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3 months negative test but still have symtoms

Question: 

Hii.

Recently i had protected vaginal sex with a csw for 2-3 minutes in Thailand, & i had shaved my pubic region just before 2 hours of having intercourse.
Though i am sure condom did not break, i am fearing that shaving superfacial cuts may transmit HIV to me even though after shaving there was no visible cuts / broken skin.

After this incident, i had rapid blood HIV tests at 8, 10,weeks & 3 months (88 days) which were all negative, but still after 10 weeks i am having mild sore throat, a little white tongue & diarrhea problems for more than 10 days.
please answer my question.
1) Have you heard of any person got hiv due to shaving pubic hairs before having sex?
2) Do you consider my 88 days HIV negative test conclusive? or i have to test again?

Answer: 

Thank you for reaching out to AIDS Vancouver. It sounds like you have some concerns about your HIV status after an encounter with a commercial sex worker. I hope the following information will help you understand your situation a bit better.

With respect to your testing, your test at 88 days would be considered conclusive. This is based on the standards set by the BC CDC, according to which all HIV tests are considered conclusive at 84 days (12 weeks). So a further test for that exposure would not be necessary. That said, we do encourage all sexually active people to get tested regularly for STIs including HIV as a way of promoting sexual health.

So what about your symptoms? The truth is that symptoms are not a reliable indicator of HIV. The symptoms of HIV are similar to other viruses such as the flu, and many people who do have HIV don't notice any symptoms initially. I don't doubt you are experiencing the symptoms you mentioned, but given your test results it may be a good idea for you to partner with a doctor and explore alternate causes for those symptoms.

Additionally, I would encourage you to focus on the results of your testing and not go down the rabbit hole of focusing on hypotheticals that you worry might have increased your risk. I'll go through the risk assessment below to answer your questions and to ensure that you have accurate information going forward. But again, you have a conclusive test result and it's accuracy is not at all impacted or called into question by the type of activity that prompted you to get testing.

With respect to the risk level, the activity you mentioned (having protected vaginal sex) is a Low Risk activity. This means that there have been a few confirmed reports of people acquiring HIV due to this activity, generally due to certain identifiable conditions (for example, the condom breaking) that may or may not apply in your case. Shaving your pubic hair prior to having sex does not raise that risk level. Even superficial cuts such as shaving nicks would not provide the kind of entry point that HIV needs to enter your bloodstream. But as you said you couldn't see any cuts or broken skin, there's even less reason to worry about this.

If you have questions about the risk level of other kinds of activities, here is a good risk assessment chart.

I hope this has helped you understand your situation a bit better. If you have further questions you can check our website or call us at the number below.

Your in health,

Matt, Helpline Volunteer
AIDS Vancouver Helpline/Online
Monday-Friday 9am-5pm (PST)
1 844 INFO-HIV (Toll free Canada & U.S.)
helpline@aidsvancouver.org
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