Good morning.

I(female living in Europe) had an unprotected sexual exposure to a guy I don't know. This didn't happen with consent.

Anyway, this happened right before the covid pandemic hit in my country, exact date is january 1, 2020. Because of the covid-19 pandemic, i had no access to my doctor and to be truthful i have a severe needle and blood phobia. So i kept on delaying getting tested for HIV. I worked up the courage to get tested for HIV on May 3, 2021, so more than a year after exposure. I was tested for HIV with an HIV antibody test. I don't know if this was an Elisa test or some other kind of test. The doctor took my blood from my vein and then sent it to a lab. The result for the HIV antibody-only test was negative. What bothers me now is that the lab report also mentioned that the level of CRP was too high, the level of leukocytes was too high, the level of neutrophils segments (formula, absolute) was too high, the level of thrombocytes (also formula, absolute) was also too high, the levels of MCV and MCH were too high and the level of triglyceriden was too high. I also had a level of folic acid that was too low and a level of 25-OH-vitamin D that was too low. I also tested negative for syphillis. The doctor asked me if i was sick at the time of my hiv test, when she showed me the results of my bloodwork. I wasn't sick that I know of. I didn't take a covid-19 antigen selftest and the doctor also didn't test me for covid-19 virus. I don't remember which covid-19 variant was the dominant one in my country at the time of my HIV test (May 2021). 

I don't know why I started thinking about this. Maybe because the beginning of the new year is coming? I am afraid that I had SARS-CoV-2 at the time of my HIV antibody test and now I'm starting to doubt my negative HIV test result. 

My question is simple. Is it 100% certain that I don't have HIV? 

Why was your exposure unlikely to lead to infection:

1.  Most people, even those with many past sexual partners do not have HIV.  In North America and Western Europe, most people who have HIV are on treatment which prevents transmission of infection.

2.  Any single exposure is unlikely to lead to lead to infection.  Current estimates are that, on average, substantially less than 1 person in 1000 exposed to an HIV infected, untreated partner will become infected (in other words, 99.9% of single exposures do not lead to infection)

As for your test results, the tests your mention are non-specific markers of  inflammation.  The CRP, white blood cell (leukocyte), and platelet (thrombocyte) levels in the blood will change with any sort of inflammatory process including colds and other very common, every day viral infections.  The tests that you mention certainly do not raise concerns about HIV.

My advice is to accept and believe your test results.  If you were to choose to repeat your test (and I do not think this is needed), I am confident you would once again find that you had not acquired HIV a result of your assault.  

I hope this information is helpful.  If any part of my response is unclear or there are additional questions, please use your up to two follow-ups for clarification.  EWH

I would like to thank you very much for your very detailed explanation about risks and such. 

I would like to ask if you were able to read the second comment I made about the covid-19 vaccines. After I posted the second comment, i read in the rules of the forum that you are not allowed to post a second comment right after the first post, like I did. I'm sorry about that. 

 

I'm also sorry about my very long post. I just don't want to leave out any details that could be important. So just to summarize, and make sure i understand everything correctly:

1) Even if I had SARS-CoV-2/covid-19, and didn't know about it (so without symptoms or maybe with very mild symptoms) at the time of my HIV test, I can still be completely certain that my HIV test and my HIV test result are completely reliable and valid?

2) I do not need to get tested again for HIV. Am I correct?

3) Can I be 100% certain that I don't have HIV? 

Thank you very much!

Yes, have confidence in your test results

You may have one more follow-up question if you would like.  EWH