It's obvious that many people come to this board to seek re-assurances to help them deal with anxiety from "low-risk" situtations. I believe that I am one of those individuals. I feel that if I was in perfect health right now I would be able to rationalize my risk, move on, and not even think about testing. Unfortunately, "the mind is a powerful thing". The combination of anxiety, strange pains, post-nasal drip, and weird after-shower rashes has completly negated my ability to forget it all and move on. Although a "lighting strike" comment may not completely relieve this anxiety, I believe that many people need to hear it from a professional. Once again, I am one of those individuals. Thank you for your time Dr. H and please continue to offer your assurances to those that need them, however silly it may seem.
As I said above, your symptoms are not a clue about your risk for HIV, one way or the other. If you're nervous, get tested; your tone suggests that even if I say "lightning strike" range, you're still going to get tested because you will keep worrying until you know the result is negative. From a medical standpoint, you don't need testing. Re-read the middle paragraph of my response above.
HHH, MD
Thank you for the speedy response. Although you have indicated that you will not discuss my particular "symptoms"; considering my potential risk and physical manifestations, I would appreciate your opinion of whether or not I should be concerned... or am I falling more into the "lighting-strike" category?? Once again, thanks for your time.
If you have read even a minority of my comments, you know that symptoms NEVER are a reliable indicator for or against HIV infection. That is, your symptoms are irrelevant and I will not comment specifically on them. If you are concerned about possible HIV exposure, get tested.
Your question allows me the opportunity, for the third time today, to post the following advice: ".. in general I don't recommend testing for HIV after particular sexual exposures, except in obvious high-risk settings (e.g., unprotected vagainal or anal sex with a known-positive partner). The better approach is periodic routine testing, e.g. every 3-12 months (depending on risk level). Most people at risk do this--unlike most who post questions on this forum, who on average have inflated perceptions of their risks. Here is a good rule of thumb (I just thought of it; don't assume it is a standard recommendation by CDC or any body): If the risk is high enough to consider PEP, testing should be done. Otherwise periodic routine testing makes more sense."
Proper condom use isn't rocket science, and you already pretty much defined: The condom is applied before the penis is inserted into the orifice of interest, remains in place until withdrawal, and doesn't break.
HHH, MD