April 22nd met with trans escort ( very well known on social media ) 

The encounter was protected (brought my own condom ) , but when engaging in sex fluid got on skin from where penis meet body , i wiped it off ( that go the escort upset ) and continued for a little bit but got turned off by the fluis so i mastubated for the rest …. This is where my mind races and gives me anxiety could i have rubbed the fluids into my skin

Got sick about 3 weeks post ,, water in knees weird feeling in neck and headache when working out all around sick

Took 4th gen on june 1st from labcorp

Stdcheck.com

Thats about 40 days .. it came back negative

Fast forward today 4 month post , i Have a whole bunch of bumps on my arm and my face is breaking out bad

Lymph nodes were swollen due to a sore throat i had , but it went aeay and i feel like ALL my lymphnodes are swollen idk if im forcing them to be becuase i keep searching for them hard

Also have a patch of really small bumps by mouth on both sides

Ive been STRESSING OUT bad from financial issues and taking that crazy risk feeling like i have hiv after every sick feelings , iva had multiple anxiety attacks ever since 

Whats your expert view on this

You did not get HIV from the encounter you describe.  You can be confident of that, as well as of the fact that none of the symptoms you have described are due to HIV.  It is common for genital secretions to get under the base of condoms contacting intact penile skin.  HIV however does not cause infection in this setting. 

 You have proved that you were not infected with your recent test results.  When symptoms are present, HIV tests are positive and remains positive. Thus you can be confident that the symptoms you describe were not due to HIV.  In addition, HIV test results at 4 weeks (28 days) are more than 99% conclusive and tests taken at 42-45 days are entirely conclusive.  Your 40 day negative test is a strong indicator that you were not infected.  FYI, we have never seen or heard of a person who had a negative 4th generation HIV test who went on to become positve after than time.  Have confidence in your test results

I hope these comments are helpful.  EWH

Last question after that is , 

I have a whole bunch of bumps on arm that arent itchy and moving to chest and face with ringeorm looking bumps on both sides of mouth with an ear ache sometimes … could stress have caused these symptoms ? 

Love what your doing for us here doc ! Thanks

I cannot comment on the bumps on your arm.  I would have a health care provider take a look but it would be unlikely for a rash occurring more than five weeks after an exposure to be related to that exposure.

There are no medications which influence that accuracy of tests for HIV.  Concerns about biotin are largely theoretical unless the amount of biotin ingested is huge.  Emergen-c appears to mostly contain vitamin C which does not effect test accuracy.  EWH

You feel like another hiv test isn’t necessary , and i should focus on other health issues

we provide up to three responses to each client's questions- this response completes this thread which will be closed shortly without further responses.  Take care.  EWH