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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Sharp Pain In Feet After Unprotected Sex Indicate HIV?

I had unprotected vaginal sex with someone that is unknown about his hiv status. We had sex for all of 5 min. After a week I had a genital herpes breakout which I have had for years. Then I had a red sunburn looking rash on my elbows. It did not itch and covered my elbows. It still is there. So after 7 and a half weeks I went to CVS and bought a HIV test. It came back negative. I also have been experiencing mild pain in hands and feet for the past month and over time it has gradually gotten to become very sharp pain. Tonight Iv noticed my feet are like ice blocks. My question is does this sound like hiv.......the sharp pains in my feet and hands. Does this normally start with recently infected hiv infection? I'm starting to really stress out and one more thing I have had 2 more genital breakouts and I guess my gland on my bikini line was swollen but went down after a couple of days. I stop wearing under ware for those couple of days figuring that they must be irrating my skin.
Mon, 17 Nov 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

The salient points that i can gather after going thorough your query are:
-You had unprotected vaginal sex with a person whose HV status you were unaware off; which is a high risk for all STD's including HIV
-That you had a recurrence of genital herpes after a week and
-You had a screening test for HIV at 7 and 1/2 weeks after the sexual encounter; which turned out to be negative.
Unprotected sex is a risk factor for all STD's like herpes, syphilis, gonorrhea, chlamydia, HIV, genital warts, genital molluscum.
Therefore, I would suggest a comprehensive screening for all STD's apart from just HIV.
Regarding your HIV screening test which turned out to be negative; It is recommended to undergo a repeat test at 12 weeks to cover for the window period of infection. However most of the individuals who are infected with HIV develop antibodies within a month of infection.
Therefore a negative screening test at 7 and 1/2 months almost rules out HIV.
The swollen glands were most likely related to simultaneous herpes genitalis and they would resolve once the sores resolve.
Symptoms such as sharp pain in hands and feet seems unrelated to any STD or HIV and I would suggest that you seek an expert opnion of an internal medicines specialist as well as an orthopedician for the needful

Regards
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Does Sharp Pain In Feet After Unprotected Sex Indicate HIV?

Hello. Thanks for writing to us at healthcaremagic The salient points that i can gather after going thorough your query are: -You had unprotected vaginal sex with a person whose HV status you were unaware off; which is a high risk for all STD s including HIV -That you had a recurrence of genital herpes after a week and -You had a screening test for HIV at 7 and 1/2 weeks after the sexual encounter; which turned out to be negative. Unprotected sex is a risk factor for all STD s like herpes, syphilis, gonorrhea, chlamydia, HIV, genital warts, genital molluscum. Therefore, I would suggest a comprehensive screening for all STD s apart from just HIV. Regarding your HIV screening test which turned out to be negative; It is recommended to undergo a repeat test at 12 weeks to cover for the window period of infection. However most of the individuals who are infected with HIV develop antibodies within a month of infection. Therefore a negative screening test at 7 and 1/2 months almost rules out HIV. The swollen glands were most likely related to simultaneous herpes genitalis and they would resolve once the sores resolve. Symptoms such as sharp pain in hands and feet seems unrelated to any STD or HIV and I would suggest that you seek an expert opnion of an internal medicines specialist as well as an orthopedician for the needful Regards