Hello Doctor. I will tell you about a process I went through and my suspicions. 145 days after my vaginal intercourse, which I defined as suspicious on November 5, 2023, I had an HIV test with the Roche Cobas 6000 and e601 module device, I know that it is the ECLIA method and the 4th generation, because only the kit that only looks for antibodies is not produced for these devices. The result was 0.285 COI Negative. After my relationship, which I thought was suspicious, I had sex with my girlfriend many times until I got tested. 20 days before I got tested, I stopped having sex with my girlfriend because my suspicions had increased. The relationship I defined as suspicious was not with my girlfriend but a one-night stand.

 Here is the question I want to ask;

1-Can the sex I had with my girlfriend after my suspicious relationship affect the antibody or antigen status in my body?

2-I see certain symptoms and I know that you will say that if these symptoms were caused by ARS, your test would have been positive. Nevertheless, I will ask you to confirm this to me. I think there is no high fever, severe sore throat or swelling of the lymph. I only have a few things that I think may be caused by stress, such as a slight sore in the lip that appeared after 4 months. and I have a little weight loss. As an extra, I observe that my skin becomes sensitive and thinner.

3-No matter what, if hiv has entered your body, even if this is the 3rd generation test, can you say that your result would be positive 140 days after the first exposure, even if you had sex with your girlfriend many times?

Thank you very much for your answers. I admire and appreciate all your efforts over the years.

However, I don't understand your use of the word "suspicious" in describing a sexual relationship. (Maybe a translation issue if you're not a native English speaker?) Do you mean you think they have been sexually unsafe?

The HIV tests you describe are 100% reliable and prove you do not have HIV, assuming the most recent test was done at least a few weeks after your last sexual exposure. If it was more recent than that, you could have a final test now to be sure you don't have it.

1. Having sex with anyone, whether "suspicious" or not, does not change HIV antibody or antigen and has no effect on the reliability of the tests.

2. Yes, I confirm it is not possible to have HIV symptoms and test negative for the virus. And your symptoms don't suggest HIV anyway.

3. "No matter what, if hiv has entered your body, even if this is the 3rd generation test, can you say that your result would be positive 140 days after the first exposure, even if you had sex with your girlfriend many times?" Yes, exactly right. I'm glad you understand!

I hope these comments are helpful. I also hope you're able to learn to trust your sex partners! Let me know if anything isn't clear.

HHH, MD

Hello again, doctor. I am writing again to avoid misunderstandings and apologize for the translation error.

My risky relationship was a one-night stand. It was a woman I met in a bar. This happened on November 5, 2023. I also have a girlfriend and I know that she does not have HIV. What I want to say is, “I found out that the one-night stand I had on November 5 was negative with a test 140 days later. Could this result have been unsafe because of the sex I had with my girlfriend in 140 days? In other words, if I infected my girlfriend with hiv, does this affect my test result? This is what I wanted to ask. Maybe it may seem like a repetitive conversation but obviously there is a small disagreement and it was caused by me. 

Can you say, “Even if you had safe or unsafe sex from the moment you got the virus, in 140 days this virus would definitely, absolutely, without exception”? 

My purpose in asking this question is this. If I infected my girlfriend with the virus and I continued to sleep with her, would that be my last risky contact, even though I already had hiv in my body? Or would you say that you think you already have the virus and it doesn't affect your result?

Sorry for the translation and misunderstandings doctor.

Also, getting a new HIV infection does not change the positive results for the previous infection.