First, thanks so much for providing this forum. I'm a bit lost right now and after making one terrible decision and putting myself at risk with a unknown but likely + partner without protection I am freaking out.
The incident happen nearly 6 weeks ago. two days after I felt some slight swelling of the lymph nodes in my neck (similar to swelling I've felt before when having a cold or sinus infection) and finally mustered up the courage to run to the nearest urgent care office and get on PEP. It was around 65 hours post-incident when I started my PEP. My baseline testing came back negative and I was put on Combivir and Sustiva.
I seemed to handle the PEP okay, but noticed that the lymph nodes my neck continued to get more and more swollen. At two weeks I noticed the lymph nodes in my groin started to swell as well. Other than that I felt pretty normal. No fever, no rashes, etc.
At 25 days post exposure I went in to see an infectious disease doc. It wasn't quite 4 weeks, but she went ahead and did an antibody test and PCR test as well as test for everything else. All were negative. It took a week to get the results back and by that time I had just finished my PEP. I also noticed at that time (day 30/31, right at end of 28 day PEP) that the lymph nodes in my armpits were starting to swell a little as well. I had not heard back from the doctor yet and in a panic I ran to the pharmacy to grab an Oraquick Rapid test. The Oraquick result at 31 days was negative.
I'm headed back in to do a 6 week follow up on Monday. Knowing that the results will again likely take a week I decided to do another Oraquick test yesterday (day 39.5 post exposure, 9 days post PEP) which also came back negative.
I understand that conclusive testing is at 3 months post exposure, but my questions are below:
1) If my generalized lymph node swelling was due to HIV infection shouldn't I be producing antibodies at this point regardless of PEP?
2) from my research it seems ARS seems to normally last 2-4 weeks. The lymph nodes in my neck have been swollen for almost 6 weeks, my groin for at least 4. Should I be worried about any other diseases?
3) Have you witnessed PEP (Combivir, Sustiva) causing swollen lymph nodes? What about stress?
4) assuming my blood tests are negative at 6 weeks would you agree that the odds of HIV infection are reduced by 99%?
5) are there any other specific questions I should be asking my doc?
Thanks so much for your help and feedback. I'm trying to stay positive, but the regret and anxiety are crushing my soul at the moment.