is helpful. Let me know if anything isn't clear.
HHH, MD
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43 months ago
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Thank you. This helps put my mind at ease a little. I just saw that my labs were reviewed today but they haven't posted the results. I will let you know.
43 months ago
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Hi Dr. Handsfield, test was negative. Thank you for helping to put my mind at ease yesterday. It is appreciated.
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H. Hunter Handsfield, MD
43 months ago
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You won't be surprised that I'm not surprised -- but glad to hear the news. Thanks for the thanks; I'm glad to be of help. That's why we're here.---