STD Concerns: Testing, Symptoms, and Immune Impact

Q: STD Concerns: Testing, Symptoms, and Immune Impact

Hello： 1) No, it has been over 3 months for you. <br>2) The tests can be referenced; there is no 100% certainty, but since you have tested twice, the reliability should be very high. <br>However, the hospital also conducts tests, and there are also anonymous testing options, whic

Sexually transmitted infections (STIs) issues?

Hello, Director Du.
In November of the year before last, I took a wrong turn and ended up purchasing sex from someone outside.
I used protection, but there was oral sex involved, which made me very anxious.
Since then, I have been experiencing both mental and physical fear.
I have read many articles and questions from users on the Red Ribbon website, along with detailed answers from experts.
The next day, I went for testing and received a negative result (I know it was foolish because it wouldn't show up so quickly).
I tested again in December, and the result was negative.
In mid-April, I tested again, and it was still negative.
However, during this time, I have been experiencing chest pain (due to a respiratory infection) and lymphadenopathy.
After the April test, I recently developed shingles (confirmed by a doctor), and I am very afraid that I might have contracted HIV! However, the viral load is undetectable.
I am concerned that it is slowly damaging my immune system.
I would like to ask:
1.
If the virus is undetectable, will it still continue to damage the immune system?
2.
I had an STD test at a general clinic, which cost 2000 TWD (for HIV, syphilis, chlamydia, gonorrhea, and herpes).
Can I trust this test, or should I go to an HIV-specific clinic that is recommended on the website?
3.
At that time, I did not test positive for herpes, but two weeks later, I developed shingles.
Could there have been an error in the testing? Is it possible that the test did not detect it, or is it related to my declining immune system?
4.
I currently have shingles.
If I go for testing again, is it possible that the HIV viral load could spike? Should I get tested again?

Xiao Liu, 20~29 year old female. Ask Date: 2020/05/04

Dr. Du Shixi reply Urology

Hello: 1) No, it has been over 3 months for you.
2) The tests can be referenced; there is no 100% certainty, but since you have tested twice, the reliability should be very high.
However, the hospital also conducts tests, and there are also anonymous testing options, which should be less expensive.
3) This type of disease occurs when the immune system is weakened; it usually remains dormant.
Shingles is different from simple herpes.
4) It should not be a problem, as you have tested twice.
There are no major issues.
Wishing you good health.

Reply Date: 2020/05/04

More Info

It's understandable to have concerns about sexually transmitted diseases (STDs), especially after a potentially risky encounter. Let's address your questions one by one, while also providing some context regarding the immune system and the implications of your symptoms.

1. Undetectable Virus and Immune System Damage: If you have undergone HIV testing and the results were negative, it is important to understand that an undetectable viral load means that the virus is not present in your bloodstream at levels that can be detected by standard tests. However, if you are concerned about the possibility of HIV or any other STD, it is crucial to continue monitoring your health. HIV can indeed affect the immune system over time, but if you are consistently testing negative, it is unlikely that HIV is the cause of your symptoms. Nonetheless, if you experience persistent symptoms or have new concerns, it is advisable to consult with a healthcare provider for further evaluation.

2. Reliability of STD Testing: The STD testing package you mentioned, which includes tests for HIV, syphilis, chlamydia, gonorrhea, and herpes, is generally reliable if conducted by a reputable clinic or laboratory. However, the timing of the tests is critical. For HIV, it is recommended to wait at least 3 months after a potential exposure for the most accurate results, as it can take time for the body to produce detectable antibodies. If you have concerns about the reliability of the tests, you can seek testing at facilities that specialize in sexual health, which may offer more comprehensive services and counseling.

3. Herpes Testing and Symptoms: The appearance of shingles (herpes zoster) after a negative herpes test could be due to a few factors. First, the herpes simplex virus (HSV) can remain dormant in the body and may not always be detected in standard tests. Additionally, shingles is caused by the reactivation of the varicella-zoster virus, which is different from HSV. If you had a recent herpes outbreak that was not detected, it could be due to the timing of the test or the specific type of herpes being tested. If you suspect you have herpes, it may be beneficial to discuss specific testing for HSV with your healthcare provider.

4. Testing During Shingles: If you currently have shingles, it is not likely that this will cause an increase in HIV viral load if you are HIV negative. However, if you are experiencing new symptoms or have concerns about your immune system, it is wise to get tested again. The stress of illness can affect your immune response, and if you have had potential exposures, it is always better to err on the side of caution and get retested.

In summary, while your concerns are valid, it is essential to rely on medical advice and testing protocols. Regular check-ups and open communication with your healthcare provider can help you manage your health effectively. If you continue to experience symptoms or have new concerns, do not hesitate to seek medical attention. Your health and peace of mind are paramount.

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