[Question #7880] Accuracy of Alere HIV test at Planned Parenthood

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51 months ago
My ex partner of 1 year,  got diagnosed with HIV. The last time we were together was 9 months ago (July 2020)  that’s when we had unprotected sex. 

I got tested at planned parenthood (Alere HIV 1 / 2 Ab /Ag) rapid finger prick test, a month ago mid April, it came back negative.

 According to the PA, no antibodies were found. Is that conclusive? Is it safe to move on? 


Thank you 

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51 months ago
I’d like to add that I had no major symptoms, just some allergies, and itchy skin and anxiety.  
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Edward W. Hook M.D.
51 months ago
Welcome to the Forum and thanks for your questions.  I appreciate how disconcerting it can be to learn that a past sex partner has been diagnosed with HIV.  You do not mention the intensity of your exposures to this partner or the types of exposure, not do you mention any other risks that your previous partner might have.  That said, after 9 months the results of a 4th generation Alere HIV antigen/antibody test should be entirely reliable.  The Alere test has been approved for use in the U.S. since 2013 and provides reliable results at all times more than 6 weeks after an unprotected exposure.

I would have confidence in your test results.  I hope that your prior partner is being up as well as possible since their diagnosis.  EWH
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51 months ago
Hello Doctor, 
Thank you so much for your time. 

It was a same sex relationship. I would say, we had sex about 16-17 times only due to some emotional problems he was having.  And I was the insertive partner. 





 


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51 months ago
That is a relief. Thank you! 
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51 months ago
Hello Doctor, 
Thank you so much for your time. 

It was same sex relationship. I would say, we had sex about 16-17 times only due to some emotional problems that he was having.  And I was the insertive partner. 

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Edward W. Hook M.D.
51 months ago
Thanks for the additional information.  Even without knowing when he might have been infected, your statistical risk is relatively low even if he were infected.  Insertive sex is lower risk that receptive rectal intercourse and the per event risk for infection if he were infected is less than a 0.1% risk per episode of insertive intercourse.  Believe your test results.  EWH---
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51 months ago
Doctor,
I’ve been having a dry nose, little dry boogers. 

I don’t sneeze much. 

Itchy crawly scalp feeling.  And occasional body itch. 




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Edward W. Hook M.D.
51 months ago
None of these are in any way suggestive of HIV.  I urge you not to overthink things.  EWH ---
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51 months ago
Thank you doctor, I will try not to. 

This rapid test would not miss the antibodies after all this time?  Regardless of whether it’s a vein draw or a finger prick? 

Thank you 


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51 months ago
Or the antigen 
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Edward W. Hook M.D.
51 months ago
I really think you are worrying about something that you do not need to worry about.  If you are uneasy with your test results, feel free to test again.  I am confident the results will be the same.  We provide up to three responses for each client's questions.  This is my 4th response.  Thus following this response there will be no further responses.  I hope that the information I have provided has been helpful.  

Persons who acquire HIV have antibodies present for the rest of their lives and their tests remain positive.  The antigen which is the viral protein made by the virus itself, can decline in infected persons who have a substantial antibody immune response.  As noted above, once a person acquired HIV, their tests remain positive from there on out.   How the blood is obtained- finger stick or from the vein, makes no difference.  

Take care,  EWH



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