Hello Doctors,
I am 35, an straight asian male from China. I would like to ask you to reassess my HIV risk again. My exposure was an unprotected virginal sex with a CSW due to condom break on July 10. I got HIV antibodies test on August 09 (30th day post exposure), which came out negative. But since August 08 (the beginning of 5th week post exposure) I got a series of strange symptoms: Oral ulcer for about 3 days, left jaw pain near the ear, feeling odd under my left axillary each for a day, nausea and vomiting for 3 days, dry cough always, diarrhea occasionally, right knee pain since 2 days, fatigue...the symptoms come and gone, some I have had before some I never had before, I simply don't feel fit like before. But until now I didn't get significant fever and swollen lymph nodes since exposure. Since 2 days I also feel a slight burning on top of my urethra when I urinate, but from outside it seems normal. So I came to see doctor today and got a set of STD Tests, Chlamydia came out positive. Other tests including HIV-test (on 36th day post exposure, which is a quick test for HIV antibodies), all came out negative. Since my main concern remains HIV infection, I would like to ask:
1. I knew from your posts statistically the odd is in my favor to not get HIV infected, but does the fact I got Chlamydia change your judgement a little? Because I have read somewhere the risk of HIV-infection becomes higher by existence of other STDs,
2. I didn't know Chlamydia has such a long latency period (5 weeks in my case, or did i not notice the symptoms before?) Does it imply I have a slow reacting immune system and therefore longer window period for HIV? But actually I don't think I have a weak immune system.
3. Which kind of people tend to have longer windows period? Could you answer according to your professional experiences or are there some studies?
4. Do transmission methods have influence on windows period? e.g. sex infected people have longer window period?
Best regards