instruction: hello doctor I am 29 year old married male I have a baby who feeds on breast milk I had a sexual encounter before months with a professional with a condom I am 95 sure that my protection was intact then I started reading about the hiv symptoms and technicalities of testing online five days later I went to a dermatology and venereology specialist and described about the incident he was confident enough that he advised me not to go for any testing although my fear of infection remained around two months post exposure I felt tenderness here and there like on the back of my head arms one lymph node in my underarm was swollen and I developed cold and cough I started sweating during that time as well I looked a bit thinner I got panicked and went to the doctor again he checked me and was still confident that I am not infected but for my mental satisfaction he prescribed me thorough testing which includes hiv1 vdrl hbsag hav along with urine e e s analysis on 74 the day post exposure I took all those tests and they all came back negative after lapse of a few days again I felt some skin irritation on theback and burning sensation on my forearms although no skin changes can be seen again I got panicked thinking that I may be in the window period for hiv but the doctor remained confident and he advised me not to go for any repeat testing but my sense of fear anxiety panic guilt and impurity continues on 10th day post exposure again I repeated the tests but I excluded the urine analysis this time all the tests came negative again the hiv tests were fourth generation combo test both the time I am on the eighth month post exposure still I feel tenderness hear and there recently I am developing small red blood vessel like dots just underneath my skin on my hand and feet which is staying for 7days and going away leaving faint black spots I again showed it to the same doctor he is confident and repeatedly asked me to stop worrying he also gave me anti anxiety anti ocd anti depressant drugs I am also taking sessions with a psychologist but still my mind is not free from the fear of hiv and also fear that my wife and child might get infected by me my questions are do I need to repeat any test to out rule the probability of hiv are there any probability of error from lab test given the fact that I took the tests twice do I need to worry about the window period as there is conflicting information available on the internet do I need to worry about the phenomenon of delayed seroconversion do I need to opt for the tests from a different lab do I need to worry about hiv 2anymore how to uproot the fear from deep inside my mind any other opinion on my history
output: hi the chances of transmission of hiv by the given description is almost nil hiv tests are repeatedly negative and after three months of exposure it is conclusive you are free from hiv there is no need for you to worry about seroconversion you can forget about the episode and lead a normal life there is no need for any further hiv tests in any lab just relax do some yoga exercises meditation etc