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How do we know?
Jan 23, 2006

Dear Dr. Bob, I had what you would call a low risk scenario for HIV: Basically a guy I was with rimmed me then pressed up against my anus with his erect cock with POSSIBLE precum on the tip rubbing against my anus. The precum was exposed to the air obviously, but unsure if there was enough time for the virus to be weakened or killed. My actual question is this: Are there really people who seroconvert without experiencing ANY ARS symptoms? Isn't it more likely that they just don't recall? It's been three weeks now since this past incident and I haven't had any symptoms except slight joint aches and headaches, but I get headaches all the time from allergies. No fever, No rash, No sore throat-all the "typical" symptoms right? I plan on getting tested at 6 weeks, so in 3 more weeks but am trying to reduce my anxiety. So, what do you think about these questions Doctor Bob? I highly respect you and think you are very intelligent. Thanks so much for your time and expect a donation soon. Sincerely, Jeff

Response from Dr. Frascino

Hi Jeff,

Seroconversion reactions can be so mild they go essentially unnoticed or passed off as a transient cold. Yes, some folks don't recall any symptoms whatsoever. Others have the "flu from hell."

Regarding your potential exposure, I agree your risk is low. In fact, extremely low; almost negligible!

How do we know if we are HIV infected? Only by taking an HIV test after the window period. A valid test result trumps all symptoms.

Thanks for your willingness to donate. (www.concertedeffort.org) good luck on your three-month test (the one that counts!). I'll send my best good-luck karma.

Dr. Bob



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