[Question #3533] HIV test 117 day

36 months ago
Hello big doctor

I’m small town from India. I will try my best English to explain big problem I go. I have condom broke when I was with  lady from near village. She health dangerous I feel but I don’t know, man go to her from near villages. I condom broke and I know later not right now and stop but after finish. When I come home after 09 day bad health happened to me with red spots on chest and fever also, white mouth. 

Very scared. I live in very small town and I have to go another city near for test. There is test in my city but it’s small so know each other everyone. Drive 5 hour and take test which is HIV 1/2 and P24 serum after 60 day which is negative. Big pain and  neck, knee arm. White mouth continuously. I meet doctor another city 4 hour drive from my city and doctor says HIV chance very big because swelling and white mouth and pain. No other reason . I see internet everyday morning and night and found your website. Very good. I see other people question a lot almost 50 and you say 6 week final for HIV1 and HIV2. 6 week test result negative so you don’t have. My doctor I told about you say 6 week no have final . He say he has customer who is HIV after 6 month also. Now 117 day go and I get one more test result negative but situation of swollen ball Under arms and pain and white mouth very bad. 
I cannot go always 4 hours go and 4 hours come, I tired and unwell. Doctor far and test also far and I cannot. What happened. Why like this arm and pain and doctor say HIV after test result is negative. You doctor big man and I pay to ask question also to you to help me. If you come my village you see small and not many doctor. Big city big doctor. Why My doctor say I have. He good doctor in nearby.  I don’t want to go another doctor very far by 6 hour bus. America problem different my problem different. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
36 months ago
Welcome to the forum. Thanks for your question.

You can relax:  for sure you did not catch HIV during the sexual exposure with the condom failure. Your doctor is wrong:  it never takes more than 6 weeks for the antigen-antibody (duo test, for p24 antigen and HIV 1/2 antibody) to become positive. If your doctor really had a patient in whom it took 6 months, there was some extenuating factor. Perhaps the patient had taken anti-HIV drugs; or had a more recent exposure that he kept from the doctor. You can be 100% certain your negative test at 60 days is reliable and that you did not catch HIV. And if I correctly understand, you have had another test at 117 days. That test was unnecessary, but it confirms you were not infected.

Your symptoms don't matter; the test result proves they are not from HIV. Also, you really were not at very high risk of HIV to start. Your partner probably does not have HIV. But even if she does, even without a condom, the average risk for HIV transmission for a single episode of unprotected vaginal sex averages 1 chance in 2,500. (That's why some husbands and wives of infected persons never become infected, or catch HIV only after several years.)

So all is well, no worries!  No need for any further HIV tests.

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD

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36 months ago
Doctor Sir 
Thank you for reply. What is extenuating circumstance, please tell me because I can also have. Also the doctor say i can be having HIV2 . HIV2 take longer for test. I check with people nearby the lady does business and because she do everyday and more time everyday she has very good chance of having. I was waiting for your reply it’s my 2 o clock in night and I cannot sleep. If you tell me extenuating circumstance then I check if I also have. Yes I took test 117 day and I check again again it is HIV 1/2 antibody and p24 serum. My 117 day test also negative but what if extenuating circumstance happen to me also. How I know about this. America also has HIV2 like India, HIV 2 problem in India doctor say. 6 week study happen in world or America. Any study happen in India for test time. Doctor I can’t sleep and I very difficult time in my life. Internet say that many people who got HIV say time was sometime 6 month or 8 month. That’s why I choose Zapped because I don’t know what to do. Sharp pain happen very like bee sting in under arm.
Do you ever have patient with HIV2 in your clinic? HIV2 also time 6 week ? Hope you can understand my pain and tell what to do. My condom break because I put Vaseline I did not know Vaseline can break it. Can Vaseline always break condom ?
36 months ago
Also subtype E not covered in test?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
36 months ago
The test you had is conclusive for both HIV1 and HIV2 after 6 weeks.

No reliable internet source says it takes 6 or 8 months for this test. I suggest you stop searching online about this. You're obviously being drawn to information that inflames your anxieties and missing the reassuring information that also is there. If you must keep searching, seek out webistes that are run by scientific organizations like academic medical centers or public health agencies, or are professionally moderated, like this one.

Vaseline and other oils can weaken latex and cause condoms to break. It doesn't always do so, however. But in the future, do not use vaseline or other oils.

Finally, I do understnad your pain. As for "What to do?", see a doctor if your aches and pains continue (they are not possibly from HIV); and do your best to accepted the reasons, science based advice I have tried to give. But that's all I can do. I'm an STD/HIV specialist, not a mental health expert.

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36 months ago
Dear Sir,

Thank you for replying. I’m writing on behalf of my friend because he feels he can’t express himself and his concerns properly because of his language. He asked me to help him so I’m asking you very specific questions because we need help from an expert like you which we do not have in our city. Please help us understand and we apologise for the lengthy questions.

1.) The doctor says possibly HIV2, it’s rare in America but in India is not so rare and cases reported. What’s your opinion?
2.) All studies on tests and treatment are for HIV1 because it’s in the first world but not on HIV2, whereas we request your opinion that antibody to HIV2 can take longer than 3 months upto 6 months?
3.) We understood from our doctor that for HIV1 the duo test is very accurate because of P24 but for HIV2 there is no P24 and only antibody which takes longer because also the HIV2 virus is not as potent as HIV1 virus so testing upto 6 months is a must. What is your opinion?
4.) For HIV2, have you heard of or know of any case which took a longer time to get detected than 6 weeks ?
5.) Do tests specially the CMIA test cover all types and sub types of HIV1 and HIV2. We got him tested at a reputed lab in India and drove almost 8 hours that day just so that we use a good lab and a reliable test? 
6.) When trusted agencies and websites say 3 months conclusive they mean it for HIV2 as well right? 
7.) for both HIV1 and HIV2 what percentage accuracy will you give if someone is tested at 60 and 117 days with a fourth generation test? 
8.) As one of the top experts on this topic do you think we should do a HIV2  detection by PCR and a HIV2 antibody by western blot test as suggested by the doctor? He says these two tests will then rule out HIV2 as well? What is your opinion ? 
Finally after searching the Internet for months we have got such a reliable source and experts, we request you take the trouble to answer our questions in detail so that we understand expert opinion and our situation. Thank you sir for your help and patience. My friend thanks you with all his heart.
36 months ago
One last thing Sir. When we read other questions you say 100% 6 weeks fourth generation test. Would you say that in my case also. I am asking this because you say see doctor for my aches and pains they are not possibly from HIV. Would you say after after 2 negative fourth generation tests at 60 and 117 days say - DEFINITELY NOT BECAUSE OF HIV1 or 2 - 100%. Sorry we just wanted to clarify this as reading possibly not HIV made us nervous. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
36 months ago
We say exactly the same thing in response to every question. The 4th gen tests are 100% conclusive for everybody. Why would you be any different?? I already said that you do not have HIV and that your symptoms definitely are not because of HIV1 or HIV2. How many times do you need to hear the same information? This is an expert information site and you are getting science based advice. It is not a debate.

That completes the two follow-up comments and replies included with each thread and so ends this discussion. Please do not be tempted to ask again about this exposure and your concerns about HIV tests and their reliability.

Really, mellow out. You don't have HIV. I have to suspect your symptoms are due primarily to anxiety over the event. For sure they are not from any infection of any kind from the sexual exposure. If they continue, see a doctor to evaluate possible causes -- but be prepared to listen thoughtfull when s/he confirms that this is mostly a psychological issue.

I hope the discussion has been helpful. Good luck to you.
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