[Question #768] Combo test

52 months ago
I was doning unprotcted sex for 2 yaers with my girl criend 
After that we went to do wedding test and found the girl was hiv + and me - ...i stay away from her for 31 days and made combo test the result was nigatve ... Do i need more testing 
52 months ago
hellooooo
Edward W. Hook M.D.
Edward W. Hook M.D.
52 months ago

Welcome to our Forum.  Before I address your question, please let me remind you that we do our best to provide answers to clients within 24 hours of their posting.  It is now 18 hours after you asked your question.  Please be patient.

From your question, I presume that you have had sex on multiple occasions with the woman you were about to marry and that you only recently discovered that  she had a positive test for HIV.  Even before I address your question, I also wonder if her test was correct?  Are you sure that she has HIV- did she have more than one test from a reliable laboratory that was confirmed?  Some tests for HIV are falsely positive.

If she did have HIV and you have had sex with her, that does not mean that you would be infected.  On average the risk for acquiring HIV is less than one infection for every 1000 exposures- thus the more you had sex with her, the more likely it is that you might have become infected.  Further, I can tell you that I have many patients who have been sexually active with persons with HIV for more than two years and yet they have not become infected.  Thus, it was possible and even likely, even before you were tested , that you would not have gotten HIV.  Your combo test result 31 days after last sex is further VERY strong evidence that you were not infected and should be believed.  You are one of the very few persons in who an additional test at 6 or even 8 weeks after last exposure might be suggested, just to be completely sure but, based on what you say above, I would anticipate that further tests will be negative, just affirming what you have already discovered- that you were not infected with HIV.

Thus, to summarize, my advice is:

1. To be completely sure that your partner really was HIV infected and that her prior test was not falsely positive, and

2. I would repeat your test once more but I would not worry that you were infected.  all of the evidence is that you were not.

I hope this comment is helpful.  EWH

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52 months ago
She made westren blot and she was + and srart taking drugs like atrbila (i think i dont know the name ) ... 
If i make test after 7 weeks do i need test after 3 months ... Im afried really afried 
52 months ago
Last point if you can help me with it 
The number of the Virus in her blood is 78000 do you think she was new hiv + or old or very old ... I maen the time not exactlly when . but like months or year or years .. Thank you 
Edward W. Hook M.D.
Edward W. Hook M.D.
52 months ago
This number of viruses is typical of a person who has been infected at least a few months and perhaps several years.  Persons in the first month or two after infection, or after 8 to 10 years of infection, have millions of viruses in their blood,  For someone who is not taking therapy, this is a relatively low (and therefore less infectious) amount of virus,  EWH ---
52 months ago
About me do i need  another test if made one at 8 weeks ... Yes or no
Edward W. Hook M.D.
Edward W. Hook M.D.
52 months ago
Answered above.  As explained, this is your choice.  If I were you, I would retest one more time.  EWH---
52 months ago
So today is 58 days after last contact with here i made combo test and the result came 
Nonreactive ... What you think doctor ??? 
Edward W. Hook M.D.
Edward W. Hook M.D.
52 months ago
With this test result at this time following your last exposure and based on the information you have provided, you should be confident that you did not acquired HIV from her.   No further testing is needed.

As indicated in the Forum guidelines, we provide up to three replies to each question.  There will not be further answers and this thread will be closed later today.  EWH
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52 months ago
Doctor thank you very much .. really thank you 
Edward W. Hook M.D.
Edward W. Hook M.D.
52 months ago
Thank you for your thanks.  We want to help.  EWH---