[Question #8411] Conclusiveness of test !
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45 months ago
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Sir, I went to the spa where, lady masseuse was completely dressed and I was wearing disposable brief only. While massaging my front body she sat on my pelvic region( made my penile region touch her vaginal region via disposable brief) and rub her vaginal region with my penis .I was definitely aroused a bit that's why little pre cum made my brief wet.
Sir, My maid doubt is that when she sat on my pelvic region and if my penis opening via disposable brief touched her jegging(which might be wet with vaginal discharge/smearing) is there any risk for acquisition of HIV in this scenario ? I strongly believe this isn't a risk at all but I have to learn this from a professional.
No kissing, anal, oral, vaginal sex or any other sexual activity was performed. After I refused to accept her offer she tried to massage my genital region and I came during that.
My wife and I did had all STD profile tests done before wedding (6 months ago)…all were negative, Including HIV.
I know sir you might think of me as a Paranoid yet I want your opinion and explanation so that I can move on.
Sir, My maid doubt is that when she sat on my pelvic region and if my penis opening via disposable brief touched her jegging(which might be wet with vaginal discharge/smearing) is there any risk for acquisition of HIV in this scenario ? I strongly believe this isn't a risk at all but I have to learn this from a professional.
No kissing, anal, oral, vaginal sex or any other sexual activity was performed. After I refused to accept her offer she tried to massage my genital region and I came during that.
My wife and I did had all STD profile tests done before wedding (6 months ago)…all were negative, Including HIV.
I know sir you might think of me as a Paranoid yet I want your opinion and explanation so that I can move on.
Actually my wife and I are planning for a baby so I wanted to be 100% certain. I levelled up with my wife and we decided to proceed with utmost certainty, So here I am.
I am aware that BHIVA latest guidelines regarding HIV testing made 45 days conclusive for 4th gen ag/ab test and so is CDC.
My main questions are as follows:
1. Is there any theoretical or practical risk associated with my description ?
2. I have taken ag/ab combo(4th generation) test from Abbott architect (CMIA technique)at 23, 28, 35 and 41 days 12 hours(almost 42 days i .e six weeks) after that supposedly exposure, are these test, I mean my last test conclusive with certainty ?
3. Does 41.5 days test would be equally conclusive as 45 days(CDC and BAASH/BHIVA guidelines).
P.S- This was the first time I went to the spa and my anxiety fueled when she asked me if I want to do something sexual in exchange for money.
Please try to help me put my mind at peace
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Edward W. Hook M.D.
45 months ago
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Welcome to our forum and thanks for your questions. I’ll be glad to comment. The events that you described did not put you at any risk whatsoever or for acquisition of HIV. HIV is not spread through clothing including disposable briefs, even when the material becomes wet with genital secretions. Further, HIV is transmitted only through penetrative genital sex. There was no penetration involved in the event you describe and thus, there is no risk. Simple contact, even in advertently, does not put you at risk for HIV.
In addition to my assurances above, please understand that currently available test for HIV are amongst the most sensitive and reliable tests and all of medicine. Your results should be relieved. Verse in answer to your specific questions:
1. No there is no risk, even know theoretical risk from the event you described.
2. These test results are absolutely conclusive. There is no need for further testing. Believe your test results. You did not acquire HIV from the event you described.
3. Yes, you’re 41.5 day result is entirely conclusive. We have never seen or heard of a test which became positive after this time.
You can move forward with having a family without any concern that you were quiet HIV. There is no need for further testing. Take care. Please don’t worry. EWH
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45 months ago
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Thank you so much sir, that actually helps. Q1..- .Your reply to 1st ques”even know theoretical risk from the event you described” did you mean even NO theoretical risk ? Q.2.-Can I deduce that 45 days official window period is put in accordance such that its half of 90 days(for only antibody tests), in fact its 100% conclusive at 6 weeks or 41.5 days ?? Q.3.-I am naive wrt to medical knowledge, but I’ve read that p24 isn’t detectable after few weeks and logically speaking those are coupled up with antibodies that’s why they ain’t detectable but Is it possible there May be a time period when both are undetectable for short duration and I did tests on that time ?? Finally If possible I would like a response/opinion from Dr. H Hunter Handsfield too. I like his way of writing very much.Don’t mind sir, its just like that I’ve expected reply from him so ....I hope you’re getting it. Saying that it’s just that I want these three final doubts to be clear. Regards.
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Edward W. Hook M.D.
45 months ago
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1. Correct. Sorry for the typo
2. Repetitive. Already answered. Your results are conclusive
3. The reason that the P 24 antigen may become non-detectable is because high levels of antibody combine with the P 24 antigen to make it non-detectable. At that time antibody tests are always positive. Once an HIV infected person is positive on the P 24 antigen test, tests for either the antigen, antibody, or both will always be detectable. Once again, believe your results.
4. No, you will not receive a response from Dr. Handsfield. For your information, Dr. Handsfield and I have worked together for nearly 40 years and never disagree on our advice. Forum rules prohibit us both replying to it the same question.
Warning, you have one reply remaining as part of this thread. EWH
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45 months ago
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Thank you sir for explaining the forum rules to me. You said “Once an HIV infected person is positive on the P 24 antigen test, tests for either the antigen, antibody, or both will always be detectable” once a person is positive...did you mean after few weeks when P24 starts to become detectable in blood, Either P24, and/or antibodies will be present to show test reactive ? I perplexed when you said once a person become positive...cos I never tested positive . I think you knows a lot better and if you’re saying I am conclusively negative I should accept it because you can give assurances with medical point of view not to negative mindset with apprehensions. Fair enough, Sir, just answer my last question asked above. I know I am being unreasonable, its just I love my wife so much, that even a microscopic chance of infecting her blows of my sleep.and making me unproductive at work...I am fairly consoled .Thanks to you. Just answer that last one .Regards
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Edward W. Hook M.D.
45 months ago
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Final response.
When a person acquires HIV, the virus is detectable in blood within 11-12 days of infection using extra sensitive PCR tests (these tests are more sensitive than the antigen detection tests which are part of 4th generation tests such as the ones you were tested with but also occasionally give falsely positive results). Virus levels then increase steadily until antibodies are produced. The antibodies cause virus levels to decrease. The p24 antigen is part of the virus which is why it is detectable before antibodies are detectable. On some occasions the antibody effect may be so great that p24 antigen is no longer detectable however, at that time antibodies are still easily detected. For that reason, when a person is infected with HIV, once the antigen is present and detectable, the test remains positive. You cannot have HIV infection for more than six weeks after acquisition of infection and not have a positive test. Your results are conclusive. Believe them!!!
Please be aware, further repetitive, anxiety driven questions may be deleted without a response and without return of your posting fee. EWH
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