Question: Hello doctor,

How are you, I was in touch with you 4 months back.

I just debreif the case....

I had protected intercourse with 3 girls in 2days and unprotected oral sex both receiving and giving with CSW in Germany. This was 6 months back.

Initially I got tested for HIV and STD at 3 weeks of exposure (HIV 4th Generation, Syphilis, Chlyamdia, HSV 1 and 2 ) All negative except HSV IGG was postive.

Again after 6 weeks of Exposure I got tested for HIV PCR RNA test, but they gave me the test report within a single day and which was negative (Can this report be trusted?)

Again after 8 weeks I got tested for 4th Generation HIV duo test which was negative.

Again after 14 weeks I got tested for HIV 4th Generation and STD test ( All negative including Hepatitis B and C also negative). Also got tested for HIV Western blot test which was negative.

During this period since begining I was having mild throat pain and it persisted till today, I met ENT doctor 2 months back and i did not tell about this exposure and he suggested may be GERD and I also have a Gastric problem and using the medicine since 2 months. Also my neck glands were also paining during this time since begining.

I have mild swelling under arm pit since 3 months, but no lump. I have that feeling when I close my hands something under my armpit feeling. Intermittent pain.

Also intermittent numbness on thighs and mild throat pain.

I am worried of sero conversion, though tests are negative (as the window period is 3 months), but is there a chance of late sero conversion (By the way I am a healthy person only).

Do I need to get tested again?

Also I noticed 6 months back after the exposure mild yeast infection on my head of penis, but not sure it could be before exposure too. It is still there.

All these are making me worried.

Can you please advise.

Thanks.

Hello Doctor,

Thank you for your reply, however I am sorry if I am posing lot of questions to you.

But I feel comfortable to express whatever is in my mind to have a better suggestion.

Firstly I was not under any stress after the 3 months negative test, despite i had some symptoms of mild throat and axillary swelling pain. I thought it will go on its own and was not thinking about it. Even the mild yeast infection on the head of penis as well ignored.

But after 6 months when still the axillary swelling was there and increased little bit, I was getting worried since a week. I noticed no lump and tingling sensation on groin and thighs. these symptoms forced me to think and raised some doubts on HIV tests accuracy and late sero conversion after 6 months and hence approached you to share my problem and have some clarity on it whether further testing is necessary or my apprehensions are 100% wrong.

Also I wanted your advise on meeting a physician and tell only about the current symptoms?

If I start explaining since begiining, then I would be back to square one. so thought based on your advise can that case If I rule out 100% HIV and discuss current symptoms.

Thanks for your understanding.

Hello Doctor,

Thank you for the reply, as you said I will postpone the physician visit. But doctor I can assure you that for sure I do not need a counsellor.

Trust me doctor I can control my thoughts.

Just wanted a clarification.

What could be the possible reasons for axillary swelling, mainly on the left hand side. When I press the swelled area there is no pain but sorrounding area has some pain as stiff muscles. I had stiff muscles pain under the arm for both hands and had stiff neck glands pain.

The axillary swelling is since 2 months, is this due to viral or bacterial infection? or any other reason.

I never had such symptoms before, hence got the doubt of HIV.

Please advise.