Hello Doctors, i wanted to ask about test post PEP, ive been here before. my exposure was with a female CSW/escort. i had a condom breakage and was probably at most inside for a few seconds. i am unsircumsized and maybe had a few small nicks or cuts from shaving about an hour and a half before the event. i was the insertive partner. i went on PEP at the 65 hrs post event mark. after being on PEP for about 2 weeks i had protected sex with my girlfriend, but the condom was slipping up a little but i still didnt see any leaks from the condoms. She started her own PEP the day after that event which was at about 24 hrs after. we both have gotten tested i got tested at 4 and 7 weeks post PEP with a duo test and at 9 weeks post PEP with an HIV RNA QUALITATIVE test from LABCORP all tests came back negative. my girlfriend got tested at 5 weeks post PEP with a duo test and came back negative however she got a bit sick at about 6 weeks post PEP she got a bit sick again mild body aches, tiredness, some congestion, no fever, no lymph nodes. she did get a small itchy rash only on the left side of her pelvic area and shes also had a lingering cough for about a week and a half. my questions are

I also do want to add that at the time i got my 9 weeks post pep test 3 months post exposure i tested Negative for everything else including HSV, HEP A, B, C.

i am very sorry, one more thing, i myself have had stomach discomfort for about a week and a half including 2 days before my negative rna test. can that mean anything? 

also what worries me is that i didnt get sick from her being sick, which makes me think it wasnt a common cold, flu or covid

Welcome back to the Forum.  On this occasion I happened to pick up your new questions rather than Dr. Handsfield.  I have reviewed your earlier interaction with Dr. Handsfield and agree with all that he said.  Much of your current questions are repetitive although you have now had additional testing  which PROVE that you were not infected from the low risk encounter you described.  Since you certainly do not have HIV, your GF cannot have been infected by you either.  Having provided you with the essential answers to your questions, I'll now go on and answer your specific questions:---

hello doctor, about 2 weeks ago on december 18 to be exact, i woke up feeling sick, with a tension headache, a runny nose, lost my voice a little and a bit of nausea. my girlfriend also had these symptoms before me about a week or 2 before, except she actually vomitted and felt better right after, but she would get nauseas often for about 5 days until she vomitted. i am concerned because since then shes had these spasms in her eye constantly and i wanted to know if HIV could be the cause of it, not as ARS, but maybe as a chronic thing keep in mind this would be right after she was sick. i hope that it might be related to stress and not HIV. another concern is that both of us have small amount of skin peeling around our toes no redness nor itchiness but when i was looking it up it said it could be psoriasis and when i looked up psoriasis i saw that it could be related to HIV, both in the early stage and in the late stage. one more thing is that personally have felt itchiness around my body with no visible rash anywhere, my back gets itchy, my shoulders, my buttocks, my neck, my legs,my feet but not where the peeling is around the toes as well as my arms and hands. i was calm and at ease with the tests ive done and all negative but i started getting these symptoms around 2 weeks after my negative Qualitative PCR test 9 weeks post PEP. i started the cycle again with getting worried. what are the chances that my qualitative 9 weeks post pep was a false negative and thats why i am getting these symptoms?

My girlfriend has also had this lingering cough where she will cough out of nowhere.

I’m sorry to hear that you are having so much difficulty moving forward. ---

For my peace of mind i went ahead and had another qualitative and ag/ab test 3 months and 10 days post PEP, 4 months and 10 post exposure. they were both Negative. Is that good? 

Yes. Just like your earlier test, this test proves you did not get HIV from the encounter you described.---

Would that be considered conclusive now?

It was before and is now.  EWH ---