Aa
Aa
A
A
A
Close
Avatar universal

Testing after exposure

Doctor, thank you for your time to review my question.
I had an unprotected vaginal sex encounter on 9/16/2010 with a female of unknown status. After my encounter I started having symptoms on my body that I never felt before (night sweats, burning in the middle of the chest, burning tights and arms, nausea, and some diahrrea); at this point, 22 weeks after my exposure, the burning thights and burning arms still going on everyday as well as some discomfort on my nodes behind my knees and elbows.

I tested at the following time frame for the following STD:

7 weeks Oral Oraquick - Negative
12 weeks Oral Oraquick - Negative
15 weeks Unigold blood rapid test - Negative
16 weeks Hepatitis A,B and C - Negative
16 weeks 8 panel STD test (chlamydia, Gonorrea, syphillis, Herpes 1 and 2) - Negative
16 weeks HIV Elisa blood lab test - Negative
21 weeks Oral Oraquick - Negative
22 weeks HIV Elisa blood lab test - Negative
22 weeks 8 panel STD test (chlamydia, gonorrea, syphillis, herpes 1 and 2) - Negative

how accurate are my STD test including HIV at 22 weeks post exposure?
Could you please give my your recomendation if I need to test past the 6 months mark for HIV and the other STD?
The part that makes me worry is the feeling behind my knees and elbows.

Thank you very much for your time.
13 Responses
Sort by: Helpful Oldest Newest
239123 tn?1267647614
MEDICAL PROFESSIONAL
I doubt your newly positive HSV test result has anything to do with a sexual exposure 6 months earlier.  But that's why I need to know the details of that test result if you want to post a new question in the STD forum.  But even if the HSV result is accurate, the HIV seroconversion rates never differ; a delayed HSV result does not suggest your HIV test results would be similarly delayed.  You don't have HIV, and there is nothing more to discuss about it.

This thread is definitely over.  And do not be tempted to start a new thread about HIV, which would be deleted without reply and without refund of the posting fee.  This is not a counseling service for people who refuse to accept or cannot accept scientific evidence and reasoned reassurance.
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
It is inappropriate, and frankly irrational, for you to continue to be "very scared" despite the overwhemling scientific evidence and reasoned reassurance that you do not have HIV.  In view of the test results you have had, it definitely does not make sense for you to have an HIV DNA test, or any other HIV test.

I'm glad you are intending to seek psychological help.  Feek free ti report back after you have seen a mental health professional -- but please no other comments until then.
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
The HSV and hepatitis blood tests also are highly reliable, and your symptoms don't suggest either of those infections or any other STD.  You have no infection of any kind from the sexual encounter last September.
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

My guess is you have had accurate responses on the HIV community forum, where you have posted a number of questions and have a total of over 30 posts.  I didn't look at those discussions.  But my bet is that you intellectually understand that your test results are reliable and prove for sure you don't have HIV.

One of the consistent responses on this forum, and the view of every reliable HIV/AIDS expert, is that in judging whether or not someone might have HIV, test results always overrule symptoms and exposure history.  It doesn't matter how high or low the risk was, and it doesn't matter what symptoms a person has, even if they are absolutely classical symptoms of ARS.   As long as testing is done sufficiently long after exposure, the test results rule.  There are no exceptions.

Your test results prove you don't have HIV.  You have been seriously overtested and should now stop.  Here are a couple of threads that explain why testing beyond 6-8 weeks is 100% reliable:

http://www.medhelp.org/posts/HIV-Prevention/-A-Question-on-Testing/show/1347755
http://www.medhelp.org/posts/HIV-Prevention/Need-your-help/show/1345664

On top of that, your symptoms do not sound at all like those of an HIV infection.  They do, however, sound quite typical for the physical manifestations of anxiety or depression, perhaps related to the sexual encounter described above, which you apparently regret.

I recommend you find a health care provider you trust, then follow his or her advice.  But you definitely can go forward with 100% confidence you don't have HIV.

Good luck--  HHH, MD
Helpful - 1
Avatar universal
Please help me.
I still have the same syptoms everyday.

Should I test again?

PLEASE advice me
Helpful - 0
Avatar universal
Doctors, PLEASE answer my HIV question.

Thank you
Helpful - 0
Avatar universal
Doctor,

My question is about HIV; should I test beyond 6 months due to my late seroconversion of herpes 2??????

I will post on the STD forum in regards to my HSV blood test, BUT what about a response about HIV on the HIV forum?

Thank you,
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
No comment on this thread.

Feel free to post a new question on the STD forum about your positive HSV blood test.  If you do so, provide the details -- i.e. the exact test done (or the lab where it was done) and the numerical values for both the HSV-1 and HSV-2 results.
Helpful - 0
Avatar universal
Dear Doctor,

I received a call today from the STD clinic for the results of my 6 months post exposure test; my symptoms still present (muscles pain, joint pain, burning on my groin area, burning on my back, burning on my arms, and pain behind me knees and ankles)

The STD clinic informed that my test results for Herpes 2 are postive; I had 3 negatives results for Herpes at 17 weeks, 22 and 23 weeks post exposure) I have an appointment with the Doctor at the STD clinic on Tuesday 4/19

If it took 6 months for my Herpes 2 test to be positve, can my HIV seroconversion be late as well? should I keep testing until 12 months for HIV?

Thank you for your advice.
Helpful - 0
Avatar universal
Good morning Doctor.
I am sorry to bother you again but these syptoms have me very scared;I also want to tell you that  I am going to look for physicological help to get over this experience.

Can you please respond the following questions:

1) Does it make sense to take a DNA HIV test at 22 weeks post exposure?
2) If the DNA test is negative can I move on and consider that I did not get HIV from my exposure in September?

THANK YOU for your help.
Helpful - 0
Avatar universal
Thank you for your time and advices Doctor.
I will come back and keep you updated if something change.

Thank you
Helpful - 0
Avatar universal
Thank you for your response Doctor.
Can you please comment on the timming and accuracy of the other STD test? Particularly Herpes and Hepatitis.

Thank you!
Helpful - 0
Avatar universal
I forgot to mention I also feel the discomfort on my armpits as well.

Thank you for your time.
Helpful - 0

You are reading content posted in the HIV - Prevention Forum

Popular Resources
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
Can I get HIV from surfaces, like toilet seats?
Can you get HIV from casual contact, like hugging?
Frequency of HIV testing depends on your risk.
Post-exposure prophylaxis (PEP) may help prevent HIV infection.