HIV Window Period Symptoms and Risks After Unprotected Sex

I would like to inquire about the symptoms of the HIV window period?

On January 3rd, my ex-girlfriend got her period, and we had unprotected sexual intercourse.
The last time we had unprotected sex was on January 8th.
Later, we broke up for various reasons (but she was unclear about her past experiences).
In January, I started experiencing significant emotional fluctuations.
I developed symptoms such as weakness in my limbs, difficulty breathing, a white bump (white spot) near my throat, easy fatigue, and mild throat pain (I have not had a fever yet).
On January 27th, I went for anonymous testing (which was negative), but the doctor said there is a window period of about one and a half months.
On February 8th, I visited an ENT specialist who said the white spot in my throat was caused by the herpes virus.
He mentioned that if it persists after the Lunar New Year, I should return for a follow-up.
I would like to ask the doctor a few questions:
1.
If the other person has HIV, does having unprotected sex during her period increase the risk of infection?
2.
I have never had a white bump before, and the timing seems too coincidental.
Can symptoms appear during the window period?
3.
Are there many cases of female-to-male HIV transmission in Taiwan?
4.
If there are no symptoms present in the genital area, is it possible to contract HIV directly while skipping other highly infectious viruses like HPV?

E, 20~29 year old female. Ask Date: 2021/02/08

Dr. Cai Zhuorong reply Urology

Both blood and bodily fluids are transmission routes.
It is recommended that if you have any concerns, you should continue to undergo further testing and not change your decision based on the transmission rate or the number of cases.
Of course, it is possible to contract HIV without simultaneously being infected with other sexually transmitted infections.

Reply Date: 2021/02/08

More Info

When it comes to understanding the risks, symptoms, and window period associated with HIV, it's crucial to have accurate information to alleviate concerns and guide appropriate actions. Based on your situation, let's address your questions and provide some context regarding HIV transmission and symptoms.

1. Increased Risk During Menstruation: Engaging in unprotected sex during a partner's menstrual period can potentially increase the risk of HIV transmission. This is because menstrual blood can contain a higher concentration of the virus if the partner is HIV positive. However, the overall risk of transmission also depends on various factors, including the viral load of the HIV-positive partner, the presence of other sexually transmitted infections (STIs), and the integrity of mucosal membranes during intercourse.

2. Symptoms During the Window Period: The window period for HIV typically ranges from 2 to 6 weeks, during which the body may not produce detectable antibodies against the virus. While some individuals may experience acute retroviral syndrome (ARS) symptoms, such as fever, fatigue, and sore throat, not everyone will exhibit symptoms. The white bump you mentioned in your throat could be related to other viral infections, such as herpes simplex virus, which can cause oral lesions. It is important to note that symptoms like these are not definitive indicators of HIV infection, especially during the window period.

3. HIV Transmission Rates in Taiwan: In Taiwan, as in many parts of the world, the transmission of HIV from women to men does occur, but it is less common than male-to-female transmission. The majority of cases are still reported in men who have sex with men. However, the risk is not negligible, especially if there are other risk factors involved, such as the presence of STIs or engaging in unprotected sex.

4. Asymptomatic HIV Infection: It is indeed possible to contract HIV without showing any immediate symptoms. Many individuals may remain asymptomatic for years, even while being infectious. The absence of symptoms in the genital area does not rule out the possibility of HIV infection or other STIs. Therefore, it is essential to get tested regularly, especially after potential exposure.

Given your concerns and the symptoms you are experiencing, it is advisable to continue monitoring your health and follow up with healthcare providers. Since you have already undergone anonymous testing on January 27, and it returned negative, it is a good sign, but keep in mind that testing should be repeated after the window period for more conclusive results.
If you are experiencing significant anxiety or distress regarding your health, consider seeking support from a mental health professional. They can help you manage your feelings and provide coping strategies during this uncertain time.

In summary, while your risk of HIV infection exists, especially with unprotected sex, the symptoms you are experiencing may not necessarily indicate an HIV infection. Continue to seek medical advice, get tested as recommended, and practice safe sex to reduce your risk of future infections.

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