[Question #8921] General Follow up / Clearing up confusion

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38 months ago
Hello I am following up on the question numbered #8795 with general questions to help quell any lasting anxiety.
To begin with I stubbornly went to get tested after I was told not to and to no ones surprise I was negative. However my questions begin there. I took my test on the 48/49th day (My exposure to place over night so I cant be sure) or the seventh week exactly. I took the Chembio HIV 1/2  finger prick. This one here https://chembio.com/products/sure-check-hiv-1-2-assay-usa/.

My first question is, I read on a few other question threads (#3371 and #4280 respectively) that taking this test specifically (as well as other rapid tests that check the blood and not oral fluid) is conclusive at 7-8 weeks, does that mean based on my exposure and my risk that my 48/49th day test result is final?

Second question has to do with ARS itself, now I know the symptoms most commonly associated and the general time frame(read on here 7-10 days is common and usually 2-3 weeks), however my main question is, do all symptoms begin at the same time, and if so what is the severity of said symptoms? And in that same breath how long do they usually last? I mainly ask this because someone I recently had intercourse with (virgin and oral sex mostly) got a infected tonsil 20/21 days after we had sex for the first time. To clarify she is the first sexual partner I have had since my last exposure and I tested negative the day after.  Is this something to be worried about or because she doesnt have a combination of other symptoms is she fine? 

My main question lies with the testing query so thank you again for your knowledge. 
 
 
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H. Hunter Handsfield, MD
38 months ago
I'm sorry you felt the need to return yet again, especially since these questions basically were answered previously, or the answers are obvious with a little though.

1. Yes, your 48-49 day result is conclusive. You do not have HIV. I suggest you stop reading other threads and trying to interpret details that may not pertain to your situation.

2. Your second question is irrelevant, right? Since you do not have HIV, the symptoms of HIV don't matter in judging the possibility you are infected. The quick answer is that ARS symptoms typically come on over a few days, not longer. An "infected tonsil" does not suggest ARS. No, this is not something to be worried about.

HHH, MD
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38 months ago
Thank you for the clearing up of my confusion, as mentioned I tried to find the answer through previous replies but I had a hard time discerning up to date data and such. Especially when it comes to finger prick tests. I thank you again for the knowledge and putting my mind at ease
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38 months ago
I do thank you for your prompt response since I personally could not find a definitive answer. Especially when it comes to finger pricks tests but as you said they are definitive. Thank you again doctor for your expertises!
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38 months ago
My last follow up is more about the finger pricks, are they all created equal in terms of testing window or is the one I took Chembio HIV 1/2 the better one? For future refrence.
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H. Hunter Handsfield, MD
38 months ago
Thanks for the thanks. I'm glad to have helped.---
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H. Hunter Handsfield, MD
38 months ago
I would recommend lab based testing as ultimately the most reliable. However, in your situation (very low HIV risk to start with), fingerstick testing is fine.

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38 months ago
Thank you as always for the expertise and peace of mind, this will be my final time (hopefully) using this service since I am wiser than I once was.

Just to reiterate the finger prick at 48/49 is conclusive based on all available information?


Thanks once again
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H. Hunter Handsfield, MD
38 months ago
If the fingerstick test was an AgAb (4th generation) HIV test, it is conclusive at 6+ weeks. If an antibody-only test, it can take 8 weeks. However, even there, given the nearly zero risk of your exposure, your 7 week result should be considered conclusive. (The chance you were infected was no higher than one in a million, so a test with 99% reliability reduces those odds to one chance in a hundred million. Obviously that is zero for all practical purposes.)

As you may have been told in the past (in a now deleted string), repeated anxiety driven questions on the same topic are not permitted. This being your second thread about this exposure and HIV risks, it must be your last. Future questions about this exposure etc will be deleted without reply and without refund of the posting fee. Other similar questions, like new exposures but with similarly low to zero risk, will be subject to the same policy. Thank you for your understanding. I do hope the last two discussions have been helpful. Best wishes and stay safe.
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