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Avatar universal

std and hiv

hi, im worried about hiv
   i 3 weeks ago had sex with this girl i been seeing previous to that i been having unprotected sex with other girls, now the girl i been seeing has now got trichomasosis a std parasite, which i seemed to have no symptoms, butr now i thought about it about two weeks ago i had a bad fever of 103 and sore throat it lasted two days then i seemed to be ok now a week and a half later i have pretty sore lymph nodes in my groin area they seem to be slightly swollen and very sorenow im scared to death because after reading i know those few signs could be hiv,she is being treated for the trichomasis but wasnt givin an hiv test though she only had the signs of that parasite and not the fever and swollen lymph like me. her dr said i should get treated as well for that trichomosais, my question is what could it be that i have, could it be otyher then hiv? can other stds cause swollen lymph in the groin areai know herpes does but i dont have the other signs of herpes , im convinced whatever it is i did not contract from my current partner could it have been from a previous partner just comin out now?
                               thanks
8 Responses
239123 tn?1267647614
MEDICAL PROFESSIONAL
Trichomoniasis often goes along with other STDs, especially gonorrhea and chlamydia.  So you should be treated for trich and also tested for gonorrhea and chlamydia.

Swollen lymph nodes only in the groin is unlikely to be due to HIV, and your sore throat and fever are most likely due to some other virus as well  (We all get colds and respiratory viruses all the time; onset of symptoms after a particular sexual exposure doesn't mean that's where you caught it.)  That said, I can't prove you don't have HIV and gree you should be tested.  You don't need to wait; if your HIV test is negative now, it's around 90% reliable, and a second negative test at 4-6 weeks would make it virtually 100%.

Inginal (groin) lymph node swelling can be a sign of herpes, but rarely in the absence of genital lesions.  Syphilis is an even less likely possibilty, but you and your partner both should be tested for it.

You should 1) encourage your partner to have an HIV test, for both your piece of mind and hers.  Everybody with an STD (trich) should be tested for HIV, and she and her doctor may change theirs mind if you tell her your concerns.  2) Ask if she has herpes.  If not, it doesn't prove anything, but makes that infection less likely for you.  3) Also ask if she was tested for gonorrhea, chlamydia, and syphilis.  4) As I said above, have those tests yourself.

Good luck--  HHH, MD
Avatar universal
You mentioned the test now would be 90% reliable , when does start? 2 or 3 weeks?  

Avatar universal
This might help you?

I am currently on holiday in Thailand. A couple of weeks ago I had a moment of complete stupidity when drunk and had unprotected intercourse with a high-risk HIV candidate.  I went to the best hospital in Bangkok (which wasn't cheap!!) and saw a specialist infection doctor there.  I'm not sure if you are aware but in a lot of ways Thailand is ground zero for HIV prevention and treatment.  There are specialists here that are supposed to be the closest in the world to developing an HIV vaccine believe it or not!!

Anyway, the specialist advised the following because I was freaking out with anxiety (as you can imagine).

(1) I began PEP some 40 hours after the incident (although it is best to do it ASAP, ie. within 1-2 hours, if not within the "golden period" which is 24 hours if possible.  Even though I was 40 hours she did say it was likely to be effective!!)

(2) After a bit more than two weeks I had what is called a PCR test done.  This identifies HIV DNA rather than your anti-body reaction which takes longer to be identified.  Thankfully it came back negative.  The PCR test is 97+ per cent accurate at this point.

(3) Following this negative result she advised I did not need to continue PEP at this point because the odds of contracting the virus were so miniscule.  In fact, in her opinion, the PCR test at this point is odds on to be as accurate as the 6 week anti body test.

Also, she advised that there is a strong correlation between a high HIV viral load in a person (which dramatically increases the likelihood of them passing on infection) and their visible well being.  This includes the "flu" like symptoms that can be suffered in the weeks following infection, and the poor health of someone who has been infected for a long time and it has developed into full blown AIDS.  In other words, it would appear there is some truth to the so called "myth" that there is a significantly increased likelihood of someone who is physically unwell from HIV passing it on, as compred to someone who is not physically ill with the disease.
Avatar universal
by the way, If someone contracted hiv 4 years ago, would there be a change in the blood count today and how about three months after infection?
Avatar universal
what is pep that you started right after?
Avatar universal
Hi,

You can find out some of these medical details by googling general medical information on AIDs. I'm not an MD, but I found these things online from medical studies:

*The course of the disease varies from person to person. Maybe Dr. H can answer the 4-year question better, but I think there's no steadfast rule.

*3-months after infection, just about everybody has antibodies to the virus. It's the first few weeks after being infected when the viral load shoots up, very high, and a person is extremely infectious. The body hasn't developed mechanisms to keep the virus in check yet. But then, by 1-2 months after the initial spike in the viral load, people usually have immune mechanisms that reduce the virus or keep it in check, which is why by 3 months, I think the virus exists in small amounts, compared to right after the infection.

Keep in mind, this is all just stuff I got from reading books and websites; I'm not a doctor.

J
Avatar universal
where someone go to get treated? how fast can you go with this illness? what type of treatments do they use in bangkok?
Avatar universal
Hi,

Are the percentage you posted strictly for latest ELIZA test only? I tested negative on the Amplicor HIV I/II at 7 weeks. Is that a good result? In my country (Indonesia), there is only Amplicor screening tests.

Hope you can advice,
Moon.
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