[Question #2786] Neg. 4th Gen Duo at 9.7 Weeks

43 months ago
On June 12th I had unprotected sex with a heterosexual male of unknown status (I am female) and on June 29 or 30th I had unprotected sex with my partner. On July 20th I took a 4th gen duo (39 days for episode one 20 for episode two) the results were non reactive. I took a second 4th gen duo test on Sept 5th ( 12 weeks for episode one and 9.7 weeks for episode two). On Sept 7th, I found brown fluid on my right palm (no open areas although I did have a small cuticle peel on my right thumb), I immediately washed my hands, but I'm worried that it may have been blood or spread while washing my hands. My doctor is telling me that I'm too worried and my negative result is conclusive. He refuses to give me another 4th gen duo to confirm my second episode at 12 weeks. Am I ok?
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
Welcome to our Forum.  I'll try to help.  While I might not have refused to do another test, I completely agree with your doctor that you have ruled out the possibility of HIV with your t4th generation combination HIV antigen/antibody test obtained 9.7 weeks after the exposure.  These tests provide absolutely reliable tests any time more than 6 weeks after exposure and are among the most reliable tests in all of medicine.  There is no medical reason for additional HIV testing related to the exposure you have described.  Please have faith.  EWH
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43 months ago
Thank you doctor! I have been so nervous and am even seeking counseling because it really shook me up. He did tell me that if I still have anxiety to come back at six months for a 100% conclusive result. That makes me even more nervous. Am I negative now? Or will it change in the meantime? I would really like to know how conclusive my results are now and why he would tell me to come back at six months. Any answer would be great and help me sleep tonight, I'm so nervous and would really like to put all of this behind me. 
Thank you so much for your response.
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
Your test results are final and will not change and are conclusive.  Although his advice is out of date, I cannot fault your doctor too much for suggesting the six month point because the time to definitive results has changed a bit over the past decade although these changes have consistently been to reflect the fact that that results are definitive earlier.  With regard to your exposures on June 29 or any time earlier, I can assure you that your test results will not change- you can have complete confidence in your negative results.  There is no need for continuing concern and no medical need for additional testing.  EWH
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43 months ago
Thank you doctor.  That is all I wanted to know, and it seemed like getting a straight answer from my doctor was impossible. I will look at this post when I get nervous. You and Dr. H are the top in your profession, making me completely confident in my results. Thanks again, you have no idea what this has done for my sanity! God bless 
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
I'm glad I could help.  Many doctors get a little nervous when asked to be 100% sure but in this case, you can certainly rely on your test results. 

This thread will be closed in a few hours.  Take care.  EWH
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