[Question #6446] Hiv on 40 days
67 months ago
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Hello Doctor I had an unsafe sexual relationship without a condom with a woman in Dubai from Iraq for two consecutive times and each time the relationship lasted for less than 7 minutes with ejaculation in the vagina and I did a sexually transmitted disease analysis and hiv combo analysis after 22 days and it was all negative and I feared a disease Immunodeficiency, because after the 4-day relationship, I had a cough, and after the 4-week relationship, I had a mild fever of 37.8 degrees, and I had 7 pills on my chest, numbered 7 or 8 sporadic, including 2 in the shoulder, and I always had white blood cells deficient a long time ago 3.5 And some times 3 netruphils all time also 1.2 or 1.1 apsolute netropenia and because I was not satisfied I reassessed the hiv combo 32 days after the relationship As a result of the negative and also return the hiv combo in 40 days of the relationship and was negative .
I would like to ask you, Doctor
1- Are my previous analyzes considered categorical and deny infection with the HIV virus, knowing that I know that the required period is 42 , but I have not completed the period i do it on day 40?
2- What is the risk of developing HIV from this relationship?
3- Can my previously reduced white blood cells neutrophenia affect or delay the outcome and delay the appearance of antibodies?
4- Is my Hepatitis B virus assured on day 22 of the relationship and what is the probability of infection?
Sorry for the prolonged and thank you doctor, because you are one of the best doctors in the world in this specialty and this disease, and after your answer we should not ask someone else.
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Edward W. Hook M.D.
67 months ago
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Welcome to the Forum. I'll be glad to comment. Your risk of infection from the exposure you describe is very low. Please remember that most people, even most commercial sex workers do not have HIV and, even when they do, more than 99.9% of unprotected exposures to HIV infected persons do NOT result in infection. In your case, the HIV tests you already have, while technically not completely conclusive, make it all the more unlikely that you were infected by the exposure you describe. In answer to your specific questions:
1. Technically, results of HIV tests are not conclusive until 42 days after exposure however there is really little difference between tests performed at 40 and 42 days. If I were you I would not be the least bit concerned about having acquired HIV from the exposure you describe.
2. Very, very low. See above.
3. The low white blood cell and neutrophil counts in no way change my opinion. They would not prevent antibodies from being formed.
4. If your partner had active hepatitis B (this is unlikely) your risk for becoming infected is less than 1%. Testing at 20 days after an exposure, while providing valuable information that you are not infected, is not conclusive. It would be better to test after at least 30 days.
I hope that this information is helpful to you. It is unlikely that you were infected by the exposure you have described. EWH
67 months ago
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67 months ago
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Edward W. Hook M.D.
67 months ago
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67 months ago
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Edward W. Hook M.D.
67 months ago
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Thanks for your thanks and happy new year to you as well. I am confident that your 62 day test will be negative. Please consider the results entirely conclusive and do not worry.
This thread will now be closed. EWH