[Question #9961] Will I be the first person to get infected with HIV?
27 months ago
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Hello, I had oral sex with A Chinese woman In exchange for money from Canada, and I'm from North Africa. I performed oral sex for no more than 15 seconds, and there were no fluids involved. She gave me oral sex until I ejaculated in her mouth, and the duration was no more than 20 seconds. 5 days after exposure, I noticed swelling of the lymph nodes under my chin in one spot only, and on day 6, I experienced dry mouth, night sweats, and some chills, maybe fever, I'm not sure. Then I had a white tongue and thrush in my inner cheeks that was difficult to remove, causing me to lose my inner cheeks that was difficult to remove, causing me to lose my appetite and have a bitter taste in my mouth. I also have a transparent ulcer in my inner mouth that doesn't hurt and hasn't disappeared yet. I've lost a lot of weight, especially muscle mass. On day 12, I decided to take a fourth-generation (combo) test. They took blood from my vein, and the result was negative. However, it was too early at that time. I took a home(insti) test after 17 days, and the result was negative as well. Now it's been 28 days since exposure, and I'm still suffering from swollen lymph nodes under my chin and oral thrush or candidiasis, and I don't have the courage to take the test again because I'll be deported due to my temporary residence status.
Currently, the symptoms I'm experiencing only match those of HIV, such as weight loss, dry mouth, oral thrush, and swollen lymph nodes under the chin. I want to know based on your experience, will I be the first person to get infected with HIV through oral sex? As I've never had sex in my entire life.
Also, I want to know if the home tests (INSTI) can be useful for me after 4 weeks?
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Edward W. Hook M.D.
27 months ago
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Welcome to our Forum. Thanks for your questions. I'll be glad to comment. The short answer is that your symptoms are certainly NOT due to HIV and the likelihood that you acquired HIV from the exposure you describe is virtually zero. I'll make the case supporting this several ways.
First, statistically it is unlikely that your partner had HIV, far less than 1/10th of 1% of women in Canada have HIV, no matter where their ethnicity and your risk for acquiring HIV from performing oral sex on an untreated infected person is far less than 1 infection per 10,000 sex acts, on average (i.e. like performing oral sex on an untreated infected person daily for more than 27 years). Thus, statistically your risk for infection was less than 1 in 10 million.
Second, when persons have symptoms due to HIV, 4th generation tests are always positive (on the other hand, in the absence of symptoms, 4th generation tests are not completely conclusive until 6 weeks after an exposure). Yours were negative. Your symptoms are not due to HIV.
Third, your symptoms do NOT match those of HIV. Isolated swollen lymph nodes under the chin are not characteristic of recently acquired HIV- the lymph node swelling in such cases is widespread. Further, weight loss and dry mouth are not characteristic of recently acquired HIV. Nor is thrush which, in most people is NOT related to HIV. Most most people with thrush, if that is what you have (did a doctor make the diagnosis) do not have HIV.
Testing: 4th generation tests for HIV are more than 99% conclusive 4 weeks after an exposure but very rarely tests can become positive in the "window" between 4 and 6 weeks. I have never seen such a case.
Bottom line, I am confident this is not HIV. If you need to prove this to yourself, testing with a 4th generation test, either at home or in a clinic will provide conclusive results and confirm my assessment. I hope this information is helpful. EWH
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27 months ago
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Doctor, thank you. I have another question about testing. I bought some tests from Amazon that rely on a finger prick and are called "Insti" tests. They should arrive in week 5 from my exposure date. I want to know if my symptoms could be due to HIV, and whether these tests can detect the virus at this time or not?
Maybe I will also go to the clinic to do fourth generation tests again. It would be a shock to me if the result is positive. I am very scared of this.
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Edward W. Hook M.D.
27 months ago
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INSTI is a brand name, the INSTI self test typically tests only for HIV antibodies and thus does not provide conclusive results until 8 weeks after exposure. Most clinic-based HIV tests test for both HIV antigen (the virus coat) and HIV antibodies (which are produced by the infected person in response to the infection). These combination, 4th generation tests are entirely conclusive at 6 week while the antibody only tests take 8 weeks to be conclusive ( these are called 3rd generation tests)
I remain confident that you do not have HIV
---EWH
26 months ago
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Hello again, Doctor. I have performed several home tests of the third generation called "Insti". I took a test in week 4, and it was negative. In week 5, it was negative as well. And in week 7, it was negative again. I went to a doctor regarding swelling under my chin, and they told me it could be inflammation in the salivary glands. I had ultrasound and blood tests done, and the results were good. Are my negative tests reassuring in week 7? What is their accuracy? Can the HIV virus cause inflammation in the salivary glands? Thank you very much, Doctor.
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Edward W. Hook M.D.
26 months ago
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Thanks for your follow-up. You week 7 INSTI result is effectively conclusive despite "official" recommendations" that results are not conclusive until 8 weeks following an exposure. You have clearly proven that your symptoms, including your swollen salivary gland are not due to HIV. I urge you to put your concerns aside and move forward without concern.
As this is my 3rd reply, as per Forum Guidelines, this thread will be closed shortly without further replies. Take care. Please don't worry. EWH
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