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HIV Infection - Worried & Anxious

Hello, I am a male that had unprotected vaginal sex with a 20 year old caucasian american college woman 40 days ago. I was traveling Europe and in a drunk night stumbled into bed with her. Only time this happened. Condom was out of wrapper, so it must have slipped off. Sad.

Her status to me is "Unknown." I contacted her afterwards, she says she tested negative 2 weeks prior to our encounter and 3 weeks after the encounter through Rapid Tests. Says she's only had unprotected sex with 2 men in the last 6 months. Not sure that I believe that, she seems promiscuous. Making me more dumb. She does say she has never experienced any of the symptoms I have. I've read that not everyone does though.

13 days after the encounter, I went to Planned Parenthood for testing because I had an itch. Doctor said I had a penile fungus infection. She prescribed anti-fungal cream. I tested for Chlamydia, Gonorrhea, Herpes, Hepatitis, & HIV. All results were negative.

HIV test was "Fourth Generation". Planned Parenthood said that it provides accurate results 10 days after exposure. Information on the internet contradicts that.

I've been dealing with LOTS of Anxiety. Just graduated college and one mistake has me very worried. Could the anxiety and yeast infection be responsible for some of the below symptoms?

I have had weird symptoms since the encounter (40 days ago):

Not sure when they started:
Swollen Lymph Nodes in groin, armpit, and neck.
Headaches.
Body is warm to touch.
Has been difficult to sleep 8 hours straight.
I feel fatigued. I yawn randomly throughout the day.

Day 5 - Runny Nose
Day 6 - Fever
Day 8 - Sore Throat
Day 9 - Chest Pain
Day 13 - Back Pain, Neck Pain
Day 14 - Wake up about 2 times at night (has not stopped)
Day 23 - White Tongue, Upset Stomach
Day 28 - Diarrhea (light symptom), had 4 very small rash like stings after going to the beach.

Up to today, the headaches, swollen lymph nodes, body pains, white tongue, sleeping problem, and diarrhea have stuck around.

I've been pretty healthy in the past. Usually only get the flu in October or random typical allergies.

I've read that chances of average transmission are 1 in 2,000. How does this number change if the woman was recently infected? If I am uncircumcised? The penetration was a few minutes? What is the possibility that I am infected? What should I do?

I may have infected the only person I've been seeing in the States when I had few symptoms, which worries me. She's had a runny nose and sore throat, and minor headaches, neck pain, joint pain and rashes. It could all be coincidence or paranoia on my part.

Thank you very much for your time and help!
Best Answer
480448 tn?1426948538
Symptoms are just a terrible indicator is what everyone is trying to tell you.  For one, like teak said, not every newly infected person will even get ARS, others do.  

There was a study done of people seeking help in an ER for what they thought were classic ARS symptoms.  OVER 99% of those people tested negative for HIV, with their symptoms being attributed to some other, common malady.  These were people who actually had risks.

ARS symptoms are very generalized, meaning they would be present for a million other reasons (flus, other viral infections, colds, allergic reactions, even anxiety).  They are not specific to HIV.  It's not like a specific symptom that would point to an illness/condition, like the bullseye marking in Lyme's disease.  ARS symptoms just are not reliable, and they could be present in a person for SO many other reasons.

WHEN a person has TRUE ARS, it's not something that is really hard NOT to notice.  The people who DO experience ARS are extremely ill..almost ALWAYS a fever over 101-102 is present, and persists.  Also, true ARS almost always involves a rash, and generalized swollen lymph nodes (meaning in many locations).  The symptoms you describe, and most importantly, their timing are NOT consistent with TRUE ARS at all.  Actually, most of them sound anxiety related.  

Your risk was low.  You don't even really KNOW for sure what your exposure was (if any).  For all you know, you (or her) could have removed the condom after sex, then fell asleep.

The most important lesson here is that alcohol and sex are a bad mix.  If you hadn't been drunk, you would have used the condom properly beginning to end.  

My opinion is that IF you had a risk, it was minimal.  Test at the appropriate times and in the meantime, keep yourself busy and try not to think about it too much.
31 Responses
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Avatar universal
Everyone seems to be right. Test results came back Negative. Doctor said they test blood for everything else since I'm still having unusual symptoms. Thank you for the responses and help!
Helpful - 0
Avatar universal
It will be negative buddy, when you get you result, believe it and move on.  When they say 12 / 13 week test, it's not a switch that happens at 11 wks 6 days / 12 wks 6 days, the reason people discuss 3 months is many people cannot remember when the "encounter" took place, many new tests are way more accurate, I have heard of them picking HIV up at 11 days.  Your test will be negative, no doubt.. When you get it, move on, you will be fine :)
Helpful - 0
Avatar universal
3 month test is in the lab. Waiting for the results now.
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Avatar universal
Doctor prescribed Diflucan and Nystatin. Don't think they did much to help alleviate the symptoms I've been having. And if they did the symptoms came back.

Helpful - 0
480448 tn?1426948538
NO.
Helpful - 0
Avatar universal
You are right. I have an appointment at a walk in clinic tomorrow. I'm constantly moving around and have never really had a doctor.

The appointment is to check out the fungal/yeast infection I initially had that is mildly sticking around (even after applying the recommend creams) and for white tongue.

White tongue and bad taste are horrible. How can they relate to HIV during early infection. Can opportunistic infections attack this early?
Helpful - 0
Avatar universal
Try getting off the computer and see your doctor if you are unwell.
Helpful - 0
Avatar universal
17 days after the initial post (56 days after "exposure"), I still have the headaches, swollen lymph nodes, body pains, white tongue, sleeping troubles, and upset stomach.

I am still waiting for the 3 month mark to get tested.

Just seems weird that I could have these pains for about 6 weeks. Shouldn't a body's immune system fight off the sickness? Whatever it is. If this is not ARS, is there a different medical test I could take to determine what I have?
Helpful - 0
1508374 tn?1380808510
Just the the test to be aware of your status. If the result is negative you have to confirm it 3 months after the initial exposure. That is crystal clear.
Helpful - 0
Avatar universal
Okay. Now, a positive test would just leave me frozen and with few answers.
Helpful - 0
186166 tn?1385259382
a duo test at 45 days is not needed.  all you need is an antibody test, which is a lot cheaper.
Helpful - 0
1508374 tn?1380808510
Just to keep you calm because a negative duo test will difficult change
Helpful - 0
Avatar universal
I will not be in the same location for more than a few days. So I'd like to wait until I'm settled for at least a week.

What would be the benefit of finding out before the 3 month mark?
Helpful - 0
1508374 tn?1380808510
You can take a duo test now and confirm the result at 3 months after your exposure
Helpful - 0
1508374 tn?1380808510
Why dont you test now. It will be a good indicator and if negative you can confirm the result 3 months after the initial exposure.
Helpful - 0
Avatar universal
Five days after the initial post (45 days after "exposure"), I still  have the headaches, swollen lymph nodes, body pains, white tongue, sleeping problem, and morning diarrhea (upset stomach).

Also, fatigued when trying to exercise. Kayaking or running.

Are systemic yeast infections directly related to HIV?
Helpful - 0
Avatar universal
nursegirl your response with examples has helped me understand ARS.

Thank you guys for your time and responses!
Helpful - 0
Avatar universal
ARS doesn't mean anything. Not everyone that gets infected has ARS.
Helpful - 0
Avatar universal
What's the best way to describe ARS?
Helpful - 0
Avatar universal
No realistic chance you caught HIV. Expect negatives.
Helpful - 0
Avatar universal
That makes sense.

Okay. Time to relax and hope this is some sort of virus or bacterial infection. Obviously, still get tested at the 90 day mark.
Helpful - 0
Avatar universal
Risk is a risk, we only use those terms when it comes to unprotected anal sex as that is the highest risk.

Correct, but again your symptoms are not ARS.
Helpful - 0
Avatar universal
So basically ARS cannot be diagnosed until after test results are provided?

I'm assuming my situation is mid/high risk?
Helpful - 0
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