[Question #4604] RNA PCR

28 months ago
Thank you for everything. I just received my results of 10 days of the RNA PCR. It was non detected.  I just wanted to update you and agree that I have been over thinking. I plan on getting professional help to move on and deal with other issues. 

I am assuming that I dont need to test anymore?
My issue is with the condom not doing its job.

It has been around 2 weeks without sysmtoms. Can I move on as well. 

I promise this is the last time I will write you.

Thank you doctors.
28 months ago
Did I take the PCR too early?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
28 months ago
*Sigh*

Sorry to see you back, and so soon. I scanned your several previous discussions, mostly with Dr. Hook. As he advised, you had a low risk exposure that really didn't require testing at all. As he probably also said (I didn't read all his comments in detail), you can be sure the condom "did its job" if it didn't obviously break wide open.

Your negative RNA test at 10 days is around 80-90% reliable, so you can take the result as reassuring byt not conclusive. 14 days would have been better, probably 90-95%. RNA testing always requires a blood test for HIV antibody (or antigen-antibody) at 4 weeks. The combination of those negative results would be 100%, but not until then.

This doesn't mean I believe there is a 10-20% chance you have HIV. If we assume your risk of infection was, say, 1 in a million, then with your 10 day test result, the chance you have HIV is now 1 in 5-10 million. Still zero for practical purposes.

It is time for you to stop using this forum a crutch as you have been doing. 7 questions ($175 in posting fees) over 9 months is excessive, especially since all exposures you have asked about have been obviously very low risk. Please note the forum does not permit repeated questions on the same topic or exposure. This will have to be your last one; future new questions about low risk exposures, testing, and your fears about HIV or other STDs may receive no reply and the posting fee will not be refunded. This policy is based on compassion, not criticism, and 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. Thanks for your understanding. 

In other words, we're holding you to your promise!

HHH, MD

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28 months ago
You are correct doctor. With odds like this and the PCR, I should expect a negative results in a few weeks and move forward now. 

Thank you for your firm advice.
27 months ago
Merry Christmas Dr. H.  I hope you and your family are doing well.

I wanted to ask some quick questions before this is closed.

2 days ago was 28 days from my exposure.  I did another rna pcr test and 4th generation on the 28th day. I am waiting on the results. I did the rna at 10 days with a non detected result.

Do you think my 28th day test will be negative?

If I some how had a condom failure, would these 2 test at 28 days be conclusive?

It is now 30 days without sysmtoms. Can I feel confident that I did not catch anything else?

This may be the last time I speak to you. I want to thank you and Dr. Hook. I am planning on making donations to this site because it has helped so many people. Blessings to you.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
27 months ago
PCR plus 4th gen at 28 days is conclusive. When you receive the negative result, you can move on without giving this another thought -- regardless if the condom had failied. At this point symptoms don't matter. Because the test results are conclusive, even if you develop highly typical symptoms of HIV or ARS, it will be from some cause other than HIV.

Thanks for the kind words, and for your understanding about the forum rules. If you find yourself anxious again about HIV, I suggest you re-read all your other threads, carefully. No matter what risks or symptoms you experience, the answers are already there.
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Happy holidays!---