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Question: 

Hello
I'm a male 25 years old. 4 days ago I had unprotected sex with a girl that I do not know. I had sex on Saturday, on Sunday I felt tired and on Monday I felt the same thing but on Tuesday, I had a bad fever, Sore throat, body ache and my neck in pain, and little headache, on Wednesday, the fever is gone but I felt tired and still have Sore throat. however, on Thursday,
i am feeling way better nobody pain no neck pain no fever and no sore throat

can HIV symptoms show in 3 days to 4 days after the sex?
do you think there a chance i have HIV?

thank you

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the possibility of HIV transmission from unprotected sex and whether HIV symptoms can appear a few days following the encounter. Furthermore, you experienced a number of physical ailments, which you assumed were HIV-related symptoms.

From the information given, this scenario is determined to be High Risk (there is evidence of transmission through these activities and are the majority of cases of transmission).

The scenario mentioned above meets the three components of the Transmission Equation, because condom-less sex is an activity that allows direct access of potential HIV-containing fluids (e.g. semen, vaginal fluids) to the bloodstream (e.g. through your urethra). This risk assessment is based solely off of the unprotected vaginal sex mentioned in the scenario. If you are continuously engaging in high-risk activity, there are biomedical approaches such as PrEP and PEP that can help lower your risk of acquiring HIV (1). Refer to your physician(s) for further information.

With regards to your symptoms, there is no way to conclude that these were as a result of HIV without adequate testing confirmation, as HIV symptoms can vary from person to person not only in terms of the specific types experienced, but also the time periods in which these may appear (2).

Recommendation: Refer to a health care provider for HIV testing.

Take care,

AIDS Vancouver Online/Helpline, Shirley