HIV Symptoms: Concerns for Young Adults - Family Medicine

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Symptoms of HIV/AIDS


Hello doctor, I am 18 years old, a virgin, and have never undergone intravenous injection or shared needles.
My mother also does not have HIV.
Recently, I received information about HIV and it reminded me of a similar flu-like illness I experienced last winter.
The symptoms included fever, sore throat, fatigue, and night sweats (not sure if it was caused by medication).
The symptoms of fever, night sweats, and fatigue gradually disappeared within a week.
The symptoms are similar to those of early HIV infection.
Could I possibly have contracted HIV?

Niming, 10~19 year old female. Ask Date: 2016/12/07

Dr. Gao Qingyun reply Family Medicine


Hello: HIV is generally transmitted through sexual contact, blood, bodily fluids, and shared needles.
If you have not engaged in these activities, there is no need to be overly concerned about contracting HIV.
If you have any doubts or experience other physical discomfort, you may visit an infectious disease specialist or a family medicine physician.
Wishing you safety and health.
Sincerely, Dr.
Chen Tai-Cheng, Attending Physician, Department of Family Medicine, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/12/07

More Info


It's understandable to have concerns about HIV, especially given the symptoms you've described and the information you've encountered. First, let's clarify how HIV is transmitted and the typical symptoms associated with its acute infection phase.

HIV (Human Immunodeficiency Virus) is primarily transmitted through specific high-risk behaviors, including unprotected sexual intercourse (anal or vaginal), sharing needles, and from mother to child during childbirth or breastfeeding. In your case, you mentioned that you have not engaged in intravenous drug use or shared needles, and your mother is not HIV positive, which significantly reduces your risk of contracting the virus.

The symptoms you experienced a year ago—fever, sore throat, fatigue, and night sweats—can indeed resemble those of an acute HIV infection. However, these symptoms are also common to many other viral infections, such as the flu or common cold. Acute HIV infection typically occurs 2 to 4 weeks after exposure and can present with flu-like symptoms, but it is important to note that not everyone will experience these symptoms, and some may have very mild or no symptoms at all.

Given your situation, the likelihood of having contracted HIV is low, especially since you have not engaged in high-risk behaviors. However, if you are still feeling anxious about your health, it is advisable to get tested for HIV. Testing is the only definitive way to know your HIV status. Many healthcare providers recommend routine testing for sexually active individuals, particularly if they have concerns about potential exposure.

Regarding your symptoms, it is also essential to consider other potential causes. The flu-like symptoms you experienced could have been due to a variety of viral infections, and the fact that they resolved within a week suggests that it was likely a self-limiting viral illness rather than something chronic or serious. Night sweats can occur for various reasons, including anxiety, infections, or even certain medications.

If you are experiencing ongoing anxiety about HIV or other health issues, it may be beneficial to speak with a healthcare professional. They can provide reassurance, conduct necessary tests, and help you understand your symptoms better. Mental health is just as important as physical health, and addressing anxiety can significantly improve your overall well-being.

In summary, while your symptoms may have raised concerns about HIV, the absence of high-risk behaviors and the transient nature of your symptoms suggest that it is unlikely you contracted the virus. However, testing is the best way to confirm your status and alleviate any worries. Don't hesitate to reach out to a healthcare provider for support and guidance. They can help you navigate your concerns and ensure you receive the appropriate care.

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