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Avatar universal

hiv testing/ ars symptoms

Hi Doctor,
I had unprotected sex with a man one time who has a questionable sexual past on September 23rd.  A few days later I had an extremely sore throat and fever.  I went to my college's health services and was given a rapid strep test, told I had strep throat and given an antibiotic. A week later I went to get STD tested for everything and was told I had a yeast infection.  I took monistat for 7 days and the symptoms went away.  However, at the end of december I started to feel itchiness and burning in my vagina again.  I went to a clinic and was told I had a yeast infection and given gynazole which didn't work.  Over the course of December- present I have had recurrent yeast infections that don't go away with treatment of diflucan or any prescribed suppositories.  I have also developed severe body aches, a mild sore throat, a white coating on my tongue, itchy skin, and sores all on the inside of my mouth on the cheeks that my dentist said do not appear to be canker sores but he said they must be.  I was HIV antibody blood tested mid January which would have been close to 4 months after my exposure and it came back negative.  I was also rapid-HIV tested at a clinic the first week of February.  This past week, I also had a PCR Dna test that came back negative.  I was also diagnosed with mono this past week as well.  However, I am still seriously worried about the possibility of HIV infection due to the fact that I have had diarrhea and sores on the inside of my mouth and a white coated tongue which are not common with mono but with HIV instead.  What are the chances that I would have not tested positive by now?  Could mono have affected the test results and made them negative even if I am HIV infected?  Also, if I was just experiencing ARS or even early symptomatic HIV infection, would atleast one of these tests have picked it up by now?  I have recently read that the PCR DNA tests are not that reliable because a lot of people have undetectable virus in them.
13 Responses
300980 tn?1194929400
MEDICAL PROFESSIONAL
Your question is on the wrong site.  I will provide you with the best answer I can but further questions about HIV must be asked on the HIV Prevention site (see the link on the upper right hand portion of this page).  This site is for questions on STD risk and management questions.  Any follow-ups must be on the other site and, unfortunately will require another charge (sorry, those are the rules).

You do not have HIV relating to your exposure in September.  No way whatsoever.  The HIV antibody tests are VERY, VERY reliable and you have had several of them.  Symptoms on the other hand are very unreliable because there are many, many problems that can lead to symptoms which mimic or overlap with those of the ARS.  At this stage, your chances of having ARS are truly zero because:

1.  You do not know that your partner had HIV.  Statistically the odds are that he did not
2.  If he had HIV (and he probably did not) your chance of infection per act of intercourse is less than 1 in 1000
3.  You have had multiple tests over a period of months
4.  Your symptoms are non-specific.

As for why the recurrent yeast infections- several possibilities.  Some of the OTC and widely used meds do not work for all infections.  This is probably not an issue for you as it sounds like you have had several different treatments.  Also, if during your saga you have been given antibiotics, they do predispose persons to yeast infections.  Finally recurrent yeast infections are a problem that some women just have to work through with their doctors through a trial and error approach.

I hope this is helpful to you.  You do not have HIV.  EWH


Avatar universal
what about the sores inside my mouth from though??  I heard that this is a distinctive sign of HIV and not mono
Avatar universal
Also, how reliable are the DNA PCR tests at this point?  can i consider my results truly 100% conclusive even though it has not been 6 months?
300980 tn?1194929400
MEDICAL PROFESSIONAL
I'm not sure you read my comment.  symptoms, including sores inside your mouth are not an indicator of HIV.  The list of possible causes of oral sores is enourmous.

As for your blood tests, the antibody tests are the gold standard and are negative.  The PCR, which is also negative, is just "frosting" on the cake.  You do not have HIV.  EWH
Avatar universal
So the 6 months waiting period is not necessary then?
Avatar universal
I've just read so many things online about how recurrent yeast infections, dry/itchy skin or scalp, and oral lesions or a coated tongue are signs of early hiv infection so I guess I was just so freaked out.
300980 tn?1194929400
MEDICAL PROFESSIONAL
If you must ask the same question, please re-read the answer above.  No HIV.  

You can find virtually anything you want to on line.  Much of it however is incorrect.  EWH
Avatar universal
I just found out that my mono test was a false positive...does this change your opinion at all?  Also, it truly isnt necessary to wait 6 months for testing?  What if I had diabetes?  Also, are the PCR DNA tests reliable and accurate?  I would just like to know these things for general knowledge atleast.
300980 tn?1194929400
MEDICAL PROFESSIONAL
No change in answer.  Just for my interest, how do you know your test was false positive?

No need to wait for 6 months, you do not have HIV.

Diabetes, no concern.

PCR tests are not for diagnosis but for monitoring disease.  EWH

p.s.  I just realized I should not have answered these questions, as per my comments on the first post, first paragraph.  No more comments.  EWH
Avatar universal
I know it was false positive because my doctor called me today and told me the titers came back showing that I did not have the epstein barr virus in my system so the monospot must have been wrong.
Avatar universal
Hello I was in your same situation....I had all the same symptoms. But instead of the recurrent yeast in the vagina I had it in the mouth which is what I thought was the dagger in the heart.SO I just knew I had it also..My mono test was neg and they still insisted it was mono...I had the antibody test done 4 times all neg. and every one I consulted said to let it go and move on with my life..I also had mouth issues...Gum and teeth pain as well as blotchy gums...I am just starting to feel better..I would leave it alone.
Avatar universal
Do you mean that you do not have HIV?  Because these sores in my mouth are so weird and they wont go away there are 2 big ones right on the inside of the top of my cheeks right next to my teeth and I have never had this before and my dentist said it didn't look like canker sores but thats probably what it is.  Also, I have been getting weird bumps that look like pimples but don't pick off on my chest in between my breasts and on the back of my neck.  I am so worried...
Avatar universal
no I dont have HIV. Everyone laughs at me and think I am paranoid....so I would just get over it and go on with your life.
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