HIV and Urological 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 afterwards 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 almost two months.
Is it possible that I could have contracted HIV or syphilis? Or could it be an infection from 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. Xu Weikai reply Urology


A-Hua: Hello, you need to see an infectious disease specialist.
Additionally, HIV testing is generally conducted 12 weeks after exposure, which should rule out the window period.
If you have any concerns, please consult an infectious disease physician.
If there are any unclear points, feel free to ask again so we can discuss and research further.
Online responses should only be used as a reference; if necessary, you should seek medical care at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2014/03/03

More Info


When it comes to concerns about HIV and related symptoms, it's essential to understand the nature of HIV infection, its transmission, and the appropriate steps to take if you suspect you may have been exposed. Based on your description, you experienced a potential exposure to HIV through unprotected sexual activity, followed by persistent symptoms such as throat pain and discomfort in the knee area. You have undergone testing at 35 days and 90 days post-exposure, both of which returned negative results for HIV and syphilis.

Firstly, it’s important to note that the window period for HIV testing can vary depending on the type of test used. The HIV RNA test (RT-PCR) can detect the virus as early as 10 days post-exposure, while antibody tests typically become reliable around 3 months after exposure. Since your tests returned negative results, it is unlikely that you are infected with HIV. However, it is crucial to understand that symptoms can persist for various reasons unrelated to HIV.

The symptoms you are experiencing, such as throat pain and knee discomfort, could be attributed to several factors, including viral infections, bacterial infections, or even non-infectious causes such as allergies or autoimmune conditions. For instance, viral infections like the common cold or flu can lead to sore throat and generalized body aches, while conditions like reactive arthritis can cause joint pain following an infection.

Given that your throat pain and knee discomfort have persisted for two months, it would be prudent to seek medical attention. You should consider visiting a healthcare provider who specializes in infectious diseases or a general practitioner who can evaluate your symptoms in a broader context. They may recommend further testing to rule out other infections or conditions that could be causing your symptoms.
Additionally, if you are experiencing any new or worsening symptoms, such as fever, rash, or significant fatigue, it is essential to seek medical help promptly. These could indicate an underlying infection or condition that requires treatment.

In summary, while your negative HIV tests are reassuring, the persistence of your symptoms warrants further investigation. Consulting with a healthcare professional will help determine the underlying cause of your symptoms and guide you toward appropriate treatment. Remember, it’s always better to err on the side of caution when it comes to your health, especially after potential exposure to sexually transmitted infections.

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