Protected sex and unprotected oral

[Keeperdelsol18]

Dr,

Approximately 5 weeks ago I had fully protected vaginal sex with a 20 year old college student.  I also performed oral sex on her in the same night, and then on a different occasion a few days later I performed oral sex on me and she performed oral on me as well.  About 5 days after the first incident I developed a fever, sore throat, chills, etc and I was diagnosed with strep (even though the test was negative) and given antibiotics and got better.  I took antibiotics for 10 days, however after the antibiotics the glands in my neck became swollen and tender to touch and my neck also felt stiff, i developed a dry cough that turned productive.  I suffered from the cough for about 2 weeks, and I got a sore throat again.  The cough is worse at night and in the morning I cough up yellow mucous and currently have a sore throat that hurts only when I swallow.  One day I also would randomly have hot sweats and my body would start sweating but I didn't feel like I had a fever, and I also woke up sweating but only on one occasion.

1. Do you think HIV testing is necessary?

2. Do my symptoms sound worrisome of ARS or early HIV?

3.  If you were in my position would you be worried at all?

Thanks

[H. Hunter Handsfield, M.D.]

This doesn't change my opinion or advice.  HIV would not cause such symptoms.  Feel free to report your HIV test result if and when you do it, but in the meantime don't worry.  You can continue to expect a negative result.  I won't have anything more to say until then.

[Keeperdelsol18]

Dr, sorry to bother you again.

I still have swollen glands in my neck. Do you think that there is any chance this is HIV? They are only swollen in my neck and not anywhere else on my body would this be typical of HIV infection?  I'm still a little stressed out about the whole incident.

[H. Hunter Handsfield, M.D.]

I'm glad to have helped.  Take care.

[Keeperdelsol18]

Thank you for your re-assurance. I will stop worrying and I will just get my test during my yearly physical which I will have in early January.  Once I get the result I will post it on here. Thank you for taking the time to answer my question,
It really helped me calm down a bit the internet was killing me.

[H. Hunter Handsfield, M.D.]

Welcome to the forum.

The chance you have HIV is extremely low.  This was a very low risk exposure.  The chance a 20 yo female college student had HIV is nearly zero.  And even if she did, you had totally safe sex:  condoms work, and oral sex carries little or no risk for HIV.  Neither your past nor current symptoms are suspicious for HIV.  To your specific questions:

1) From a medical or risk standpoint, there is no need for HIV testing.  But you obviously are worried about it, and the possibility proably will continue to weigh on your mind no matter what I say.  Therefore, you should be tested for the reassurance expected from the negative result.  Also, it is recommended that all people have an HIV test at least once, regardless of risk.  You might as well do it now, when it's on your mind.

2) No; see above.

3) No, if I were in your circumstances, I would not be worried at all about having HIV.

Feel free to return and let me know the result, if you decide to get tested.  In the meantime, stay mellow.  There is no reason to suppose you have HIV.

Best wishes--  HHH, MD