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Author Topic: Oral Thrush and potential false negative (window) test  (Read 804 times)

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Offline Tellmeimcrazy123

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Oral Thrush and potential false negative (window) test
« on: February 11, 2020, 02:06:42 pm »
Hi, Iím a college student and little over a year ago I began making poor decisions by not using protection and having penetrative vaginal intercourse with too many girls. I went into the doctor just feeling generally sick and since I have asthma and my breathing was affected, was prescribed prednisone. After the first day on it I woke up feeling much worse with insanely swollen tonsils, aches and pains, and extreme fatigue. Went back to the doctor and was diagnosed with mononucleosis. About two weeks into mono i had a bad case of oral thrush (the kind that you canít scrape off) and a week of nystatin cleared it up. I then began researching thrush and went down the rabbit hole of hiv and how it can cause a mono test to be positive (which was scary because I had already been diagnosed with mono a year before, but it wasnít bad at all so Iím hoping it was just because I had the Epstein-Barr virus showing without actually having mono). I had also had sex with an older woman without protection once, for maybe 3 minutes because she had given me oral sex for the majority of the time, and I slept with her again the following day with a condom the entire time properly. I then realized based off of conversation that she was/had been very promiscuous with a lot of partners and I ended it. Up until the first doctors appointment I would irregularly have unprotected vaginal sex with other women up until a week or two before the first dr. appt. So adding all of it together I went back for an hiv screening. The initial appointment was 10/22/18 when I first showed symptoms which all matched up with hiv. I was sick for over three weeks. I had a 4th gen blood test show negative 12/5/18 which made me relax. Since then though, I have had  oral thrush twice which cleared up with prescription antifungals but it is coming back again. I also use advair, an inhaler corticosteroid which can cause thrush, but I never had it before this illness and have used the advair for 16 years. My question is, how likely is it I could have hiv considering the negative test 40+ days after showing symptoms? I have put off getting retested partly out of fear and partly because it seems almost impossible that I have it based on the timeline but Iím not sure. I finally bit the bullet and schedule a test for next Wednesday, but Iím freaking out again the way I was just before the first test

Offline Jim Allen

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Re: Oral Thrush and potential false negative (window) test
« Reply #1 on: February 11, 2020, 02:31:43 pm »
Hiya,

That's a lot, as for the thrush, firstly thrush overgrowth is common enough that it will happen to most adults regardless of HIV status for various reasons including stress. If you are still having health issues see your doctor and treat them instead of stressing about it.

Quote
I then realized based off of conversation that she was/had been very promiscuous with a lot of partners and I ended it

So she has a healthy natural sex drive and chooses to act on this, good for her. I am not sure why this is an issue for you but it's certainly got nothing to do with HIV.

Quote
Up until the first doctors appointment I would irregularly have unprotected vaginal sex with other women up until a week or two before the first dr. appt. So adding all of it together I went back for an hiv screening. The initial appointment was 10/22/18 when I first showed symptoms which all matched up with hiv. I was sick for over three weeks. I had a 4th gen blood test show negative 12/5/18 which made me relax.

So ill take it that the last condomless intercourse was just before the 22nd of October 2018 and you last tested for HIV on the 5th of Dec 2018. So just over 6 weeks post last exposure, well it's rare for a 6-week negative result from a blood-drawn antibodies test to change if retesting, retesting at 3 months post-exposure for a conclusive result would be more for peace of mind rather than a requirement.

I'll add that as a sexually active adult, you should be at the very least be testing yearly for HIV and far easier to acquire STI's.  This would be a good time to start getting into better sexual health habits, so consistent condom usage, more frequent testing and consider talking to your healthcare provider about PrEP as an additional layer of HIV protection.

Here's what you need to know to avoid HIV infection:
Use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions. Consider starting PrEP going forward as an additional layer of protection against HIV

Keep in mind that some sexual practices which may be described as safe in terms of HIV transmission might still pose a risk for transmission of other easier to transmit STI's, so please do get fully tested regularly and at least yearly for all STI's including but not limited to HIV and test more frequently if unprotected intercourse occurs

Also, note that it is possible to have an STI and show no signs or symptoms and the only way of knowing is by testing.

Kind regards

Jim

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