A negative result with a 4th gen combo test at 46 days after exposure rules out HIV. However, HIV is only one of the STDs. Even a condom may not protect against HPV, Herpes, LGV, syphilis, pubic lice etc. It would be prudent to see your doctor for an evaluation. Visit this site for information: https://www.cdc.gov/std/default.htm Wish you good health!
Answered 8/9/2022
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