HIV Risks: Symptoms and Testing Insights - Urology

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Inquiry about HIV/AIDS?


I would like to ask because I have engaged in touching and deep kissing with my girlfriend, but after six months I went for testing and it was normal...
After another six months, I went again and it was also normal...
However, I have some itching in the area of the scrotum and skin...
I experience shortness of breath (though that is related to my heart issue...
or I have been feeling more fatigued lately...
I have never engaged in sexual intercourse, and the doctor told me there was no problem.
But if I have these symptoms, could it be HIV, or is the itching just eczema? Is the fatigue simply due to stress?

Lin Xiansheng, 10~19 year old female. Ask Date: 2015/07/29

Dr. Xu Weikai reply Urology


Mr.
Lin: Hello, you can only be infected if your girlfriend has HIV.
If you're concerned, both of you should go to the hospital for a consultation.

Reply Date: 2015/07/29

More Info


When it comes to understanding HIV (Human Immunodeficiency Virus) risks, symptoms, and testing, it’s essential to have accurate information to alleviate concerns and promote health. Based on your description, it seems you have had some intimate contact with your girlfriend, including kissing and touching, but no penetrative sexual intercourse. You also mentioned that you have undergone HIV testing twice in the past year, both of which returned normal results.

Understanding HIV Transmission
HIV is primarily transmitted through three main routes:
1. Sexual Contact: This includes vaginal, anal, and oral sex. While oral sex is considered lower risk compared to vaginal or anal sex, it is not risk-free, especially if there are cuts or sores in the mouth or throat.


2. Blood Exposure: This can occur through sharing needles or receiving contaminated blood products.

3. Mother-to-Child Transmission: This can happen during pregnancy, childbirth, or breastfeeding.

Given that you have not engaged in penetrative sexual intercourse, the risk of HIV transmission is significantly lower. Kissing and mutual touching do not typically pose a risk for HIV transmission.


Symptoms of HIV
The symptoms you mentioned, such as itching in the groin area and fatigue, can be concerning. However, these symptoms are not specific to HIV and can be attributed to various other conditions. For instance:
- Itching: This could be due to a variety of reasons, including allergies, skin conditions like eczema or dermatitis, or even fungal infections. If the itching persists or is accompanied by a rash, it would be wise to consult a dermatologist or healthcare provider for a proper diagnosis.

- Fatigue: Feeling tired can stem from numerous factors, including stress, lack of sleep, poor nutrition, or underlying health issues such as heart problems, as you mentioned. It’s essential to address these concerns with your healthcare provider, who can help determine if further evaluation is necessary.


Testing for HIV
Since you have had two negative HIV tests over the past year, it is unlikely that you are infected with HIV, especially considering the nature of your sexual encounters. The window period for most HIV tests is typically 3 to 12 weeks, depending on the type of test used. Since you have tested negative after these periods, it is a strong indication that you are not infected.

If you are still concerned about your symptoms or potential exposure, it is advisable to consult with a healthcare provider. They can offer further testing for sexually transmitted infections (STIs) and evaluate your symptoms in the context of your overall health.


Conclusion
In summary, based on your history of intimate contact and the negative HIV tests, the likelihood of having HIV is very low. The symptoms you are experiencing are more likely related to other non-HIV-related health issues. It is always best to maintain open communication with your healthcare provider about any concerns you have, especially regarding sexual health. Regular check-ups and safe sexual practices are key components in preventing HIV and other STIs. If you have ongoing concerns about your health or symptoms, do not hesitate to seek medical advice.

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