Welcome to the HIV forum. I'll try to help.
While I understand your concern about HIV in this situation, the chance you have been infected is very low. For you to have HIV, several unlikely scenarios would all have to play out the wrong way: 1) Your boyfriend's transsexual partner would have to have HIV, which she says she does not -- and most people do not lie when asked directly. 2) Your boyfriend would have to have caught it, which also is relatively unlikely even if she has it. This depends in part on what their sexual practices are and whether condoms are used for insertive sex, but even without protection HIV usually is not all that easily or quickly transmitted. 3) The virus has to have been transmitted to you -- yet the same relatively low rates of HIV transmission apply there as well.
I'm not saying the risk is zero, and it would make sense for you to be tested for HIV. But the odds are overwhelmingly in your favor. However, the chance of other STDs (gonorrhea, chlamydia, syphilis, etc) are somewhat higher -- so be sure you get tested for those as well.
As for your and your partner's symptoms, they don't mean very much. As we have said very frequently on this forum, symptoms almost never are valid indicators of new HIV infection, since the identical symptoms are caused by many other conditions that are much more frequent than HIV. In any case, your symptoms are not typical for HIV or any other STD. Night sweats without fever are not due to HIV or any other infection.
All things considered, it is very unlikely you have HIV. But as I said above, get tested to be sure and also get checked for other common STDs. Five weeks is a bit too soon for definitive HIV test results, but if you wait another week, a 6 week test will be nearly 100% reliable. I also suggest you urge your partner to be tested as well.
Best wishes-- HHH, MD
to you and the doctor who responded to your question . Assuming someone may have hiv because they are transexual is called bigotry. It is sexual discrimination in its lowest form. Not all trans people are sexualy promiscuios and to assume someone is hiv positive because of sexuality is wrong .This type of thinking is what has kept transpeople ostrisized from mainstream society.This is why we hide our identites and are afraid to be our trueselfs. This is why most girls after surgery go into hiding and change identities so as not to be labelled in such a derogetory fashion. Because someone is Trans doesnt mean they are carrying any diseasesanymore than anyone else.Thank You, very concerned Transperson
While I understand JameyLuvs' concerns and many of his points are valid, it is unfair to criticize someone in Erin778's situation. Of course it is inappropriate to assume HIV or other STD "just because someone is tran". Nevertheless, the chance such a person has HIV (assuming nothing else is known about his or her lifestyle) probably is higher than in the general population. This sort of fear is no more discriminatory than having heightened HIV fears after exposure to a gay man or an African American, both of which groups have much higher HIV rates than most population groups in the US.
Transexual men and women are a very diverse group. There are differences in HIV risk for male to female versus female to male transexuals; and in either group, sexual lifestyles vary widely. For example, some male to female transexuals have never had sex except with exclusively straight men at low risk for HIV, whereas others are (or have been) immersed in typical gay lifestyles.
Legitimate fear is not in itself discriminatory. What is discriminatory is how people behave and what they say and do in response to such fears. Many (most?) transexuals suffer discrimination, often in major ways, and we all have a duty to understand and combat it. But this is a two-way street, and those who suffer from discrimination also have a responsibility to maintain a certain amount of equanimity and to understand where people are coming from and why.
This is not intended to open up an ongoing dialog on this subject.