Hello Doctor,
I’m seeking your advice regarding my health situation. I had unprotected sex with a female, and 32 days later, I was diagnosed with mesenteric adenitis through a CT scan. The ER doctor mentioned that my body was “preparing to fight an infection.” I was embarrassed and didn’t disclose my unprotected sex during the visit.
It's important to mention that I tested negative for HIV using a 4th generation lab test (antigen/antibody) on day 22, day 30.5, and day 136. I also took 9 OraQuick oral swab tests, which are less sensitive, at 17 weeks and two more at 22 weeks—all of which were negative.
Despite experiencing swollen lymph nodes, severe joint pain, and headaches—none of which are present now—I'm concerned and wondering if I should retest for HIV. Could you please provide guidance on whether further testing is necessary?
Hello,
Thank you for reaching out to Dr. Galen. Please find the below response to your query.
It's important to clarify that if your HIV tests conducted more than 4 weeks after the exposure are negative, it is highly indicative that you do not have an HIV infection. The 4th generation tests you used are very reliable, and a negative result at 30.5 days post-exposure is a strong sign that you are not infected.
Additionally, your repeated testing at 17 weeks and 22 weeks, all of which were negative, further supports this conclusion. While symptoms like swollen lymph nodes, joint pain, and headaches can be concerning, they do not specifically indicate an HIV infection, especially in the context of your negative test results.
Thanks
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