HIV Testing: Trusting Your Negative Results - Urology

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HIV screening


I engaged in high-risk sexual behavior in April and May of this year, and I underwent testing for HIV and syphilis at the end of October, with negative results.
However, I feel that I have a fear of intimacy, as I constantly suspect that my girlfriend and I might have contracted HIV.
Whenever I notice symptoms such as persistent mouth sores, my girlfriend frequently having fevers or fatigue, or occasionally seeing small red spots on her body, I become very anxious about having HIV.
Can I trust the results of the testing?

Niming, 30~39 year old female. Ask Date: 2017/01/07

Dr. Du Shixi reply Urology


Hello: If there has been unsafe sexual behavior, it is important to remain vigilant.
If you have concerns, you should visit a urologist for an examination every six months.
Many HIV tests are conducted after patients have had suspicions for a long time before they discover their status (the key point is safe sexual practices; otherwise, it can be difficult to determine when the infection occurred).

Reply Date: 2017/01/07

More Info


When it comes to HIV testing, understanding the reliability of your results is crucial, especially if you've engaged in high-risk behaviors. Based on your situation, you tested negative for HIV after having unprotected sex in April and May, and again in October. This negative result is a positive sign, but it's understandable that you might still feel anxious or fearful about your health and the health of your partner.

First, it's important to recognize that HIV tests are generally very accurate. The tests you underwent, particularly the HIV Ag/Ab combo tests, are designed to detect both the HIV antibodies and the p24 antigen, which is present in the early stages of infection. These tests have a high sensitivity and specificity, meaning they are reliable in identifying whether someone is infected with HIV. The window period for these tests is typically around 2 to 4 weeks, but for the most accurate results, it is recommended to wait at least 3 months after potential exposure to get tested again.

Your negative results indicate that, at the time of testing, there was no evidence of HIV infection. However, if you are still experiencing symptoms such as mouth sores, fatigue, or unexplained rashes, it is essential to consult a healthcare professional. These symptoms can be caused by a variety of conditions, not just HIV. Anxiety about potential HIV infection can also manifest physically, leading to symptoms that may not be related to an actual infection.

Regarding your concerns about your girlfriend's health, it is important to communicate openly with her about your fears and encourage her to get tested as well. If she is experiencing persistent symptoms, she should see a healthcare provider for a thorough evaluation. It's worth noting that many other infections or conditions can cause similar symptoms, and a healthcare professional can help determine the cause.

If you are feeling overwhelmed by anxiety about HIV, consider seeking support from a mental health professional. They can help you work through your fears and provide coping strategies. Additionally, if you continue to have concerns about your health or the health of your partner, regular testing and open communication with healthcare providers can help alleviate some of that anxiety.

In summary, trust your negative test results, especially since they were conducted after the appropriate window period. However, if you have ongoing symptoms or concerns, do not hesitate to seek medical advice. Regular check-ups and open discussions with your partner about sexual health are key components of maintaining both your physical and mental well-being.

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