HIV Testing: Your Concerns and Results Explained - Urology

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Hello doctor, I would like to ask you about my situation.
Since June of last year, I have had sexual intercourse, but I always used condoms.
Afterward, I was worried about contracting HIV, so I researched related reports and information online.
I became very anxious and went for a blood test in July, which came back negative.
Concerned that three months might not be sufficient, I tested again in September, and it was also negative.
In March of this year, I noticed that my body temperature during the day was around 37.1 to 37.3 degrees Celsius, while at night it would drop to 36.7 to 37 degrees Celsius, and when I woke up, it was between 36.3 and 36.5 degrees Celsius.
So, in March, I went for another blood test, and it was still negative.

In March, I started dating a girlfriend, and we had sexual relations.
Later, I worried about whether she might have HIV, so I tested again in May, and it was negative.
The following month, I was still concerned, so I went for another blood test in June, which was also negative.
In July, I had a cold with a slightly elevated temperature of 36.8 to 37.2 degrees Celsius.
The following week, my girlfriend also had a cold and fever; she saw a doctor, but her temperature was between 37.0 and 37.6 degrees Celsius.
I was worried it might be HIV, but she said the doctor told her it was due to excessive mucus causing her elevated temperature.

Later, I was still anxious and went for another blood test in October, which was negative.
Just now, my girlfriend has a fever; she says she has no other symptoms except for diarrhea yesterday, and her temperature just measured 38.2 degrees Celsius.
I am worried it might be HIV.
Do I need to get tested again? I want to ask if, after having sexual relations with my girlfriend and testing negative at 1, 3, and 6 months, and since she has not had sexual relations with anyone else, and I have not either, can we conclude that we are both fine?

Xiong Zai, 30~39 year old female. Ask Date: 2016/01/19

Dr. Xu Weikai reply Urology


Xiong: Hello, since multiple tests have shown no infection, it can be said that there is likely no infection.
However, for your girlfriend, if there are any concerns, it is still advisable to have a blood test to check for any infections.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/19

More Info


It's understandable to feel anxious about HIV testing and the possibility of infection, especially after engaging in sexual activity. Based on the information you've provided, it seems that you have taken several proactive steps to ensure your health and the health of your partner. Let's break down your concerns and clarify some important points regarding HIV testing and transmission.

First and foremost, the fact that you have consistently tested negative for HIV after engaging in sexual activity is a strong indicator that you are not infected. The tests you underwent at various intervals (July, September, March, May, June, and October) all returned negative results. According to the Centers for Disease Control and Prevention (CDC), most modern HIV tests are highly accurate and can detect the virus within a few weeks after exposure. The HIV antibody tests, which are the most common, typically become reliable around 3 months after potential exposure. Since you have tested negative multiple times, it is very unlikely that you are infected.

Regarding your concerns about your girlfriend's health, it is important to note that if both of you have been monogamous and have not engaged in sexual activities with other partners, the risk of HIV transmission is virtually nonexistent. If she has not tested positive for HIV and has not had any other sexual partners, then the likelihood of her being infected is also very low.

You mentioned that both you and your girlfriend have experienced elevated body temperatures and mild illnesses. It's crucial to understand that many factors can cause fluctuations in body temperature, including common colds, flu, allergies, or even stress. These symptoms are not specific to HIV infection. If your girlfriend's doctor has diagnosed her with a common illness, it is likely unrelated to HIV.

In terms of your ongoing anxiety about HIV, it's important to recognize that fear and worry can often amplify concerns about health. If you find that your anxiety is affecting your daily life, it may be beneficial to speak with a mental health professional who can help you manage these feelings. Additionally, if you feel the need for further reassurance, you can always consult with a healthcare provider for another HIV test, though it seems unnecessary given your history of negative results.

Lastly, it's essential to maintain open communication with your partner about sexual health. Regular testing is a good practice for sexually active individuals, especially if new partners are involved. The CDC recommends that sexually active individuals get tested for HIV at least once a year, and more frequently if they have multiple partners or engage in high-risk behaviors.

In summary, based on your consistent negative test results and the context of your sexual history, it is highly unlikely that you or your girlfriend are infected with HIV. However, if you continue to feel anxious, consider discussing your concerns with a healthcare professional who can provide further guidance and support. Remember, taking care of your mental health is just as important as taking care of your physical health.

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