[Question #8426] HIV Test

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44 months ago

Hi, around 5 months ago I  had unprotected anal sex with another random male. (I was the bottom) I went on PEP meds a couple days after the encounter and took the full 4 weeks. During this time around weeks 1-3, I got a big rash on my back and received treatment via IV steroids everyday multiple times a day until it dissipated. I have tested negative for HIV 4th gen both 6 weeks off PEP meds and 3 months off meds. 


I am concerned if I can still trust my HIV results with the heavy steroids they were giving me when I had the rash 3 months prior to my final test. 

Would the steroids I had received delay my HIV results to be conclusive?


I’ve also had a few cortisone shots in joints for injuries during this time which I am wondering if that could also delay my HIV results to be conclusive, or make it not show up on the test. I had a cortisone shot about a month after the encounter, another two months and on the third month as well. 

Could the cortisone shots I had received interfere with my HIV test if they were in close proximity?


I was also taking some supplements during this time, including biotin but I stopped taking it several days before my final 3 month post PEP test.

Would this have any effect on the test?


I’ve been sporadically using cortizone cream during this not knowing if it could have an impact, I could have had some on even when I had the tests done, I don’t remember.

Would this have any effect on the test? 


Can I trust my HIV results? I want to be 100% sure I don’t have it

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H. Hunter Handsfield, MD
44 months ago
Welcome. Thanks for your confidence in our services.

The HIV blood tests are among the most accurate diagnostic tests ever developed, for any medical condition. There are no medical conditions or medications that interfere with the tests or their reliability. Your negative tests are 100% reliable and prove without doubt you do not have HIV. In fact, if anything cortisone and other immune suppressive drugs would INCREASE test reliability, not reduce it:  if they inhibited antibody production (which in fact they do not do), then the antigen component of hte test would be even more strongly positive. The same is true of vitamin supplements:  no possible effect.

So you definitely can trust your negative results. You do not have HIV. Don't waste any more money, time, or emotional energy on this issue. You're home free!

I hope these commetns are helpful. Let me know if anything isn't clear.

HHH, MD
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