[Question #4276] high risk hiv

31 months ago

Dear Doctor,

I had unprotected vaginal sex with a girl (don’t know if she is an hiv positive). I did many test after the infection.

at 30 day  Ag /Abs (HIV Combo) was negative

at 50 day  Ag /Abs (HIV Combo) was negative

at 50 day PCR RNA (HIV-1 Quantitative by real time PCR)  was negative (NOT DETECTED)

at 58 day PCR RNA (HIV-1/2 Qualitative)  was negative (NOT DETECTED)

at 71 day  Ag /Abs (HIV Combo) was negative

>> 

1-     1- Is my test results conclusive or I have to wait to complete 90 days (Three months) and retest again?

2-     2- Is it possible that the test I did to turn positive later ( after 90 days )?  

3

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
31 months ago
Welcome back, but I don't understand why you felt the need. This repeats some if not all the same test results we discussed two weeks ago, when you were informed your negative tests up to that time were 100% conclusive and proved you did not catch HIV. Did you think I might have changed my mind? Or maybe that Dr. Hook would have different advice? (He never does; we are in complete agreement about HIV test timing and interpretation.)

1) Your test results were conclusive after the 50 day combo test. All tests after that were unnecessary and a waste of money, but they confirm the initial results and further prove you did not catch HIV.

2) No, that never happens.

Let me know if anything isn't clear. However, I will not answer any questions that we haven't already covered in this thread or your previous one.

HHH, MD
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31 months ago


Thank you Doctor, Im sorry I know I repeated the questions again and I do trust you and Dr. Hook. 


I did more test because I am extremely afraid because my wife got pregnant recently and Im afraid that I transmitted the HIV to her and the baby     

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
31 months ago
Your fears are unfounded and are not a valid reason to keep testing in the face of such overwhelming scientific evidence. Don't confuse your anxieties about a sexual decision you regret with infection risk from that event. They aren't the same. Deal with the former as you need to (professional counseling?) but you can and should disregard the latter.---
31 months ago

Thank you Doctor, 

1- which confused me, is the window period of HVI in WHO is (3 months) that put me in a fear that I may transmitted HIV to my wife (as my results False-negative as it is within the window period).   

2- what the different between NAT test and PCR RNA test

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
31 months ago
You're seriously overthinking all this. WHO has a conservative perspective and likes to recommend extra time. WE stand by our advice about a 6 week window period for the AgAb HIV blood tests. 

PCR is a type of NAAT. In this testing situation, they mean the same thing.

Perhaps you would like to know that in the 14 years I have been answering questions like yours on this and a preceding forum, with thousands of questions, there has never been a single person who was worried about HIV and then turned out to be infected. Not one. And you will not be the first. 

That completes two follow-up comments and replies and so ends this thread. Please note the forum does not permit repeated questions on the same topic or exposure. Future new questions about this exposure, testing, and your fears about HIV may receive no reply and the posting fee will not be refunded. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. I trust you will understand.    

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