[Question #3623] Hiv testing accuracy

34 months ago
Hello doctors I have had a high risk exposure oral sex not very long no ejaculation & ,receptive anal ,we used  a condom  for the anal but may have rolled back a bit ,it was on my partner when done  seaman in the the condom. I have tested a lot and think I’m conclusive negative. 

I have taken 3 RNA hiv test at day 10,17&31 & have taken 4 -4th gen duo test at  day 25,38,44 & 54 ,from what I’ve read here I think I’m conclusively hiv negative  do you agree.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
34 months ago
Welcome to the forum and thanks for your question. It arrived while I was logged in:  most users shouldn't expect nearly real time replies!

This was a high risk exposure in one sense:  your partner apparently is male, and sex between men is always potentially risky, especially anal sex. OTOH, condoms work, so the receptive anal sex was low risk; and oral sex rarely if ever transmits HIV and is always considered safe from an HIV standpoint. So in fact these exposures were entirely safe.

So based on the exposures described, you were seriously over tested. All by itself, the duo test at 44 days was conclusive. In any case, all those negative tests prove for sure you didn't acquire HIV.

Congratulations on having only safe sex with a new partner. I'll just add that you should also discuss mutual HIV status with new partners, and avoid sex entirely (or be especially careful to have safe sex) with men who have HIV and are not on effective treatment for it, as well as those who don't know or seem evasive about it. Perhaps you did this, but you don't mention your partner's HIV status, so I thought I would remind you.

Anyway, all is well, no need for further testing on account of this exposure. I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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34 months ago
Thanks doctor Handsfield just needed to hear it from one of the experts I’m moving on . 

Thanks for all the reassurances your site provides
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
34 months ago
Thanks for the thanks; that's why we're here. I'm glad to have helped.---
34 months ago
Doctors what is the testing window for HBV I took test at 6 weeks & it’s negative is this conclusive and what’s the window for HCV also took at 6 weeks & negative , do I need to retest
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
34 months ago
Both HBV and HCV testing are generally considered conclusive by 6 weeks. No additional testing needed.---
34 months ago
Thanks