[Question #3254] Is this testing enough?

38 months ago
I had a high risk exposure - unprotected sex with a male of unknown status about 3 years ago. I had taken a duo about 7 weeks after exposure and an oraquick oral swab 11 weeks after exposure and both were negative. I put this behind me until recently I have had persistent eye inflammation which the eye doctor said is “not run of the mill” I also had a positive ANA with a titer of 1:320. This panicked me so I took 2 oral swab tests both were negative.
At this point can I be sure my eye issues and ANA are due to something else or should I rested for HIV?

Thanks!
Edward W. Hook M.D.
Edward W. Hook M.D.
38 months ago
Welcome to the Forum.  I happened to be on the Forum when your question arrived so you are getting a reply more quickly than is usual.  I hope my response will help.  Both your duo test and your Oraquick tests have been taken at times when the results are conclusive and with these two different tests agreeing with one another, you can be entirely confident in the result- you did not get HIV from the exposure that you have described.  I would look elsewhere to determine the cause of your eye inflammation.

I hope this information is helpful.  EWH
---
38 months ago
Thank you so much!!

I didn’t mention that the male I had sex with was bisexual and it was a handful of times. Does this change the reliability?

I am also concerned with a lab error on my duo test. Have you ever seen a lab error happen?
Edward W. Hook M.D.
Edward W. Hook M.D.
38 months ago
Thanks for the additional information.  You did mention that your exposure was high risk but not the detail.  Please remember that most bisexual men do not have HIV and most exposures to infected partners do not lead to infection..  Even more importantly, the tests works equally well irrespective of your exposure.

Lab error in HIV tests can, of course, occasionally occur but when they do, the problems are more often falsely positive results than false negative ones.  Further, since you were tested twice, with two different tests, the chance of missing infection is virtually zero.  Finally, the duo test checks for both HIV antibodies and HIV antigen, the likelihood of having a negative test result is even lower than if you were testing for antigen alone or antibody alone. 

Have confidence in your test results.  You did not get HIV from the exposure you have described.  EWH
---
38 months ago
Thank you so much for your patience and helpful answers. I just have one more question while I have the opportunity.

With the following results:
1 duo after 7 weeks
1 oraquick oral swab after 11 weeks
2  oraquick oral swabs after 3 years

Can I be 100% sure I am negative regardless of any symptoms I have (chronic eye inflammation)  or abnormal bloodwork that I may receive (positive Ana with high titer and any other other potential bloodwork that may indicate a virus - the rheumatologist had me get more labs yesterday)?

Thank you!
Edward W. Hook M.D.
Edward W. Hook M.D.
38 months ago
With all due respect, this is a repetitive question and my answer is not going to change.  Everything you had told me earlier indicates that you have conclusive test results which prove that you do not have HIV and did not get HIV from your exposure to a bisexual partner years ago.  There are many other processes that can cause a positive ANA including in some cases, non-HIV, non sexually transmitted viral infections.  You have no need to worry that your chronic eye inflammation or positive ANA are related to HIV. 

As you probably know, we provide up to three answers to each client's questions. This is my third response. Thus this thread will be closed later today.  Take care.  EWH
---
38 months ago
Thank you so much for your time!!
Edward W. Hook M.D.
Edward W. Hook M.D.
38 months ago
You are welcome.  Take care.  EWH
---