[Question #6650] HIV question

12 months ago
Hi Dr.Hook and Dr.HHH. I would like to first thank both of you for the help.

I had an exposure around 7.5 months and had multiple HIV Ag/Ab with Reflex and  HIV-1 RNA Qualitative tests so far at 4 weeks,6 weeks, 3,4 and 6 months. All were Not reactive and Negative. Is there any chance that my tests missed to detect the infection ? I had flu multiple times in last 7 months, rash on my back and chest, getting tired during the day randomly. Can i consider my tests conclusively negative irrespective of type of exposure and my medical conditions? I never took PEP or PREP. Do you see any reason to doubt my test results with the symptoms am having? Do you see any reason for me not to engage in sexual relationship with my partner because of the exposure I had? Is there any chance for the Antigens and Antibodies to disappear from the body and become undetectable to tests once infected without use of any HIV medication?

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
12 months ago
Welcome to the forum. Thanks for your confidence in our services.

The AgAb HIV blood tests ("4th generation", "duo", "combo" tests) are 100% conclusive any time 6 weeks or more after the last possible exposure. Once positive, the test is positive for life; HIV antibody never becomes undetectable. These tests are far more accurate than symptoms in judging possible HIV infection, and negative testing always overrules symptoms, no matter how typical for ARS they may be. The results also overrule exposure history, so the nature of your exposure doesn't matter. You could have had the highest possible risk, like intentional injection of HIV infected blood. It wouldn't matter":  your results prove you weren't infected. There is no reason to not continue your normal and usual sexual activities with your regular partner; you could have safely done so after your negative test result at 6 weeks.

So all is well. For sure you don't have HIV. I hope these comments are helpful; let me know if anything isn't clear.

HHH, MD
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12 months ago
Thanks for the response and assurance Doctor. I forgot about about the incident and moved on after my 6 weeks and 3 month negative test results. 

But whenever I get sick that triggers a fear in me and I somehow link the sickness to my exposure. I have had almost 10 - 4th gen tests so far in the last 7 months, I think I need to move on.
12 months ago
My exposure was a handjob at a massage parlor. She touched her vagina and used that fluid and hand gave me a handjob. There was no penetrative vaginal or anal sex involved
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
12 months ago
Thanks for te thanks. But you need never have been worried at all. Nobody ever got HIV from an exposure like that. You didn't need testing and should not have stopped having normal sexual relations with your regular (for 6 months!). Without intercourse -- your penis entering another person's vagina or rectum -- there was no risk of HIV.---
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12 months ago
Thank you Doctor. Sorry for the delay in my replying back. I came down with flu ( which triggered my fear and guilt) and recovering. I think I have been thinking and over analyzing because of guilt even though  you said no risk at all and my multiple 4th gen RNA tests proved that I didn't get infected.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
12 months ago
I'm glad you understand and happy my advice apparently has helped. Best wishes and stay safe.---