[Question #7005] Still worried

8 months ago

Dear Drs.


Sorry for returning again. I appreciate your advise earlier, and your reassurance, it helped massively. Moving from such experience isn’t easy, and there remains anxiety and fear. As an update I had an 11th week(80 days) Ag/Ab Roche Cobas test, along with STD panel test, which returned negative thanks God. I tested weekly since week 4. I am re-reading your responses, many times, giving them the due attention,I read other sources on the internet also and find conflicting information, therefore need clarifications from you when this happens. I also added some questions that I didn’t have chance to ask before. There is no STD clinics in my city, as person to person advise might help in this context. I am working with counselor also, as there is an element of shock. 


Questions:

  1. That this was a high risk encounter keeps me from believing that the window period applies to me. Is this rationale correct? Are there different guidelines for high risk exposures? While reviewing other threads, #6033 specifically, had me concerned about the validity of relying on a 6 week test under all conditions? As Dr. Handsfield said 12 week test is not unreasonable in that situation. Appreciate your clarification if I misunderstood that thread. Given I tested at 80 days is this close enough to a 12 weeks (84 days test)?
  2. I was prescribed Valproic acid medication, does this impact testings?
  3. My urine tests came back negative for chlamydia and gonorrhea  and within range, does this indicate no condom failure? Or is this unrelated.
  4. Since other infections have longer window periods (HCV, HSV), is it correct to think HIV can develope in similar fashion I.e window periods that are much longer than 6 weeks?
  5. The lab advised me of a 6 month window period. If I test at 90 and 180 days, with no other exposures, how likely that my results at week 11 will change?
  6. Is not having ARS symptoms reassuring. Can symptoms start after 11 weeks?
  7. What do you recommend me to do at this juncture, I tested for other STDs as well at week 11, they are negative. Is it 100% safe to move forward and put this behind me? 


Thank you. I hope you can keep this thread open in case of follow-ups/ clarifications. 

8 months ago

This is my testing history:

DAY 32 HIV DUO negative (Siemens Atellica)

DAY 35 HIV DUO negative (Siemens Atellica)

DAY 41 HIV DUO negative (Siemens Atellica)

DAY 47 HIV DUO negative (Siemens Atellica)

DAY 53 HIV DUO negative (Siemens Atellica)

DAY 59 HIV DUO negative (Roche Cobas)

DAY 64 HIV DUO negative (Siemens Atellica)

DAY 70 HIV DUO negative (Siemens Atellica)

DAY 80 HIV DUO negative (Roche Cobas) /Syphilis RPR/HCV ab/HSV1&2 IGG/Chlamydia Gonorrhea.

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
8 months ago
You're asking exactly the same questions as last time. The answers are the same. Re-read your own questions above and then re-read Dr. Hook's and my replies in your last three threads; the answers are there. 

Trust me on this:  there are NO circumstances described above or that you will ever think up that would change the reliability of your tests or that would make it possible you have HIV. You do not. No matter what symptoms you have now or develop in the future, they will not be due to HIV if you are not exposed again. Stay off the internet. Consider professional counseling to address your abnormal mental state about all this. 

The forum does not permit repeated questions on the same topic or exposure. This being your fourth, with identical opinions and advice each time, it must be your last. Future new questions about your exposures and HIV will be deleted without comment and without refund of the posting fee. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers. In addition, our experience is that continued answers to anxiety-driven questions simply prolong those anxieties, when a better option is usually to seek professional counseling. Finally, such questions have little educational value for other users, one of the forum's main purposes. Thank you for your understanding.

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