Hello doctor, I had unprotected sex with a sex worker three and a half months ago. Two months later, I started having ARS symptoms, fatigue, diarrhea, dizziness, sore throat, mouth ulcers. Just a day before that I had protected sex with a sex worker but my penis was not fully erect and did not insert deeply. So I think contact with the vagina may have occurred, but I do not remember, not sure. But I got an unprotected blow job or oral sex from her. Two days later, I got a p24 antibody combo test which was negative. A few days later I got DNA PCR which was negative. 11 weeks after first exposure, I got western blot which is negative. 12 weeks after first exposure, I got CMIA rapid which is negative. Two days later, I got RNA PCR for HIV 1 and 2 which were negative. This was 30 days after second exposure. Six weeks later, I got an antibody p24 combo CMIA which was negative. I still have symptoms of fatigue, increased saliva highly, throat pain. I am very worried. Please tell if my tests are conclusive. I read about people seroconverting late and I am worried. Also, one another person whose status I do not know also had daily dizziness, diarrhea, mouth ulcers and leg pain like me. Please help.
Hi. First, HIV symptoms are non-specific and are common to most infection and are referred to as flu-like symptoms. HIV infection symptoms in the acute phase often go undetected and are self-healed without any active intervention due to an intact immune system. These symptoms are only effective if they occur 2 to 5 years after exposure due to a crippled immune system. So far, in your condition, these occurring infections are stress related due to over activity of hormones (vagal stimulation) causing diarrhoea, running nose, sore throat. Mouth ulcers are moreover due to vit B complex deficiencies, dizziness can be due to a simple ear problem. So, do not worry about being infected, once the fourth generation is negetive after 28 days, then nothing to worry. You are free of infection.