Anonymous
Hello Doctor,

I had a potential exposure for a period of 5 to 10 mins with a woman I met in club before I gained my conscious and pulled it out. She doesn't know her status. I took a combo test (hiv1/2 and p24) on 10th and 24th day both negative. Also pcr rna test on 10th day - negative. I had mild sore throat for a day on 13th day. Mild fewer for few hours on 14th day and mild swollen lymph on the 14th day. I have been diagnosed with acute anxiety.

Based on the information here please let me know your diagnosis. I would really appreciate any help here. I am loosing my mind because of this. Thanks in advance doc
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Anonymous
Hi there, thank you for contacting the AIDS Vancouver Helpline for HIV and AIDS related information.

Firstly I would like to clarify that we here on the Helpline are not doctors, we are volunteers from various fields with extensive training in everything HIV related.

That being said, I can certainly help you with your situation. With regards to the symptoms you described, there are actually no clinically defined symptoms associated with HIV! The symptoms you are experiencing are no indication of your HIV status. Many of the symptoms you described could be due to a variety of things, even simply stress! Testing is the only way to determine your HIV status.

Regarding the HIV tests you took, the combo test and the PCR RNA test are two of the best tests you can take. While all HIV tests are only considered absolutely conclusive at 3 months post exposure, the test results you got back are going to be a very very good indication of you HIV status. The p24 portion of the combo test you took should be able to detect the virus at 10 days and 24 days. Also the PCR RNA test you took is considered 90% accurate at 10-12 days. So based on these results it is unlikely that you have HIV. Again, however, as the World Health Organization (WHO) states, all HIV tests are considered absolutely conclusive at 3 months post exposure, so based on this you may want to consider being retested at 3 months. (84 days).

I hope that answers your questions, if you would like a further explanation of your test results you may want to visit your doctor. Keep in mind that while unprotected sex (did you use a condom?) is considered 'high risk' for HIV transmission, the virus is still very hard to transmit with only 5 in every 10000 exposures resulting in transmission!

In health,

Arne, AIDS Vancouver Helpline Volunteer
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