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please help young and scared


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I recently had unprotected sex with a guy whose an RN I work with. I do not know his sexual history but I do know he was married for six years with two kids I do not think he's an iv drug user and he's heterosexual..we only had sex twice and he did not ejaculate inside of me but it was kinda ruff sex and it lasted a long time. He told me he was clean but then I ended up with herpes from him..although no visual signs of herpes. Now I don't trust him and I am kinda scared of what else he has..it has been very scary and I'm very worried. I tested at my local health department at 51/2 weeks with the or quick swab and I was negative then I tested several other time with the or quick and it was negative. So like 4 oraquick swabs  up until 7 weeks is this to early for oriquick and all negative. Then I went to my local hospital and had a blood test and it was negative as well at 7 weeks.. So 4 oraquick and one blood test all negative..is this still too early should I keep testing I'm not sure what generation testing was done I live in a small town in the us and I'm sure it was nothing big and fancy they used to test..i have had no symptoms but a sore throat which happened 7 weeks after is this possible to serioconvert this late?? And I understand that precum can contain HIV virus but does this lower my chances at all I am so scared keep testing to 12 weeks or is this ok..i also take valtrex now for 6 weeks daily for suppression of herpes can this dely this?? My last question is if I were making antibodies for the herpes would this dely antibody making with HIV?? Please help I've got little boys and I'm young and scared
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239123 tn?1267647614
MEDICAL PROFESSIONAL
"So in ur opinion other then reassurance there's no medically necessary reason to b HIV tested any further??"

Correct. And to be honest, I doubt just having another test is going to make your obsession/anxiety clear up.  With such marked stress, anxiety (and I would say obsession) with all this, my guess is that professional counseling may be wise.  I suggest it from compassion, not criticism -- but it does seem you are far more concerned about all this, somewhat irrationally, than seems normal.

Most people with genital herpes due to HSV-1 have few or no recurrent outbreaks, and the chance of future sexual transmission also probably is low.  Genital HSV-1 is very different in these ways than HSV-2.  Nobody wants genital herpes, but if it happens, HSV-1 is always "preferred".

But this is the HIV forum, and that issue is now put to rest (or should be), so that will end this thread.  If you would like more advice on the herpes part, feel free to start a new thread in the STD forum or in the herpes professional forum.  
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Avatar universal
I also had a blood test right after when I broke out and it was all negative for herpes could this very well b hsv 1 thank u for all ur help
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Avatar universal
Is the oraquick a good test this early?
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Avatar universal
Dr. HHH
I am not entirely sure it came from him..i had a boyfriend for a year and a half right before my sexual encounter with the nurse. I had a blood test 6 weeks after and it was positive for hsv 1. Gentially. Is 6 weeks enough for it to show up. Also I can not prove it was him but didn't have an outbreak before this. I asked this nurse if he got tested I specifically said HIV he said yes and he was negative. I just have a huge trust issue with him catching him in many lies I can assure u I will use condoms and wont make this mistake again..my outbreak was very mild I can kinda believe it is hsv I only had one mild outbreak and I have been EXTREMLY stresses about all this I'm surprised I haven't broke out horribly. So in ur opinion other then reassurance there's no medically necessary reason to b HIV tested any further?? The fourth generation my insurance won't pay for so id pay out of pocket its expensive but I was willing if it would help with this anxiety and put it behind me..so this being my last question what do u think if u were my doctor?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
You could have a duo (4th generation) test if you like, but honestly I don't believe it is necessary at this point.

A positive "swab test" for HSV is sufficient proof you indeed had genital herpes -- so there really is no need for a blood test.  In fact, the HSV blood test might remain negative, which sometimes happens in patients who take suppressive anti-herpes therapy.  What virus type do you have, HSV-1 or HSV-2?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.  Thanks for your question.

I'm sorry to hear about the bad luck in regard to genital herpes.  It's quite unusual to be infected after only a couple of sexual exposures.  Is it clear you acquired herpes from this particular partner?  Oral or genital?  With HSV-1 or 2?  (The type has bearing on HIV risk.)

If your partner knew he had herpes and didn't say anything, I can understand your trust issue.  However, most genital herpes is transmitted by people who are entirely unaware of their infections, in which case failure of trust is unrelated to transmission.  

In itself, having genital herpes does not suggest there is a high chance your partner has HIV.  The overall rate of HIV is not significantly higher (in the US) in people with or without herpes.  Regardless of herpes, if your partner has no special HIV risk factors (injection drug use, sex with other men) and is not African American, the chance he has HIV is under 1 in 10,000.  Nurses and other health workers have no higher HIV rates than anyone else.

Had you asked before now, rather than having multiple HIV tests, I would have simply suggested you ask your (former) partner to have an HIV test,  If negative, it would prove you were not exposed or infected.  (You might still consider doing that, if it would help reassure you.)  In any case, your negative test results prove for sure you don't have it. You were rather seriously overtested (out of anxiety, I assume); a single blood test at 6 weeks or more after the last exposure would have done it.  Although official advice remains 3 months for definitive HIV antibody testing, in fact 6-8 weeks almost always is sufficient; this is discussed in the thread linked below.

http://www.medhelp.org/posts/show/1704700

Even in the smallest of small town clinics and laboratories, all tests done in the US are at least "third generation" and are highly reliable by 6-8 weeks.  Finally, there are no medications or infections, including anti-herpes drugs, new herpes, or development of HSV antibodies, that have any effect on HIV test reliability or seroconversion time.

As for your symptoms, they are not at all suggestive of HIV; and anyway, HIV test results always overrule symptoms. Even if you had a typical HIV syndrome, your negative blood tests still prove you don't have HIV.

So all is well in regard to HIV.  You don't need any further testing, unless you need the extra reassurance that might come from a final negative antibody test at the officially recommended 3 month interval.

I hope this has helped.  Best wishes--  HHH, MD
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Avatar universal
Should I take the fourth generation test at this point which looks for antigens and antibodies or am I ok??
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Avatar universal
I have confirmed herpes thru an swab it was positive?? How long for antibodies for herpes to show cause the blood test was negative
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