[Question #8911] Covid Affect on Testing
38 months ago
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Doctor,
In my last question you advised me to test one more time. Tomorrow I am scheduled to have an alere rapid duo test. I have several very quick questions. I have read varying opinions on this forum about if having covid affects test results.
1. Do you have be sick with covid for it to affect hiv test results?
2. What if you have had covid in the past will that affect results? (I did)
3. I am not sick, although two weeks ago my daughters were but they were not tested for covid. I never got what they had. Could this affect tomorrows hiv test?
4. I heard some people dont have symptoms of covid yet they have it? Should I take a home covid test before testing for hiv?
5. When your counting the window period do you start with the day of the exposure or the day after?
6. Is 8 weeks conclusive for hiv 2?
7. When is ARS 2 to 6 weeks?
Thanks. I know you said not to ask repetitive questions but this is different.
M
38 months ago
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Doctor,
One additional fact;
I also was diagnosed by two different dermatologists. had a irritated skins and pimple things on my lower butt. One said I had a fungal infection. One said I had foliculitis and intertrigo.
I was prescribed nyastatin powder. I thought it could be from working out and leaving the wet clothes on or from shaving that region.
Could this be Ars?
38 months ago
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Doctor this will definitely be my last inquiry.
I had the following covid shots
shot 1- 1/26/21
shot 2- 2/22/21
booster- 10/30/21
Does this affect hiv testing?
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H. Hunter Handsfield, MD
38 months ago
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I'm sorry you felt a need to return. This is all strictly your anxiety and my replies are succinct.
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Questions 1-5 and your concluding additional comment/question: There is no evidence that COVID or COVID vaccines have any effect at all on the reliability, timing, window period, or any other aspect of HIV testing.
6. This was discussed in your previous thread. Yes for conclusive HIV2 testing at 8 weeks.
7. ARS symptoms typically start 7-10 days after infection and are gone entirely by 3-4 weeks.
The symptoms of ARS are caused by the immune system, and therefore the blood test ALWAYS is positive in people with ARS. In other words, your negative test results prove that any and all symptoms you had were not possibly due to ARS. And anyway, folliculitis and intertrigo do not suggest ARS.
From my concluding remarks on your previous thread: "Please note the forum does not permit repeated questions on the same topics, exposures, etc. This being your second, it will have to be your last: future questions along these lines will be subject to deletion without reply and without refund of the posting fee." This policy definitely will be followed if you post any more questions on these issues.
HHH, MD
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38 months ago
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Dr. Handsfield,
Thank you for answering my questions. Great news I went for my Allere rapid determine duo test today. I was really surprised but it was NEGATVE.
The reason I asked about Covids affect was Dr. Hook recently said "While Covid rarely may cause a falsely positive HIV tests, it would not cause falsely negative hiv tests". My follow-up questions are as follows:
1. Any additional thoughts on the Covid topic?
2. Todays test was either 55 or 56 (8 weeks) days past risk. Can I move on without worry that BOTH HIV1 or HIV-2 have been definitely ruled out?
3. Can I sleep with my long term partner unprotected with out worry of hurting them?
4. During my window period I experienced thrush. As I had in the past as well. In my previous post you said "once a person is carrying yeast they often regrow and cause symptoms, This usually does not indicate an immune diffeciency." Does that mean hiv antibody tests would not work for me (I know the antigen portion would pick up hiv-1 but not hiv-2)? Or would i have to be extremely immune impaired for this to be a concern? THIS is my biggest concern.
5. As I said last week Jun 9th a dermatologist said i had a fungal infection on my lower but and she gave me nyastatin powder. I went to another dermatologist Friday June 10th. He said it was folliculitis and intertrigo. He recommended Zeasorb. This issue started a few days prior to those visits. Regardless of what condition I have on my butt would todays test rule out ARS?
6.If I get additional mouth sores or coatings or thrush can I move on with out more testing and or thinking I need more HIV tests?
Thanks for your time and professional advise. I would like to just move forward and not look back.
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H. Hunter Handsfield, MD
38 months ago
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1. Nope.
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2,5,6. You should know the answers from previous discussions. What isn't clear in statements like "all results after 6 weeks are conclusive"???
3. Yes of course -- which also is obvious with a little common sense and reflection. We refuse to spend time and energy answering the same questions sent with different wording!
4. Also discussed previously, including that the HIV test results are to be believed regardless of what symptoms or other problems are present. That includes oral thrush. And yes it is true that thrush generally is a complication of advanced, life-threatening AIDS.
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37 months ago
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Dr. Handsfield,
Good morning. I wanted to provide an update and ask my final questions:
Updates from our last correspondence. My risk was brief condom protected sex then I learned shortly after the act I had several genital warts under my testicle sack.
To try and rule out HIV-2 I was tested via the alere rapid duo at 55 days. The result was negative.
Last night I went to a wedding and drank quite a bit. When I got home a noticed a white thrush type sore on my inner cheek. I scraped it off. But of course its anxiety causing. This was exactly 10 weeks post risk.
Questions-
1. Is 10 weeks post exposure to late to be ARS even if it resulted from HIV-2?
2. What is the ARS timing? I heard the latest is 6 weeks?
3. Do I need yet another hiv test because of the thrush last night?
4. Dr. Hook said a Covid infection can rarely cause false positive tests. Have you seen this? Is it just if you are actively sick from Covid?
5. While some studies show having HPV increases your risk to acquire HIV. I always use condoms with new partners but that doesnt mean a tiny wart is see or covered. You do not think this is a concern?
5. My final question is repeat because I did not really understand your response. In my previous post you said "once a person is carrying yeast they often regrow and cause symptoms, This usually does not indicate an immune deficiency." Does that mean hiv antibody tests would not work for me (I know the antigen portion would pick up hiv-1 but not hiv-2)? Or would I have to be extremely immune impaired / sick for this to be a concern? THIS is my biggest concern. Would the antibody portion still catch an hiv-2 infection?
6. Can I continue to have unprotected sex with my regular partner?
Thanks for your time, patience, knowledge and empathy. Have a nice weekend.
37 months ago
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Lastly was this risk a concern for hepatitis? I tested negative at 41 days post risk. Is this conclusion?
37 months ago
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For Clarity-My risk was condom protected vaginal sex.
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H. Hunter Handsfield, MD
37 months ago
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1. Is 10 weeks post exposure to late to be ARS even if it resulted from HIV-2? Yes.
2. What is the ARS timing? I heard the latest is 6 weeks? Six weeks is too long. Usual onset 10-14 days, rarely if ever longer than 3 weeks.
3. Do I need yet another hiv test because of the thrush last night? No, you do not. I don't accept the premise that you have an oral yeast infection (thrush). There are plenty of other causes of white patches in the mouth. But even if you had thrush, it would make no difference: nothing overrules a negative AgAb test when done more than 6 weeks after exposure (or 8 weeks to include HIV1).
4. COVID false negative tests? I've never had such a case. If it occurs, it is vanishingly rare and not a serious consideration.
5. ...some studies show having HPV increases your risk to acquire HIV. That is not the scientific consensus. HPV has little or no effect on susceptibility to HIV infection.
5a. You are overthinking this. It just means that even if you have yeast infections, the blood test results tell the truth about HIV status. There are no exceptions.
6. Yes, you should be continuing regular unprotected sex with your partner.
Please note the forum rule against repeated anxiety driven questions on the same topic. ASHA does not want to collect fees for questions with obvious answers. Continuing such discussions tends to just trigger "yes but" or "what if" questions that tend to prolong anxiety rather than relieving it. Finally, such questions have little educational value for other users, one of the forum's main purposes. Repeated questions are subject to being deleted without reply and without refund of the posting fee. Thank you for your understanding. I do hope the recent discussions have been helpful.
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