Hi Doctor. thank you for taking your time and reviewing my concern.

[onion511]

Had unprotected sex 7 weeks ago while vacationing in Cancun with a mexican female who was vacationing there as well (unknown status). I am an uncircumsized male. I went to the doctor a week later which i got tested for everything and everything came back negative (to soon to be testing anyway). Doctor told me I was freaking out and prescribed me medicine for my anxiety. He told me it couldnt be ARS because my "lymph nodes are not even swollen" .A couple of days after my exposure I didnt eat for about 36 hours. My vision has been really weird .I got a couple of blisters on the side of my tongue and on the front of my tongue (for the past week Tongue looks alot better now). My stomach has a weird pulsating feeling there that was not there before. Also found gingivitis and red gums about a week after exposure. Also got food stuck in my tonsils I believe it was a tonsil stone. I went to the dentist and he said nothing seems out of the ordinary just mentioned i have really large tonsils (had tonsilitis in mid Feb) I just got my results back from my 6 week antibody which was negative. These results REALLY calmed me down.
1. Can I more or less put this situation passed me?
2. Should tonsils worry me?
3. Also had foot surgery in June...I was on Oxycodine and Levaquin (500 mg) for my wound...Also was one xanax a week after unprotected sexual exposure for my anxiety. Would that cause any delay in the antibody process?
4. I just started a new relationship and I have been scared to give her anything and have been putting off sex. Can I now be relaxed and have protected sex with her?
5. Ive tested negative for clamidia, gonorrhea, and Hep A,B, and C (Had hep b vaccine in 2001). Should I test for syphillis and hpv or do these come with symptoms that I would have noticed by now? I am just really worried about infecting my new girlfriend with anything.

also I will be going back to my physician to do my 6 month testing for my conclusive result.

[Edward W Hook, MD]

I mis-stated it earlier in the post you refer to.  At six weeks the figure is 95%, at 4 weeks it is 90%. Sorry.  EWH

[onion511]

In the thread before mine you say at 6 weeks its 90%?

http://www.medhelp.org/posts/HIV-Prevention/Question-for-Dr-HHH-please/show/1363531

"then testing reduces your mathematical risk to 1 in 10,million since testing at 6 weeks would detect about 90% of infection. In both cases the risk is so low that further testing really doesn't make your risk much less."

[Edward W Hook, MD]

Welcome to the Forum.  The exposure you describe was very low risk. Your partner was statistically unlikely to have HIV and even if she did, the risk of getting HIV from a single act of unprotected intercourse is less than 1 in 1000.  At 6 weeks your HIV test would detect well over 95% of HIV infections. Thus it is VERY unlikely that you have HIV. To be completely sure and to eliminate even the minimal likelihood of HIV which is present at this time, I suggest one more HIV test at 8 weeks.  With that result there will be no doubt that you did not get HIV from the exposure you mention.  

Let's address your questions:

1.  See above.,  I am confident that you did not get HIV but there is a tiny (less than 1 1000th of 1%) chance that your test could become positive since your last test.  Up to you whether this is high enough to be of concern.

2.  No.  

3. No, none of these would delay antibody production.

4.  I see no reason not to have protected sex with your current partner at this time.

5.  There are no approved tests for HPV.  As for syphilis, it is very uncommon and you would have had a lesion at your site of exposure by now if you had gotten syphilis.

Hope this helps.  EWH