[Question #6446] Hiv on 40 days

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67 months ago



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

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

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67 months ago
أود أن أشكرك ، دكتور هوك ، على إجابتك ، 

هل تعتقد أنني بحاجة لإجراء اختبار فيروس نقص المناعة البشرية مرة أخرى أم لا؟

وأنا سعيد لأنني تحدثت مع أكثر الأطباء خبرة في العالم. أغتنم هذه الفرصة لأقول للجميع وأول ما في نفسي هو الابتعاد عن هذه العلاقات المشبوهة والاسترخاء نفسيًا وصحيًا ، وأن نكون في مأمن من هذه الأمراض. أكرر شكري لك يا دكتور وهنتر.
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67 months ago
I'd like to thank you, Doctor Hook, for your answer, Do you think I need to take an HIV test again or not? 

And I'm glad I spoke with the world's most experienced doctors. I take this opportunity to tell everyone and the first thing in myself is to get away from these suspicious relationships and relax psychologically and healthily, and to be safe from these diseases. I repeat my thanks to you, Dr. Hunter
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Edward W. Hook M.D.
67 months ago
The need to repeat your test after 42 days is a personal choice.  If I were you however, I would not bother to take another test and would have complete confidence that I did not acquire HIV from the exposure you have described.  EWH
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67 months ago
Thanks doktor ,
I do hiv combo now On the 62 day of a sexual relationship   and the result come back as you think it's nonreactive . 
Thank you for all thing and happy new year to you and to dr. Hunter .
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Edward W. Hook M.D.
67 months ago

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

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