
What Causes Rashes, Sore Throat And Penis Chancre After Intercourse?

No further test for HIV is necessary. You are free from HIV.
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
First thing I want to emphasize is that you are HIV free. All the test done by you are highly reliable. If these tests negative even after 21 weeks with a combo test, there is no chance of HIV infection in your body. Just forget that and cheer up yourself.
All your symptoms might be due to an ordinary viral fever you acquired from that girl through an air born infection, not through sexual transmission.
Chancre is a syphilitic manifestation and could be confirmed only through an experienced Venereologist and not by any other physician or anybody else.
All that appear over penis are not chancre. Might be a balanitis or a traumatic ulcer. Similarly all lesions over tongue, cheek were not necessarily due to HIV. Once again a well experienced HIV physician can easily make out whether it is a lesion due to HIV or not.
Nothing to worry.
Follow the advice of your physician regards to your present illness. Get well soon.
Dr S.Murugan


Symptoms are not related to HIV.
Detailed Answer:
Hi,
Welcome back.
Once again I affirm you that muscle twitching and numbness of hand are not early HIV manifestations. HIV early symptoms start by 4 weeks and may likely to persist for 2 weeks then the individual will be totally asymptomatic. Then the real disease manifest only after 5-7 years when the immunity go worst. Till then there will not be any symptom. So your problems are not at all related to HIV. It is your physician's part to find a cause for your problem. You are HIV free. No more testing is necessary.
Dr S.Murugan


Symptoms will subside spontaneously after sometime.
Detailed Answer:
Hi,
Welcome once again.
It is quite possible to have all these symptoms following the unprotected sex, even in the absence of HIV (indicated by the repeated negative tests), through an air-born infection (either viral or bacterial) during close intimacy.
We can not have any specific test other than testing for influenza virus or culture from throat or nasal swab for bacteria. All these symptoms will settle spontaneously within few days. Nothing to worry.
Dr S.Murugan


In presence of HIV infection, test could not remain negative for 11 months
Detailed Answer:
Hi,
Welcome back.
There is nothing like that in the presence of a HIV infection, one remains with HIV test negative till 11 months. It is not possible. Your physician has to find out the reason for your repeated problems.
Dr S.Murugan


P24 antigen in 4th generation test detect HIV in acute infection
Detailed Answer:
Hi,
Welcome BACK.
Acute infection never persists up to 11 months. It will start around 4 weeks after the possible infection and lasts for 2-3 weeks. That is all. Then once again the individual remains without any symptoms up to 5- 7 years in the presence of HIV infection.
4th generation test is incorporated with P 24 antigen test which can detect the infection as that of RNA PCR during acute infection. Moreover RNA PCR is mostly available as quantitative test. Qualitative test available only in certain Labs. Quantitative test interpretation my confuse you once again. So it is not advisable DNA PCR is preferable But it is not necessary for you as you had already 4th generation test negative.
Dr S.Murugan

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