[Question #9417] Concerned About Symptoms
32 months ago
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Hello Doctor
I am very concerned that I have been infected and worse I have infected my girlfriend. I made a mistake and met a guy I didn’t know on 9/21 and he performed oral sex on me for about 10 minutes. We also kissed a lot. I sat on his chest and then later felt what I think was pre semen on my back leg which may have gotten close to my anus. I don’t know his status and can’t contact him. I have read on multiple sites that I had very low to no risk. I had sex with my girlfriend a week after the event. I started getting sick on 10/3, almost 2 weeks after the event, with cough, runny nose, sore throat and fatigue. I got nervous after going to the doctor and all test for COVID, flu and RSV were negative. So I decided to get a HIV RNA test on 10/6 which was 14 days after the event. It came back negative. My girlfriend then started getting sick the week of October 10. I stayed sick for over 3 weeks. She started feeling better after about 3 weeks but then 2 days later got sick again with similar symptoms and has been sick another 3 plus weeks. Bad cough, sore throat and fatigue. She went to the doctor and tested negative for flu, COVID and RSV. Neither of us had a high fever or rash that we know of. I am scared that this could be results of hiv infection and I’m not sure what to do. 1) should I get re tested? 2) what are the odds both my test could be wrong or taken too soon? Please help. Thank you
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Edward W. Hook M.D.
32 months ago
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Welcome to the Forum and thanks for your questions. I'll be glad to comment and hope that my comments will be helpful. Your symptoms were NOT due to HIV and your exposure was no risk. Here are the details:
1. Your partner. Odds that your partner has untreated HIV are low. Most people do not have HIV and most people with HIV (over 2/3 here in Norht America) are on treatment
2. The exposures. HIV is not transmitted by kissing, receipt of oral sex or without penetrative sex. Genital secretions close to a mucosal surface without penetration is a no-risk exposure. It is for this reason that all experts will tell you that mutual masturbation is a no risk event even though partners typically get each others' genital secretions on one another.
3. Your symptoms. Cough is not a symptom of recently acquired HIV. Further, when symptoms are resent PCR, as well as 4th generation, combination HIV antigen/antibody tests are always positive.
Bottom line- the encounter you describe was a no risk event with no possibility of acquiring HIV. If you had, your test would have been positive. I hope this comment is helpful. EWH
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32 months ago
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Thank you Dr Hook
I have read the accuracy of the 4th generation test at 6 weeks is 100% conclusive. What is it for a 14 day RNA test coupled with a 4 week 4th generation test?
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Edward W. Hook M.D.
32 months ago
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While most experts agree that an RNAPCR test for HIV is conclusive at any time more than 11 days following an exposure, they also recommend a final follow up test using a fourth generation combination HIV antigen/antibody test at six weeks. I have never seen or heard of an individual in-home a negative PCR test at sometime more than 11 days following their encounter became positive at the time of six week testing. I would consider your results conclusive. EWH---