Possible exposure and symptoms 2.5 months out from hetero contact?
Jun 22, 2007
I hate to sound irrational, but I really am curious about your opinion on a possible HIV exposure. Please allow me to explain the scenario.
I am a married British military pilot who was recently in Reno, Nevada for work in March. One night, after far too much to drink, I met a woman and went to her place for a sexual encounter. I had a rather long and extremely drunken heterosexual contact with a female towards the end of March - hours of protected vaginal sex during a period that was the begining of her menstruation. This included unprotected receptive oral sex and some digital stimulation as well. I know some blood residue remained on my leg in the morning (gross), but I have little reason to think my condom failed, and any non-protected contact would be purely accidental and unnoticed. The point is, we were both absolutely wasted - a regrettable one night stand. Apparently, she was two months removed from a negative HIV test. I am an ohterwise monogamous partner and have not been exposed to HIV since my last negative test in April of 2006.
Four Days later, I woke up with a rather intense fever that lasted scarcely a night - followed by about 5 days of a general cold and sore throat. Some of my work colleagues reported similar symptoms, so I did not worry a terrible amount.
I had an AIDS test done for my flight physical roughly 50 days after this exposure. Given the sloth-like pace of the medical bureaucracy, I likely will not know the result for three more weeks. This Sunday, (80 days after my exposure), I developed a persistent dull headache that has lasted the past three days. I spent the weekend drinking excessively and flying at high altitudes, but I digress - I have never experienced such symptoms, and I drink hard and fly for a living.
My questions are as follows:
1. What is your assesment of my HIV exposure risk?
2. Might my "symptoms" be primary HIV exposre related?
3. My test was done 50 days after sexual contact - when should I get another one, if this one is indeed negative?
4. Might I be infected with a different type of STD? (I have no physical symptoms other than those listed).
Regardless of my predicament, I genuinely appreciate the good counsel and dedication you have shown to this forum. You are doing God's work, my friend, and I will donate accordingly. Thank you for your time.
Response from Dr. Frascino
Hello British Fly-Guy,
2. "Symptoms" are notoriously unreliable in predicting who is and is not HIV infected. It is far more accurate to assess risk, rather than interpret symptoms.
3. HIV-antibody tests taken prior to the three-month mark are not considered to be definitive or conclusive. A negative test at 50 days would be encouraging, but not definitive. You'll still need a three-month test.
4. Unlikely, from what you describe.
I'll send my best good-luck/good-health karma that your definitive three-month HIV test is negative.
And Ron, one more thing. You mention "I drink hard and fly for a living." I must admit that's a bit worrisome to those of us seated in the back with our seatbacks and tray tables in their full upright and locked positions.
Stay well, Fly-Guy.
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