[Question #10630] 4th Gen test at 23 days
21 months ago
|
I had a relatively low risk encounter. Oral sex with another male I am a male. There was a small amount of semen in my mouth but I spit it out right away. Again I know this was very low risk for HIV but about 19 after the incident I came down with an intestinal bug. Fever, chills, diarrhea. I couldn't get the thought out of my head so at 23 days after the original exposure and 2 days after I had no more fevers and was feeling better I went and got a 4th gen HIV test from quest. In came back Negative. My question is how reliable are these results after at 23 days. But also after ARS symptoms.
![]() |
H. Hunter Handsfield, MD
21 months ago
|
Welcome to the forum. Thank you for your confidence in our services.
---
---
Your exposure indeed was very low risk -- low enough that HIV testing wasn't really necessary, except for its reassurance value. Your subsequent "bug" was coincidental; your symptoms came on too late to be due to HIV or any other infection from the sexual encounter, and (as you likely know -- since you seem to be knowledgeable about about it) were not typical of a new HIV infection.
Perhaps most important, your test result shows for sure HIV wasn't the cause. It isn't possible to have HIV symptoms and test negative by a AgAb (4th generation) blood test -- or any antibody test, for that matter. The symptoms of ARS are caused by the immune response to HIV, not the virus itself -- and immune response means detecatble antibody. Your test was a bit early to be sure you don't have HIV (without symptoms); for that, testing at 6 weeks is necessary. But in view of the very low risk of the exposure plus knowing your symptoms have nothing to do with HIV, you can be very reassured. There is no realistic chance you have it.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
------
---
21 months ago
|
Thank you Dr. You response is greatly appreciated
![]() |
H. Hunter Handsfield, MD
21 months ago
|
Thanks for the thanks. FYI, I fixed a typo that might have made been confusing. Corrected statement is "It isn't possible to have HIV symptoms and test negative...."---