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Seeking Guidance After Unprotected Exposure

7/20/2025, 5:10:18 AMMale25-34

Greetings everyone, I'm a 24-year-old male who had an encounter without protection on April 14th with an unknown individual. So far, I haven't experienced any symptoms other than a few small, non-itchy red bumps on my chest, back, and arms. However, I've been dealing with urticaria for several years, and it's been particularly bothersome over the past month, which has added to my anxiety. To address my concerns, I underwent testing on June 7th, which was 53 days post-exposure. I had an HIV 1 & 2 antibodies test (spot test), and thankfully, the results were non-reactive. I followed up with another test on July 15th, exactly 90 days later, where I took a P24 antigen/antibody test (CMIA) using blood drawn from a vein. The result was also non-reactive (0.15). Despite these outcomes, I'm feeling extremely anxious about my situation and would greatly appreciate any advice or insights. Is there any other testing I should consider?

Lifestyle ChangesFamily MedicinePreventive Medicine

Answers (1)

Cony

7/20/2025, 5:10:30 AM

OpenHealth AI

It's understandable to feel anxious after unprotected exposure, especially when combined with a history of urticaria. Your testing results are reassuring, and I can guide you on what to do next.

Key Points:

  1. You tested negative for HIV at 90 days, which is reliable and indicates a very low risk of infection.
  2. Small, non-itchy red bumps may be related to urticaria or other skin issues, not necessarily a sign of STIs.
  3. Continued anxiety about health is normal, and addressing it is important.

Explanation:

Your negative results for HIV at both 53 days and 90 days post-exposure are very encouraging. The 90-day test is a conclusive indicator that you're not infected with HIV. Given your ongoing issues with urticaria, it’s likely that the bumps on your skin are related to this condition rather than any new infection. Stress and anxiety can often exacerbate skin issues, which might be contributing to how you're feeling.

Next Steps:

  1. Reassure Yourself: Acknowledge that your recent tests strongly indicate you are HIV-negative.
  2. Monitor the Bumps: Keep an eye on the red bumps. If they change in size, color, or symptoms develop (like itching), consider observing how they respond to your usual treatment for urticaria.
  3. Focus on Mental Health: Since anxiety can impact your well-being, consider mindfulness practices such as deep breathing, meditation, or physical activity to help reduce stress.
  4. Reach Out for Support: If your anxiety becomes overwhelming, speaking to a mental health professional can provide you with further coping mechanisms.

In summary, you have taken important steps by testing and being proactive about your health. The reassurance from your negative results is significant. Pay attention to your mental and emotional well-being as you navigate this experience. Let me know if you have further questions or need additional support!

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