Risk Assement

[squared55]

Hi,

I have decided to ask, I am married and had a unprotected encounter with a female a while back.

I did not have sex with my wife until after my 12 week a/b test.

I developed some thrush, its now week 23. im not sure when exactly when it came.
my doctor gave me Fluconazole and Nystatin. I have some joint pain, and back of the neck stiffness, dosent seem to be the glands.

I went again and was tested @23 weeks with a Orasure rapid a/b test Negative.
Can I rule out HIV?

Please advise

[H. Hunter Handsfield, M.D.]

Welcome to the forum.  Thanks for your question.

The HIV tests are among the most accurate diagnostic tests ever developed, for any medical condition.  Regardless of your possible oral yeast infection (thrush) or any other symptoms that you have now or may develop in the future, your test results prove you did not catch HIV during the sexual encounter you have described.  I'm sure your symptoms also or not caused by any other infection aquired during that event.

So continue to work with your doctor if your symptoms continue or you otherwise remain concerned.  But you can discount that exposure, and need not be at all worried about transmitting HIV to your wife.

I hope this has helped. Best wishes-- HHH, MD

[H. Hunter Handsfield, M.D.]

Probably you noticed that I said "probable yeast infection".  I was skeptical you had it, but didn't want to overtly criticize your original doctor's diagnosis.  The new doctor is correct, that such yeast infections generally are a problem in advanced, longstanding HIV infections, not initial ones.  And coated tongue is not the same thing as thrush.  In other words, I agree with doc no. 2.

Thanks for the thanks. Take care.

[squared55]

I know you dont need the accolades, but I was at my other MD today. He said he didnt see any thrush on the tounge and to stop taking the Nystatin. He said Hiv related Thrush can  happen after long periods of time and were due to a weakend immunity.

He also concurred and said no more testing for HIV.

Thanks again

[H. Hunter Handsfield, M.D.]

Thanks for the thanks.  I'm glad to have helped.

[squared55]

Thank you Doctor for the information. May u continue good health and prosperity.

[H. Hunter Handsfield, M.D.]

Of course I took into account.  Your test result would have been 100% reliable by 6-8 weeks after exposure.

See this thread:  http://www.medhelp.org/posts/show/1704700

[squared55]

I understand the accuracy of the A/B tests.
Is all that know about seroconversion times included in these figures?

In otherwords, by 12 weeks would all people be detecable?

Thank you