[Question #4555] Exhausted

29 months ago
Hi,here is the history to the question i would like your advice on..unprotected anal insertive sex with escort (stupidly). Short course of pep 12 days then stopped ...testing history 11 day rna test negative,duo tests at 27 days,42 days,87 days,105 days and 155days post exposure all negative/undectected also additional rna pcr test at days undetected.the fear i have is that the course of pep although short affects the reliability of the tests taken and i cannot move on..can you advise please?
29 months ago
2nd rna test was at 109 days
Edward W. Hook M.D.
Edward W. Hook M.D.
29 months ago
Welcome to the Forum.  I'll be glad to comment.  It is time for you to stop testing- you have proven that you did not acquire  HIV from the exposure that you have described.  Statistically it is unlikely that you were exposed to HIV or it you had been exposed, that infection would have occurred.  Irrespective, combination HIV antigen/antibody tests are conclusive 3 months after completion of PEP and viral RNA tests are positive before that. Thus without doubt your 105 and 155 day combination tests conclusively prove that you did not acquire HIV as does your 109 day RNA test.  It is time to put any concerns about HIV from the exposure you describe behind you and move forward without concern.  There is no need for further testing.

I hope this comment is helpful.  EWH
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29 months ago
Hi doctor thanks for the reply, I did forget to mention that I had another due test at 143 days (post exposure) and also the 2nd rna test was actually 122 days post exposure (109 days after pep). I suppose this just reinforces what you have said below and no more testing ?  Thank you for helping me to move on without fear and concern
Edward W. Hook M.D.
Edward W. Hook M.D.
29 months ago
Thanks for the additional information.  You are correct, the additional tests only reinforce my earlier statements.  You did not get HIV and it is certainly time to stop testing and move forwRd without concerns regarding the exposure you described.  EWH---
29 months ago
Thanks doctor..thats a massive weight of my mind ! Thanks for sharing your expertise..no further questions from me.