[Question #7612] Question #7610] HIV window period follow up question

1 months ago
Thank you Dr. Hook. Correction. I started taking over 72 hrs. After I found out about the pill. I should have ran to ER that same night I found out. I had no idea how or where to get it. I started pep on 11/19/10 at 12-1 pm. The incident happened 7- 8 am on 11/16/19. Over few hours. Is that make any effect on the accuracy of the test.(or effectievness of the pill) And Correction I got tested negative hiv on 2/4/20. I was able to find messages. As KAiser doesnt post the test for hiv itself they just tell you positive or negative via messaging system. Do you know through vein Kaiser in North cali do you know what kind of test they use? I was reading there are 2 types and 4 generations. Forgive me I dont know the details. I am worried if the test on 2/4/2019 was accurate. Thank you so much( also, i tried to reach out to some guys via phone and instagram to find out what happened and they all blocked me, i wanted to know what happened, as I remembered perhaps stripping intoxicated etc. bad  situation and Idk what I was thinking. I think they all were married or relationships. (the only test that scared me and it was different is herpes 1 I  know its just cold sores, I never get cold sores and that few years ago used to be negative. Should that raise a concern.?Thank you so much 
Edward W. Hook M.D.
Edward W. Hook M.D.
1 months ago
Thanks for your clarifications and your follow up. FYI you do not need to start a new thread with your follow up questions. We permit up two follow up questions as part of our reply for each question.  Your clarifications do not change my assessment of your situation.  Despite the fact that you began pep more than 72 hours after your encounter, your test results remain valid. Please remember that even when a person has an untreated HIV infection, less than 1% of exposures result in infection in the exposed partner (in other words over 99% of exposures do not result in infection -The odds are very much in your favor).

Your follow up testing in February was taken at a time when your results are entirely valid and should be believed. The Kaiser laboratories are superb and provide excellent testing. I have no reason to question their performance or the results in your case.  The Kaiser laboratories use the most up-to-date tests available. Again believe the results.

Type when herpes tests are notoriously unreliable. I would not let The change in your test results concern you.

I hope my further reassurance is helpful. If there are continuing questions, please use the follow up opportunity as part of this question and do not unnecessarily spend your money to start a new thread. EWH
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1 months ago
Thank you Dr. Hook. The test came back negative.  Was praying to God. I was googling more. There are hiv type two too. from any of my previous partners (older). WIll hiv detect any hiv even hiv2? thank you so much 

Here is what my test said (just hiv 1)Human Immunodeficiency Virus 1 (HIV-1), Qualitative, RNA HIV-1 RNA Qualitative Negative NORMAL Negative 02 1 of 3 Negative for HIV-1 RNA
Edward W. Hook M.D.
Edward W. Hook M.D.
1 months ago
Your test absolutely proves that you did not acquire HIV-1, the most common HIV type seen in the U.S.  HIV-2 is extraordinarily rare in the US, a small fraction of 1% and would not be detected by the test you took. Personally, I would urge you not to worry about HIV-2 which, on those rare occasions when it is present, is acquired from persons from West Africa or parts of India.  If you feel you must test for HIV-2, at this time a standard 4th generation HIV antigen/antibody test would be the test to do and would provide definitive results.  I am confident that if you plan to test, the result will show that you were not infected with HIV-2.  EWH
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1 months ago
Hello Dr Hook. I wanted to ask you i have the last 3 years reaccuring ulcers only on my tounge. I googled hiv 2 and ist a syptoms. My eyes red, tiredness all the time. My lyphs were high on blood work. Shoudl I be worries? My lyph nodes alwasy a littel swollen. Have tonsilitis all the time past 3 years when I had unrpotected with other partners. Thank you so much 
Edward W. Hook M.D.
Edward W. Hook M.D.
1 months ago

This will be my 3rd reply. Although we typically provide three replies to each set of questions, I will provide one more after this reply.

A problem with the internet is that it is often misleading.  It lists many different things which can occasionally be caused by HIV and tends to alarm people unnecessarily.   

The symptoms you describe are non-specific and could be caused by many different things. Being able to feel lymph nodes is normal if you look for them and when they are abnormally swollen that can be caused by many different things.  Similarly, chronic or recurrent tonsillitis is not a sign of HIV.  I would not be worried about these things as being signs of HIV.  Really.  EWH

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1 months ago
Thank you sir. Reacuring ulcers only on my tounge you dont think is hiv 2 signs? (how long is hiv 2 detected, like whats the window period?)Thank you again for your kindness. 
Edward W. Hook M.D.
Edward W. Hook M.D.
1 months ago

Final answers.  Once a person is infected with HIV-2, just as occurs with HIV-1, their tests will become positive in 6-8 weeks depending on the test and then remain positive throughout.  The window for HIV-2 tests is the same as for HIV-1. 

Recurring tongue ulcers, often called aphous ulcers, are not a sign of HIV infection.


Hope this helps.  Please don't worry.  EWH

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