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HIV Prevention  (Expert Forum)
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very concerned and need advice?
Answered by
University of Washington Seattle - WA
This forum is limited to prevention of HIV and to safe sex in general. If you believe you might have been exposed to HIV and want help to judge your risk, would like advice about HIV testing, or have questions about the effectiveness of condoms or the risks associated with specific sexual practices, this is the site for you.

IMPORTANT

No questions will be accepted on the treatment of HIV/AIDS or its complications, viral load, and similar topics. If you have questions about a specific STD other than HIV/AIDS, please visit the STD Forum. Questions that do not pertain to the above topics will be removed from the forum.

If you have not done so, please review other threads in our archives for questions similar to yours and Dr. Handsfield's replies. Questions that duplicate other frequent ones, for which abundant replies exist, and that have little educational value for other forum users, will be DELETED WITHOUT RESPONSE. YOUR PAYMENT WILL NOT BE REFUNDED. The most common examples of such questions are those about low risk exposures to HIV, such as oral sex, condom- protected intercourse hand-to-genital exposure, and nonsexual contact with possibly infected blood or body fluids as well as symptoms of early HIV infection.

very concerned and need advice?

by tiger619, Oct 28, 2007 03:19PM
I have been sexually active with for over the past two years. In this time I did use a condom with each woman I was with. The last encounter was September 3rd. Each of those times I did receive oral sex several different times before the condom was placed on. I started to develop ulcers in my mouth periodally from time to time. What started really worrying me was a few days after the last time a I had sex I developed some type of oral yeast infection.I was tested for HIV one week out it came back negative. I was tested at 6 weeks out( elisa test) and it came back negative.  I am now at 8 weeks post and I am waiting on the results of a prdna test ( I believe that is what they called it). The burning is still in my tongue and I have a line on the inside of my cheeks that runs under my bottom lip to the other cheek( what could this be?). I have marks on the back of my throat(oropharyanx) that are red that will not go away.I have raised bumps in the front/middle of my tongue. I have been having night sweats. I have noticed I have lost weight. I have been trying to gain it back but its not working. I am really nervous. I understand that yeast infections can come from any number of things. But I dont ever remember having one before.

by H. Hunter Handsfield, M.D., Oct 28, 2007 11:00PM
If your sexual history is accurate--sex only with women, consistent condom use for vaginal sex--and if you are not an injection drug user, your risk for HIV is very low, close to zero.  Oral yeast infections occur from time to time in immunologically normal persons; I had it myself once.  (Anyway, if your yeast infection was not professionally diagnosed, you might not have had one.)  Further, yeast and other fungal infections are not a sign of early HIV infecion; they occur primarily in advanced HIV infection, i.e. overt AIDS, years after the initial infection.  And despite your worries, the other symptoms you describe do not suggest HIV infection.

So even before you reported your test results, I would have reassured you.  The negative test result at 6 weeks proves it with almost 100% reliability.  Your 8 week test also is going to be negative.

See a health care provider if your symptoms continue to concerrn you. But HIV is not the cause.

Regards--  HHH, MD
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