My risk person did a finger prick quick HIV test from AHF, considering she is on Prep, is this test reliable? Would a 4th gen ag/ab be more reliable? What other parameters would indicate she has no viral load, i.e. cd4? Supposedly she has a 4th gen test and panel done this week but she doesn't want to show it.  I'm afraid prep would render these quick tests inaccurate. What are your estimated chances here of risk/transmission based on my exposure? I have been on PEP for 7 days, my skin itches, sometimes burns, some rashes, nausea, extreme tiredness, muscle aches, i feel this thing is harming me, keep struggling the decision to stay on PEP or terminate. With all these anxiety, lack of sleep, fears, I'm afraid I'm making a poor decision.

The combination of your partner's being on PrEP and having a negative test shows you were not at risk of HIV from the exposure you described. Knowing this, if you had come to me before starting PEP, I would have advised against it. This  also means you do not need HIV testing. However, as I said in your other thread, once you started PEP, a decision whether or not to stop it is up to you, ideally with the input of your own personal physician and/or the doctor who prescribed it. I will have no other advice about it. Sorry.---

Thank you. Could you give me some clarity on what I asked about testing and prep. Is a finger prick quick HIV test from AHF, considering she is on Prep reliable enough to show someone as negative? Would a 4th gen ag/ab be more reliable?

That your partner was on PEP means she could not have infected you. Her negative rapid test is highly reliable that she did not have HIV before starting PrEP, and that even if exposed since then, she cannot have infected you anyway. Of course all this depends on the truthfulness of her report of being an PrEP and testing negative. I don't think an AgAb test would change anything.---

Thank you doctor, you have no idea how helpful to me mentally your answers are. I have no assurance of her prep except for her word and a bottle of Descovy with her name and date last month, and a negative card from AHF. She keeps avoiding showing me a supposed 4th gen test done last week by her supposed prep doctor. I have a final question, in all this, you mentioned the exposure risk is low, is this even factoring i flossed my teeth one hour before and they bled (especially upper side), considering I did performed oral on her and had some semen in my mouth, is this still low risk? Many sites say avoid flossing four hours before, not one hour.  Thank you

People rarely lie about HIV status, PrEP, etc when asked directly -- although I agree it is peculiar that she won't show you her latest result. But there may be a good reason.

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