Could My Symptoms Indicate HIV? Urological Concerns - Urology

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Is there HIV/AIDS?


Hello doctor, I would like to ask about my condition.
A month ago, I experienced swelling of the lymph nodes in my neck, followed by fever and generalized muscle aches.
After taking antibiotics, the fever subsided, and the lymph nodes decreased slightly but did not completely resolve.
This week, I suddenly started experiencing low-grade fevers, which typically begin in the afternoon.
I have been feverish for seven days now, and my temperature has been higher these past two days.
The symptoms remain the same, with generalized body aches, and I have developed painful sores in my mouth.
Additionally, I noticed a rash in my vaginal area that is red, yellow, and very painful.
I went to the hospital for blood tests and urinalysis, but they could not identify the cause of the unexplained fever.
I would like to know if this could be HIV/AIDS, as I have read that the early symptoms are similar.
My partner is consistent, and he does not show any symptoms.
We generally use condoms, but there were one or two occasions when we did not.
Is it possible for me to contract the disease? Thank you, doctor.

Yuyuyu, 20~29 year old female. Ask Date: 2016/11/27

Dr. Du Shixi reply Urology


Hello: Your concerns can vary in severity.
Are you sure the doctor tested for HIV? Many patients claim they have been tested, but it is possible they were tested for other issues and the specific problem was not detected.
Therefore, it may be necessary to visit the hospital for further evaluation.
Currently, what can be done is to enhance your immune system: ensure adequate sleep, maintain regular meals, and avoid spicy foods and alcohol.
First, control the symptoms, then identify the cause.
Wishing you a speedy recovery.

Reply Date: 2016/11/27

More Info


Your symptoms and concerns regarding the possibility of HIV infection are valid, especially considering the recent changes in your health. Let's break down your situation and provide some clarity.

Firstly, the symptoms you describe—swollen lymph nodes, fever, muscle aches, mouth sores, and the recent appearance of a painful rash—can indeed be associated with acute HIV infection. The acute phase of HIV, which occurs 2 to 4 weeks after exposure, often presents with flu-like symptoms, including fever, fatigue, swollen lymph nodes, and sore throat. However, these symptoms are not exclusive to HIV and can be caused by various other infections or conditions.

Given that you have had a stable partner and primarily use protection, the risk of HIV transmission is significantly reduced. However, it is important to note that no method of protection is 100% effective, and the occasional unprotected intercourse does pose a risk. The fact that your partner is asymptomatic is reassuring, but it does not completely rule out the possibility of HIV or other sexually transmitted infections (STIs).

You mentioned that you have undergone various tests, including blood and urine tests, but the cause of your fever remains unidentified. This situation can be frustrating and concerning. It is crucial to follow up with your healthcare provider regarding the results of these tests, especially for HIV. The standard HIV tests, including the HIV combo test (which detects both HIV antibodies and antigens), are highly accurate, but they may not detect the virus immediately after exposure due to the "window period." This period can last from a few days to several weeks, depending on the type of test used.

In your case, if you had unprotected sex, it is advisable to get tested for HIV again after a few weeks, as well as for other STIs, to ensure comprehensive care. If you continue to experience symptoms or if they worsen, it is essential to seek medical attention promptly. Your healthcare provider may consider additional tests or referrals to specialists, such as an infectious disease expert.

Moreover, it is important to address the psychological aspect of your concerns. Anxiety about potential HIV infection can lead to heightened awareness of bodily symptoms, which may exacerbate feelings of discomfort or illness. If you find that your anxiety is overwhelming or affecting your daily life, consider speaking with a mental health professional who can help you manage these feelings.

In summary, while your symptoms could indicate an acute HIV infection, they are not definitive on their own. The best course of action is to continue working closely with your healthcare provider, follow up on your test results, and consider retesting if necessary. Additionally, addressing any anxiety or stress related to your health can be beneficial for your overall well-being. Remember, early detection and treatment of any condition, including HIV, can lead to better health outcomes.

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