[Question #9943] Hiv risk and symptoms

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27 months ago
Dear Dr hook and Dr Handsfield 
Three years ago at December2019, I was working in a bar and a lady always comes there. She was so high risk girl and I know she had a lot of sexual partners and she didn’t care about protection. At that night she was so drunk and tried to have sex with me. I used condom and did not know that this girl was on her period, and until I found out, I stopped having sex,(it didn't take more than two minutes).my condom was slipped but still on and cover head of my penis .I am not sexual active person and circumcised. A month later (32 days later ), I suddenly started having a bad flu (fever, chills, headache, sore throat, body aches, severe cough, and loss of appetite )that lasted for four or five days. I was so scared because all the symptoms that I experienced was the same as Ars symptoms. Is hiv possible by this scenario?It has been three years since then I have anxiety every day and thinking about it every night and can’t sleep well Pls help me I need to know about your opinion .Tnx
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Edward W. Hook M.D.
27 months ago
Welcome to our forum. Thanks for your questions. I’ll be glad to comment. In reading your question I wonder why you waited nearly 3 1/2 years to worry about HIV and whether or not you have been tested. At this time testing for HIV would help you to put aside any and all concerns as it would be completely conclusive. Having said that, let me comment further.  

The exposure that you described is very, very low risk for HIV, as well as other STI‘s. Here are some relevant facts: 
1.  Most people, even those with many sexual partners do not have a STI‘s, including HIV.
2.  a single unprotected exposure to an infected sexual partner usually does not lead to infection. In the case of HIV, in the unlikely event that your partner had HIV, there is a more than 99.9% chance that you would not be infected. 
3.  HIV is uncommon amongst heterosexual women. 
4. You used a condom. Condoms are highly protective against HIV and as long as the condom covered the tip of your penis, it would do its job despite slipping down.
5.  The symptoms you described are nonspecific and statistically are far, far, far more likely to be due to a common every day viral infections, like influenza and colds than to be due to HIV. 

Taken together, all of these facts mean that your risk for HIV from the exposure, you describe is virtually zero. That said, if you have lingering concerns, my advice is to get tested. There is no reason not to get tested, and testing will help you put aside your concerns. EWH. 
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27 months ago
Thanks for your time dr hook 
Just a few questions 
1-is it possible that the ARS symptoms start afte a month (32 days after exposure)?
2- can severe cough appear with ARS symptoms ? Because I had flu like symptoms and sever cough.
3- can Menstrual blood increase the risk of hiv ? 
4-Is there any std that causes flu-like symptoms after a month of exposure?
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27 months ago
5-Have you ever seen someone get hiv with only single exposure (i am not sexual active person)
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Edward W. Hook M.D.
27 months ago
Straight to your follow-up questions:

1-is it possible that the ARS symptoms start afte a month (32 days after exposure)?
No, the ARS typically occurs between one and three weeks after an exposure.  30 days is too late for the ARS to cause symptoms.

2- can severe cough appear with ARS symptoms ? Because I had flu like symptoms and sever cough.
No, while the ARS can cause a sore throat, cough, runny nose and sputum production are not typical of the ARS.

3- can Menstrual blood increase the risk of hiv ? 
No, the amount of HIV virus in the menstrual blood of infected women is about the same as in blood and is the same or less than the amount of virus in genital secretions.

4-Is there any std that causes flu-like symptoms after a month of exposure?
No

Persons do get HIV based on a single exposure but it is very, very rare.  Once again, as it appears that you remained concerned about your very, very low risk exposure.  The best way to get rid of these concerns once and for all is to get tested.  EWH
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