Question: Hello doctor,

I had protected intercourse with 3 girls in 2days and unprotected oral sex both receiving and giving with CSW in Germany. This was 6 months back.

Initially I got tested for HIV and STD at 3 weeks of exposure (HIV 4th Generation, Syphilis, Chlyamdia, HSV 1 and 2 ) All negative except HSV IGG was postive.

Again after 6 weeks of Exposure I got tested for HIV PCR RNA test, but they gave me the test report within a single day and which was negative (Can this report be trusted?)

Again after 8 weeks I got tested for 4th Generation HIV duo test which was negative.

Again after 14 weeks I got tested for HIV 4th Generation and STD test ( All negative including Hepatitis B and C also negative). Also got tested for HIV Western blot test which was negative.

During this period since begining I was having mild throat pain and it persisted till today, I met ENT doctor 2 months back and i did not tell about this exposure and he suggested may be GERD and I also have a Gastric problem and using the medicine since 2 months. Also my neck glands were also paining during this time since begining.

I have mild swelling under arm pit since 3 months, but no lump. I have that feeling when I close my hands something under my armpit feeling. Intermittent pain.

Also intermittent numbness on thighs and mild throat pain.

I am worried of sero conversion, though tests are negative (as the window period is 3 months), but is there a chance of late sero conversion (By the way I am a healthy person only).

Do I need to get tested again?

Also I noticed 6 months back after the exposure mild yeast infection on my head of penis, but not sure it could be before exposure too. It is still there.

I did the testing at Lalpath lab, SRL diagnostics & Dr.Dangs lab all in XXXXXXX can these results be trusted or due to legal issues they report negative only.

Or do i need to get tested in any Govt. Hospital.

All these are making me worried.

Can you please advise.

Thanks.

Hello Doctor,

Thank you for the reply.

The symptoms are making me worried.

First one is that pain under arm on both sides since 4 months i say. but the pain is not continous and tingling sensation on thighs and fatigue.

I was reading some websites about late sero conversion of 6 months and some say one year ? Is it true

My results are 100% conclusive.

Also regarding HIV PCR RNA test, I am only worried they gave me a report in one day. is it possible to do so? some say it takes one week.

But these symptoms are killing me.

Can you advise doctor.

Thanks.

Hello Doctor,

Thank you for the reply.

What could be the reason for swelling for underarm pit both sides. There is no lump, I tried to check, it is skinny layer and no lump found. But when I press hard it pains, and some times there is intermittent pain without swelling.


What is folliculitis?- I do not have rash or pus.

Also I am using Nexium 500 40mg twice a day since 45 days for GERD, as throat irritation is persisting since the exposure.

After a month it was ok, but doctor suggested for one more month. But since last couple of days mild throat irritation started again.

Also tingling sensation in groin area and thighs since 3 months but intermittent.

Can the seroconversion take 6 months? Is this possible?

These symptoms are killing me, and really afraid to go to a doctor and tell the whole episode again regarding the exposure etc.

Regarding Yeast infection, I noticed it within 3- 4 days of exposure, might be I have before the exposure itself but not sure. There is mild rash on the head of Penis like fungi.

Do you suggest to meet a doctor? Do I need to explain the total case since begining, or since HIV reports are negative I should explain only the current issue.

Please suggest.

Thanks