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Avatar universal

I think i'm infected

Doctor,

On the 21 of august, i had an enconter with a 39 year old man that i learned he is positive. He gave me oral, then he wanted me to poke his anus with my penis. i dont know if it dipped or not but i haven't felt it. i had alittle bit of candida on my penis, that seems like a sore on my penis Ten days after the encounter, i have had a big fatigue i have ever felt like this one before, i felt my knees and cramp in calf, then i had headache and had a sore throat, i had malaise after eating and sometime i got chills. At night, would wake up in sweat (alittle bit) and when i go to the toilet, i feel like freezing, like a rock of glass just hit me. and i lost my apetite
I have had a white tongue for 2 weeks but it was really white and alittle bit painfull, and on my penis i had candida balantis, with red spot on the shaft of the penis. Sometimes my forehead would have cold sweat. Where i am the temperature is good, no one around me was sick and i can't give anyother explication to this unless that it is the HIV. 2 Days ago, i read on the net that some people who passes seroconvertion, has a similar symptoms as mine.

I have been tested on the 4 week and came back negative, im waiting for the 6 week now, but i have a strong feeling that it would be positive because of some symptoms that i haven't got before.

What do you think about all my risk, and the 4 week test is encouraging? do you think the sore in my penis would had me contrated the virus?

Thank you doctor
7 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
First, although the official recommendation often is for 3 months, in fact antibody-only testing is virtually 100% reliable by 6-8 weeks, and combo testing at 4 weeks.  In both cases, the timing is from last exposure and assumes no symptoms.  Also, judging ARS by symptoms is usually inaccurate; even with typical ARS symptoms (which you did not have), things other than ARS usually are the cause.  So even with symptoms, the time frame for testing is normally based on exposure time.

Please accept the overwhelming scientific evidence you don't have HIV, and the repeated, reasoned reassurance -- and stop second guessing it.  You aren't infected, end of story.  Time to move on.

That's definitely all for this thread.
Helpful - 0
Avatar universal
Doctor,
If 50-93% of people have ars symptoms, then from what i read, if you have ars symptoms, you would test positive within a week from the symptoms began, then why the timeline is 3 month? is it for those who don't have any symptoms?

Thank you
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Avatar universal
thanks alot doctor
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Almost all lab-based HIV antibody tests, worldwide, are ELISA; certainly that's the case in Canada.  And you are correct:  HIV tests usually are positive within a week of onset of symptoms of ARS; this is additional evidence you didn't catch HIV and that something else explains your symptoms.
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Avatar universal
i don't know wich test are using here in canada, but i think elisa
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Avatar universal
Thank you doctor,

I got a blood test and urine test, all std's came back negative, i have read that if i had symptoms of ARS, my test would have been positive a week after, so the 4week test would have been positive if they were due to HIV?

I'll keep you posted with my 6 week test, i hope they stay negative
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.  I'll try to help.

Your concern about having been sexually exposed to an HIV infected person is entirely understandable.  BUt I have good news for you:  you can be very confident you did not catch your partner's HIV infection.  Symptoms are never more than a minor clue to new HIV infections, and your symptom are not at all typical for acute retroviral syndrome (ARS).  And you had a low risk exposure, since HIV is rarely transmitted by oral sex (maybe never from an oral to penile partner); and the superficial anal exposure, even if there was minor and brief entry, is also very low risk.

Most important, blood test results always overrule symptoms and exposure history.  The large majority of newly infected persons (90% or more) have positive HIV antibody tests at 4 weeks -- so as you already seem to know, your current test result indeed is very encouraging.  You should follow-up with your plan for a follow-up antibody test at 6 weeks, but you can expect it to remain negative.

It is difficult for me to comment on a penile lesion that "seems like a sore" (is it an open sore or not??) or the possibility of a yeast infection (candida) of the penis.  It sounds like that was a self-diagnosis, right?  That makes the diagnosis quite uncertain, assuming you are not a health professional.

You don't say whether you have been arranging your own tests (e.g., through an online test service).  If so, please stop; you need to see a doctor or clinic in person, both to advise you on the best HIV test(s) and evaluation of your possible penile sore, yeast infection, etc.  And it sounds like you should be professionally evaluated for herpes, syphilis, and other causes of genital ulceration.

I look forward to a follow-up comment, to report the outcome of professional evaluation and any additional testing.  But in the meantime, you should not be very worried about HIV.  All things considered, it is very unlikely you have it.

Regards--  HHH, MD
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