Condom break in Caribbean, Test/Symptom Info

[Montreal1989]

Hello, I had a sexual encounter with a female CSW in the Dominican Republic, Punta Cana area. She is 20 years old and worked out of the tourist night clubs.

We were having vaginal sex when at some point during the session the condom broke. I did not notice but she did.  When she told me, I removed my penis and saw that there was no condom from half way up my shaft to the tip of my penis. It was approximately 10-15 minutes in the session that this occurred. I do not know how long I was exposed and for your info I am un-circumsized. I re applied a new condom and finished the session.

Two days after the incident I took her to a clinic. They administered an HIV test. I cannot tell you what type of test they did but it was a blood test from her arm and it came up negative within the hour. It was taken on April 15th. I got her tested again on May 9th, and the result was negative.

I got tested in Canada with a Rapid POC test at the 4 week point, which was May 10th, and it was negative.

Using the timelines and info provided: what can you determine (if anything) about her HIV status, and what can be said about my negative Rapid POC test at 4 weeks?

Symptoms:
Day 8: I had a painful kink in my neck that lasted 4-6 days and felt like the cause was coming from the upper left back area, and 4 days of a mild sore throat
Day 14: Noticed loss of appetite and in turn weight loss (not sure if that was caused by mental or physical issues)
Days 19-21: 2 nights of night sweats
Day 22: Noticed 1 purplish pimple like irritation on the cheek of my trunk, and two pimplish like red spots on my chest that arent typical pimples
Days 23-29: Noticed a discomfortable feeling in my right armpit, and have been having diarrhea, usually in the morning after I wake up

Please analyze these symptoms and assess my risk. My worry is that she was in her window period and thus testing negative, I am very worried. I have high high anxiety about this situation and seek your advice.

Thank you.

[Dr Sean Cummings]

Hello and thank you for your nice comments.

You asked:-

"Using the timelines and info provided: what can you determine (if anything) about her HIV status, and what can be said about my negative Rapid POC test at 4 weeks? "

I'm sorry but I can't say much about the lady in question except that she tested negative with a test of unknown status shortly afterwards.

I think it very likely that you had a 3rd generation HIV test at the four week interval. 3rd generation tests are excellent and will give you a very comforting result at the 4 week interval.

You should have a further 3rd generation test at 6 weeks which will give you greater than 99% certainty in the result at that point.

I think ultimately that all will be well.

Very best wishes, Sean

[Montreal1989]

Hello Dr Sean and Dr Mervyn.  I have viewed your videos on youtube, analyzed your website and finally found you on this forum.  It appears that you and your clinic Freedomhealth are setting world standards in terms of HIV testing/information.  I feel very privileged to have the opportunity to talk with you and are very eager to hear your professional opinion about my incident.  Hope to hear from you soon,

Yours,
Montreal1989