[Question #4107] Advice

32 months ago
Good morning can you please advise if my results are conclusive? I had foolishly unprotected instertive m2m sex with an escort. I was placed on PEP after 68 hours from exposure which I took for 10 days (I stopped once I received the negative PCR RNA results). I had an PCR RNA test on day 11 which came back negative since then I have had two 4th generation Duo tests one at day 29 (which was 16 days after PEP) and then one test at 40 days (27 days after pep) both results came back negative. I also have had an antibody test at day 66 which also came back negative but I still worry about the results are they conclusive?
Edward W. Hook M.D.
Edward W. Hook M.D.
32 months ago
Welcome to our Forum,.  The encounter you describe was low risk even before your PEP (the chance that the escort had HIV is low, and even if he did, the risk for infection from a single insertive (on your part) encounter is less than 1%.  Your PEP lowers that risk still more and your test results, taken together, indicate that you were not infected.  I would consider these results as conclusive evidence that you did not acquire HIV from this encounter and see no medical reason for further testing.  I hope that my comment is helpful to you.  EWH
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32 months ago
Hello doctor thankyou for educated and reassuring comments,i have today had another antibody test (87 days) which was also negative and i agree its time for me to trust the results and move on,once again thank you for your prompt reply
Edward W. Hook M.D.
Edward W. Hook M.D.
32 months ago
Great.  I totally agree with and support your decision. Take care. EWH
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32 months ago
Hi doctor one final thought before i can fully move on which nags at me somewhat,can the 10 days on pep have any bearing on my results? 
Edward W. Hook M.D.
Edward W. Hook M.D.
32 months ago
No, not at 66+ days out from your encounter.  You did not get HIV- REALLY!.

This is my 3rd reply to your questions. As you probably know, we provide up to three responses to each client's questions.  As this is my 3rd reply, this thread will be closed later today.  EWH
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32 months ago
Apologies but had to ask..have a clear mind now and thank you again
Edward W. Hook M.D.
Edward W. Hook M.D.
32 months ago
No problem.  That is what we're here for.  Take care EWH---