HIV and Related Symptoms: When to Seek Medical Help - Urology

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HIV-related issues?


Hello Doctor: I accidentally engaged in high-risk sexual behavior, and afterward, I experienced a sore throat and pain in my groin area.
I tested negative for HIV using an HIV-RT-PCR test at 35 days, and at 90 days, I tested negative for both HIV antibodies and syphilis.
However, my sore throat and groin pain have persisted for nearly two months.
Is it possible that I could have contracted HIV or syphilis? Or could I be infected with another virus? Which specialist should I see for further evaluation? Thank you.

A-Hua, 30~39 year old female. Ask Date: 2014/03/03

Dr. Lin Hexing reply Urology


No, if you have any questions, you can consult an infectious disease specialist.

Reply Date: 2014/03/03

More Info


When it comes to understanding HIV and the symptoms associated with it, it's crucial to recognize the importance of timely medical evaluation and the nuances of the infection itself. Based on your description, you have engaged in a high-risk behavior and subsequently experienced symptoms such as throat pain and discomfort in your knee area. You have also undergone testing for HIV and syphilis, both of which returned negative results at the 35-day and 90-day marks, respectively.
Firstly, it's important to understand that the window period for HIV testing can vary depending on the type of test used. The HIV RNA test (also known as the PCR test) can detect the virus as early as 10 to 14 days after exposure, while antibody tests typically become reliable after 3 months. Since your tests have returned negative results, it is unlikely that you have contracted HIV, especially given that the PCR test was conducted at 35 days post-exposure.

However, your ongoing symptoms of throat pain and knee discomfort warrant further investigation. These symptoms could be indicative of several conditions, not necessarily related to HIV or syphilis. For instance, throat pain can arise from viral infections, bacterial infections (such as streptococcal pharyngitis), allergies, or even irritants. Similarly, knee pain can result from various causes, including mechanical issues, inflammation, or infections unrelated to sexually transmitted infections (STIs).

Given the persistence of your symptoms, it is advisable to seek medical attention. You may want to consider visiting a primary care physician or an ear, nose, and throat (ENT) specialist for your throat issues. They can perform a thorough examination and possibly recommend further tests, such as throat cultures or imaging studies, to determine the underlying cause of your symptoms.

For your knee pain, an orthopedic specialist or a rheumatologist could provide insight into whether there is an underlying musculoskeletal issue or an inflammatory condition. They may conduct physical examinations, imaging studies (like X-rays or MRIs), and blood tests to assess for conditions such as rheumatoid arthritis or other inflammatory diseases.

Additionally, it is worth noting that anxiety and stress related to potential HIV exposure can manifest physically, leading to symptoms such as muscle tension and pain. If you find that your anxiety is affecting your daily life, consider speaking with a mental health professional who can help you manage these feelings.

In summary, while your negative HIV and syphilis tests are reassuring, the persistence of your throat and knee symptoms suggests that further evaluation is necessary. Seek care from appropriate specialists to explore other potential causes and receive the necessary treatment. Remember, early intervention can lead to better outcomes, and addressing your concerns holistically—both physically and mentally—will contribute to your overall well-being.

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