Anonymous
42 days ago i had a protected vaginal sex ( condom slipped about 1 cm during the intercourse ) , and unprotected oral sex.later,i developed some strange symptoms ( day 17 ) ranging from sever diarrhea for 6 or 7 days,swollen axillary ,neck lymph nodes,later a sore throat,fatigue,muscle aches,i did not notice any fever.
I went to the dr and i performed some lab tests, cbc came with the following manifestations leukopenia with absolute neutropenia ,relative lymphocytosis,microcytic rbcs.
At day 29 i performed the rapid hiv test which came back negative.
What is my risk of acquiring hiv?
Do you think that these symptoms are related to hiv?
Is a 29 days post exposure test a good indicator of my status ?
Can a negative result turn to positive later(if yes what is the percentage)?
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Anonymous
Hello,

Thank you for contacting AIDS Vancouver for your HIV/AIDS related questions.

You are likely at a low risk for HIV transmission. Even though the condom slipped during intercourse, you still had protected vaginal sex, so there was a low risk for HIV transmission. HIV can only be transmitted through the direct contact of body fluids via an airtight host. Low risk means that there have been a few reports of infection attributed to these activities. As for the oral sex, the answer depends on whether you gave or received oral sex. There is a negligible risk for HIV transmission by receiving oral sex. Negligible risk means that although there was an exchange of bodily fluids, there has never been a confirmed report of HIV transmission by receiving oral sex. This is because the saliva contains an enzyme that prevents HIV growth. Giving oral sex, however, is considered a low risk activity in cases where people have actively bleeding cuts/sores in their mouth.

AIDS Vancouver is run by volunteers, not doctors, so we cannot give a conclusive interpretation of your results. However,the negative result for the rapid test you performed 29 days after exposure is a good indication of your status. The rapid test has a window period of about 4 weeks to 3 months after exposure, and is conclusive at 3 months. For conclusive results, the World Health Organization (WHO) and AIDS Vancouver recommend that you re-test at 3 months post-exposure. After the 3 months, the results will not turn positive later.

As for the symptoms you experience, they are not related to HIV because there are no clinically defined symptoms of HIV. The symptoms you experience are most likely related to the other illnesses your doctor has tested for.

I trust I have addressed your concerns. Should further inquiries arise, please don't hesitate to contact us again.

Sewon, AIDS Vancouver Volunteer



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