Anonymous
Hello there,

The reason for me asking this question is because, as the title suggests, I may have been exposed to HIV. Because of this I am really stressing out about the possibility of having contracted HIV. So as you would assume,I have some questions that if you could answer would really help me out. First off, let me give some details. The act itself was only oral sex (I am a guy and so was the other person),both giving and recieving on my part. No condom was used while performing oral sex. I ejaculated in the other persons mouth as he did in mine. I did not swollaow. I also Rinsed my mouth after with water.

After about 2-3 days I started to get some irritated tonsils. They did not hurt, but felt irritated. It didn't go away so I went to the doctors and explained everything. The doctor told me to get a test done, which I did. On day 9 after possible exposure I started to feel a little woozy, and on day 10. I even through up a little. I am not sure if this was a symptom or just my nerves. On day 10 I got an HIV test done (4th generation ECLIA), it came out negative. I had another one done on the 21st day after possible exposure. It also came out negative. I have had regular check ups with my doctor during this time.

Also worth mentioning are the symptoms I have experienced during this time. It has been six weeks after my possible exposure (April 11th,2016= day of the sexual act- May 22nd,2016= Todays date or the date that I am writing this question).

Symptoms:
~ 2-3 days after possible exposure I experienced swollen and irritated tonsils. Now only my right tonsil appears to be swollen or atleast more so than the left. But they have begun to hurt now especially after drinking liquids.
~ Tonsilar pillars swollen or darker red (even to this day)
~ Off taste in my mouth. I cant quite put my finger on it
~ 11 days after possible exposure I developed a cough. Sometimes it was dry, others I produced phlem. It last about 10-14 days.
~ I have felt certain disorientation and dizziness throughout this time.
~ Slightly elevated temperature first 2 weeks, nothing I would consider a fever.
~ Yellow patch or tinge in the middle of my tongue. Also the back of my tongue is white. It looks as if there is a white layer over it. It is not like when someone is really thirsty, almost kind of fuzzy.
~ Kind of Stiff and sore neck.
~ Hard Palate is an off white colour,while the soft palate is has a sort of yellowis-white colour
~ Canker sores after 2 weeks of possible exposure. They seem to be on and off.They appear under the tongue,sides of cheeks, a couple behind bottom lip and top lip.
~ Hard palate a little bit sore
~ Sides of tongue are sore
~ Only once I have experienced a sort of night sweat. It was about 3 weeks after possible exposure.
~ Slightly runny nose starting about 2 weeks after
~ Certain naussea,dizziness or disorientation.
~ Mornings and evenings I have a hoarse voice. During the day no problem whatsoever.

So far I have not experienced any rash. No swollen lymp nodes as said by my doctor (apart from tonsils). Only minor headaches. No extreme night sweats or any at all for that matter apart from the one incident I stated above. It is autumn-winter here where I am at now.

So my questions are:

1) How accurate are the results I have gotten back?
2) I plan on getting another test done this week,so that would be a little after 6 weeks. If it comes out negative,would this one be considered conclusive assuming that it was done by a 4th gen ECLIA test?
3) Deep throat was done during the sexual act. Could this have caused irritation to my tonsils?
4) What are the chances of me contracting HIV through oral sex? At the time I had no oral lesions or any that I was aware of. Does this affect the probability of me contracting HIV through oral sex?
5) I have been stressed out lately. Could stress/anxiety have caused any of the symptoms I stated above?

. I know that I made a mistake by not using a condom. I just hope that nothing too serious occurs because o my stupidity. If you could answer these questions and/or give any additional info, It would be much much appreciated.
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Anonymous
Hi there, and thanks a lot for contacting the AIDS Vancouver Helpline for your HIV/AIDS related health information. It seems you're concerned about the possibility of HIV transmitting during an encounter, and on the accuracy of some tests you've had since then. We're happy to answer your question for you.

As you may have read elsewhere, giving oral sex is considered a low risk activity. Receiving oral sex is considered a negligible risk activity. Low risk means that while transmissions are possible, they require specific circumstances to occur (like having recent major dental work done). Negligible risk means that transmissions are theoretically possible, but have not been actually observed to occur from activities such as these. So keep these risk levels in mind when you're assessing your test results, and deciding to go for further testing.

Here is a bit more information on the tests you've had since then:

You'll see in the chart that this test is considered conclusive, meaning the results are taken as accurate, 3 months (or 90 days) post exposure. So the tests you've had after your potential exposure (but remember the risk levels involved) are not accurate enough to demonstrate your status conclusively after that encounter. It's up to you whether you'd like to go for further testing considering the risk levels involved.

As for the symptoms you are experiencing, we at AIDS Vancouver are not healthcare providers, so cannot comment on them. However, HIV infections are never diagnosed based on symptoms alone, simply because the symptoms of an HIV infection are quite common to many other common medical conditions. Testing is the only way to diagnose an HIV infection. If you're concerned about any symptoms you're experiencing, we'd encourage you to see a healthcare provider.

Thanks a lot for contacting the AIDS Vancouver Helpline with your question, we hope it has been answered fully.

Trevor

AIDS Vancouver Helpline/Online

helpline.aidsvancouver.org
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Test Name Method Window Period Conditions
4th Generation EIA Blood test that looks for antibodies AND p24 protein antigens. Commonly referred to as the "combination," "combo" or "DUO" test. P24 protein is detectable immediately after infection but only for the first few weeks. The antibody (ab) test has a window period of 4-12 weeks post exposure. This test is widely available in North America. Most HIV specialists consider this test to be conclusive at 6 weeks but official HIV testing guidelines still recommend re-testing at 12 weeks for conclusive results. Conclusive at 3 months post exposure. |