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Help Dr. H

Dr. H  I am scarred to death.  I need to get your advice.  On 10/09/2007 I cheated on my girlfriend and had unprotected vaginal intercourse with a woman I met at the conference I was at.  After having sex i noticed blood on my shirt, but no visible cuts on me.  We maintained contact for a few weeks. Then about a month later I had extreme itching in my genital and anus area. Lasted for a couple of weeks, and scared the **** out of me.  Then one night I noticed to red marks on shaft of penius.  They went away in about a day, and then I called her.  She assured me that she gets tested every year at her her obgyn and had testing done after we had sex. I hounded her, but thought ok.  Then a few more weeks passed and i woke up one day without an appetite.  Scared me.  Then loose stools, with fatigue, a little sore throat.  Started having white tongue and not sleeping through night.  I did my research and decided to get tested.  I got tested on 1/16/2008. 99 days after that night.  I got blood drawn at my Doctors office and labcorp results came back hiv 1/2 nonreactive, herpes IgG negative and rpr nonreactive.  It clamed my fears a bit.  I called her told her my results.  Thought it was done.  My Dr. then a week later drew blood for a fasting test.  All my results including liver enzymes came back normal levels.  He gave me paroxitene and told me I was fine.  
Thought I was good, I am still fatigued, and have loose stool, I have lost weight 8-9lbs.Lately I have had a coug with mucus  No real appetite still.  My girlfriend calls me a says she has no real appetite, and is always tired.  What do I do?
1) Could my testing been messed up?
2) What about HEP C?(should I test for that)
3) Is my hiv test at 99 days conclusive?
4)Do I need to stop worrying about my girlfriend?
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6 Responses
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Avatar universal
Just wanted to say that Thank you for all you do.  I took another test at 24 weeks for peace of mind, and it was negative.  Thank you for all of the information you provided me.  This is Truly a great site.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
You were already tested!

You have my reply.  I haven't changed my mind.  You came here for reassurance, presumably.  I gave it.  You can accept it and move on, or you can disregard it and continue to try to convince yourself you have HIV despite all rational considerations.  But don't argue about it.

I won't have any further comments or advice..
Helpful - 0
Avatar universal
So symptoms would not warrant a test?  If I would have told you all of that you still would have said no test?

Even loss of apetite, dioreaha etc.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
What in heaven's name would make you even remotely suspect she has HIV?  You must have a pretty inflated view of how common it is.  The average rate in sexually active women in the US is 0.1%, i.e. 1 in 1000--and most of those were the regular partners (wives, etc) of infected men.  And if she had it, the chance of transmission for a single episode of unprotected vaginal sex is 1 in 2,000.  That puts your HIV risk, before testing was even done, at 1 in 2 million.  Which is why if you had come to the forum earlier, I would have told you HIV testing wasn't necessary at all.

Anyway, the test results are the test results.  You could have mainlined some HIV infected blood and a negative test at 3+ months would prove you weren't infected.

If you live in the US, your risk of dying of an accident in the next 12 months is 1 in 1,756, according to the National Safety Council.  That is thousands of times more likely than the chance you have HIV.

Use your seatbelt.  Otherwise let this go.
Helpful - 0
Avatar universal
So even if she was positve for hiv, my test results would prove that I do not have it?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
You are overreacting to a low risk situation and to symptoms that don't suggest HIV or any other STD and have nothing at all to do with the sexual exposure you describe--except for the likelihood that most of your symptoms suggest anxiety over the event.

1) I see no reason to suspect your test results were "messed up" in any way.

2) Contrary to popular beliefs, hepatitis C is rarely sexually transmitted.  It never occurs through single episodes of vaginal sex.  And that diagnosis couldn't possibly explain anything you describe.

3) Everybody's negative HIV test at 99 days is conclusive.  You don't have it.

4) Yes, you need to stop worrying about your girlfriend.

Of course continue to work with your health care provider if your symptoms persist or you otherwise remain concerned.  As I suggested, you give a great description of the main physical symptoms of anxiety or depression.  As your provider about that possibility.

Best wishes--  HHH, MD
Helpful - 0

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