[Question #3086] Follow up to #3062 and additional questions

40 months ago

Hi - this is a follow up with additional questions to #3062 that Dr Hook gave me advice on, I was hoping Dr Handsfield would also give me his thoughts, especially on the recent developments. 


3 days after the exposure (unprotected vaginal sex with a csw) I developed soreness in one testicle so my GP prescribed me 2 weeks of Doxycycline, after the 2 weeks my epididymitis became sore so I he gave me 2 weeks of Cipro. 4 days after the cipro (5 weeks post exposure) I took a NAAT test on urine for Chlamydia/Gonn, this was negative but I was worried this was taken too soon after the antibiotics (would the antibiotics have affected this test?), I repeated the NAAT 2 weeks later (7 weeks post exposure) which came back negative also. 


My questions:


1) Would the NAAT test on urine 2 weeks after the completion of my course of antibiotics have picked up Chlamydia/Gonn? The fact it was negative, can I take that as conclusive?


2) I’ve been tested at 11 weeks post exposure using instant/rapid tests for HbsAg, HepC antibodies and Syphilis - all negative. All tests used a spot of blood. Are these rapid tests on blood as good as lab tests and would you deem them conclusive at this time post exposure?


3) I’ve had a HIV lab duo at 5.5 weeks and again at 7.5 weeks. Dr Hook advised that these were conclusive however the whole 12 week anxiety kicked in and I got tested again today at 11 weeks with another hiv lab Duo. All negative. Can I totally put this exposure and event past me now or is there a small chance the tests have missed something or maybe I’ve not developed enough detectable antibodies. Is the 11 week lab duo as good as 100%? 


4) What’s your views on the Alere HIV Combo rapid test? It’s used widely in private clinics in the UK and doctors advise it’s as good as lab tests. I’ve read your previous posts where you’ve said that Alere tests are not that good and that they basically function as antibody only tests so hence I’ve opted for lab duos even though I struggle with the waiting for results. 


5) Finally - I’ve tested for Chlamydia, Gonn, Hep B, Hep C, Syphilis and HIV. It’s been a tough 11 weeks filled with regret and anxiety. Can I forget all of this now and move on?


Thank you. 

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
40 months ago
As Dr. Hook send in his opening comment in your other thread, "...clients on this site are not permitted to request who responds to their questions." I reviewed your entire discussion with Dr. Hook. I agree with all he said, and your current questions simply duplicate those is slightly different words. I encourage you to re-read that thread. I will add only a comment about the Alere Determine test:  for a while, it appeared that the test performed poorly in detecting p24 antigen and therefore should be interpreted as if it were an antibody-only test. However, we have also posted that since that concern was raised, Alere modified the test and corrected the problem, and Determine now performs as it should and as do all antigen-antibody tests.

Please note the forum does not permit repeated questions on the same topic or exposure. This being your second, it will have to be your last; future new questions about this exposure, testing, and your fears about HIV or other STDs will be deleted without reply and without refund of the posting fee. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers. In addition, continued answers tend to prolong users' anxieties. Finally, such questions have little educational value for other users, one of the forum's main purposes. Thank you for your understanding.


HHH, MD


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