Could My Symptoms Indicate HIV or Just a Common Cold? - Urology

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I would like to ask if I have HIV?


I met someone online, and we had sexual intercourse on 10/10, 10/15, and 11/4 without any protective measures.
A few days later, I felt some itching around my genital area, but that has since resolved, which is quite strange.
From 11/16 to 11/28, I experienced symptoms that felt like inflammation of the lymph nodes (swelling), along with intermittent cold sweats, headaches, and body weakness (all of these symptoms appeared suddenly, possibly on days when I initially felt fine).
However, these symptoms subsided after a short period.
On 11/27 and 11/28, I experienced cold sweats (feeling cold), body weakness, and diarrhea.
I'm a bit worried whether I might have contracted HIV or if it's just a regular gastrointestinal flu.

Nìmíng, 20~29 year old female. Ask Date: 2017/11/28

Dr. Du Shixi reply Urology


A physician must not administer treatment, prescribe medication, or provide a diagnosis without a personal examination.
Hello: There is a window period of about 90 days for HIV testing, during which the virus may not be detectable.
Therefore, if you are concerned, you can get tested now, and if the result is negative, you should test again in three months.
As for diagnosing HIV, it relies on blood tests rather than symptoms, which can only serve as a reference.
Wishing you good health.
Please avoid unsafe sexual practices.

Reply Date: 2017/11/28

More Info


Based on the symptoms you described and your recent sexual history, it is understandable to be concerned about the possibility of HIV infection. However, it is important to approach this situation with a clear understanding of the facts surrounding HIV transmission and the nature of its symptoms.

HIV (Human Immunodeficiency Virus) can be transmitted through unprotected sexual contact, sharing needles, or from mother to child during childbirth or breastfeeding. The symptoms of acute HIV infection often resemble those of a common viral illness, such as the flu or a cold. These symptoms can include fever, fatigue, sore throat, swollen lymph nodes, and muscle aches. However, not everyone who contracts HIV will experience these symptoms, and the severity and duration can vary widely among individuals.

In your case, the symptoms you are experiencing—such as swollen lymph nodes, cold sweats, headaches, and body weakness—could potentially be indicative of an acute viral infection, including HIV. However, they could also be attributed to other common illnesses, such as a cold or a gastrointestinal infection. The fact that you experienced a temporary itch near your genital area and then it resolved could suggest a mild irritation or infection that is not necessarily related to HIV.

It is crucial to note that the window period for HIV testing is typically around 2 to 6 weeks after potential exposure, during which time the virus may not be detectable in standard antibody tests. However, more advanced testing methods, such as the HIV RNA test (also known as PCR), can detect the virus earlier, usually within 10 to 14 days after exposure. If you are within this window period, it is advisable to consult a healthcare provider for appropriate testing.

Given your symptoms and the timeline of your sexual encounters, it would be prudent to seek medical attention. A healthcare professional can conduct the necessary tests to determine if you have contracted HIV or another infection. They may also evaluate your symptoms to rule out other potential causes, such as a viral or bacterial infection.

In the meantime, it is essential to practice safe sex to prevent the transmission of HIV and other sexually transmitted infections (STIs). Using condoms consistently and correctly can significantly reduce the risk of transmission. Additionally, regular testing for STIs, including HIV, is recommended for sexually active individuals, especially those with multiple partners or those who engage in unprotected sex.

In summary, while your symptoms could potentially indicate an HIV infection, they could also be related to a common viral illness. The best course of action is to consult a healthcare provider for testing and evaluation. They can provide you with the necessary information and support to address your concerns and ensure your health and well-being. Remember, early detection and treatment are key in managing HIV and maintaining overall health.

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