Your Symptoms: Could It Be HIV? - Urology

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What should I do?


Hello, Doctor Hsu.
I previously had sexual relations with a girl, and my physical condition has been fine recently.
I would like to ask if my current symptoms could be related to HIV.
My physical condition includes: no fever, occasional sore throat, mouth ulcers, slightly chapped lips, no swollen lymph nodes, and no rashes.
My mental state is a bit depressed due to concerns about HIV, and I've been irritable because of work, along with some insomnia.
I would appreciate your response.

Fanrao de ren, 30~39 year old female. Ask Date: 2012/08/28

Dr. Xu Weikai reply Urology


Concerned individual: Hello, it is recommended that you visit a laboratory or hospital for a blood test.
Additionally, repeat the blood test in three months and again in one year.
This is necessary for a definitive diagnosis.
If there are any unclear points, feel free to ask again so we can discuss and research further.
Responses on the internet should only be used as a reference; it is essential to seek medical care at a healthcare facility.
This message is from Dr.
Hsu Wei-kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/08/28

More Info


When it comes to understanding the symptoms you are experiencing and whether they could be related to HIV, it's important to approach the situation with a clear understanding of how HIV is transmitted, the symptoms associated with acute HIV infection, and the importance of testing.

Firstly, HIV (Human Immunodeficiency Virus) is primarily transmitted through three main routes: sexual contact, sharing needles or syringes, and from mother to child during childbirth or breastfeeding. In your case, if you had unprotected sexual contact with a partner who is HIV positive, there is a potential risk for transmission. However, if you used protection during vaginal intercourse and your partner's HIV status is unknown, the risk may be lower, but not entirely absent, especially if there was any exposure to bodily fluids during oral sex.

Regarding the symptoms you mentioned—occasional sore throat, dry lips, and mouth sores—these are not specific indicators of HIV. Many individuals experience sore throats and mouth sores due to various reasons, including viral infections (like the common cold), allergies, or even stress. The psychological stress you mentioned, including feelings of anxiety and depression regarding the possibility of HIV, can also manifest physically, leading to symptoms like insomnia and irritability.

It's crucial to note that acute HIV infection can present with flu-like symptoms, which typically occur 2 to 4 weeks after exposure. These symptoms can include fever, fatigue, swollen lymph nodes, sore throat, and rash. However, not everyone will experience these symptoms, and some may have very mild or no symptoms at all. The absence of fever, swollen lymph nodes, or rash in your case makes it less likely that you are experiencing acute HIV infection.

Given the complexity of your situation and the psychological distress you are experiencing, it is highly advisable to seek medical attention. Testing is the only way to definitively determine your HIV status. The standard recommendation is to get tested at least 2 to 4 weeks after potential exposure, with follow-up testing at 3 months to confirm the results. Modern testing methods, including the HIV combo test, can detect both HIV antibodies and antigens, providing a more accurate result earlier in the infection process.

In addition to HIV testing, it may be beneficial to discuss your symptoms and mental health concerns with a healthcare provider. They can help assess your overall health, provide appropriate tests for other potential infections or conditions, and offer support for your mental well-being. Stress and anxiety can significantly impact your physical health, so addressing these concerns is equally important.

In summary, while your current symptoms are not definitive indicators of HIV, the best course of action is to get tested and consult with a healthcare professional. They can provide you with the necessary information, support, and reassurance you need during this time. Remember, early detection and treatment are key in managing any health condition, including HIV.

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