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Negative rapid antibodies test and negative PCR, Should I be relieved ?

Dears,
I felt the symptoms of HIV after having a 'protected' sex with a sex worker
My main noticeable symptom was a white tongue with red dots on it

I was really anxious and frightened, so I went to STD clinic

I had a rapid antibodies test (got the results after 20 minutes) and the result was negative
This test was 17 days after exposure, and the doctor told me that I got Chlamydia and told me to take azithromycin as one dose

I did so but the symptoms didn't go away as I still felt a muscle pain and flu-like symptoms except for fever

So I decided to take a PCR test at the 24 days mark after the exposure
and today the test result came as negative (cp/ml <50)

So my question, Should be relieved ?
I slept with my wife also (please don't judge me) and I'm really scared that I infected her

Are these tests reliable or not ?

Thanks a lot.

HIV RNA Test Reliability at 13-14 Days

Hi,

I had unprotected oral sex with a person of unknown HIV status about three weeks ago (both giving and receiving). One week after exposure, I had a 4th generation test that came back negative. 13-14 days after exposure I had a HIV 1 RNA, QN PCR test with sensitivity to <20 (copies/mL) that came back Not Detected.

At three weeks, I am now feeling a bit off -- slight fever, body aches, red blotchy palms, some unexplained rashes on my arm.

Can I take any comfort in my HIV RNA test?

Also, I want to get tested again soon (the anxiety is killing me). Should I take a 4th Generation test, or try to take another HIV RNA test?

please assess my risk, should i relax now?

i had an exposure with a CSW on april 7. she sucked my nipples and gave me a blowjob. It was protected oral sex and I was wearing condom throughout. I did not have any vaginal or anal sex with the girl. She gave me an unprotected handjob. Later She lied naked with me for half an hour and later I just chatted with her about her life, why she became a sex worker and if anyone in her family knew about what she did. I felt really bad after her hearing her story and felt I was exploiting someone and just asked her to go without having even any protected penetrative sex.

I dont know her HIV status but she insisted on using condoms for oral sex even though I was willing to go for oral without condom,saying she needed to protect herself. She also refused anal sex,saying she never has it and only has vaginal sex with a condom and told me she never had sex without a condom with any customer of hers. She also told me she does not let anyone ejaculate on her body as she is scared of diseases and STD. Now i dont believe any of this as such since at the end she is CSW. I am assuming her to be hiv positive.

After she went I freaked out the next day that I may have caught HIV because of her sucking my nipples if she had any bleeding gums or mouth ulcer. I checked my nipples and did not notice any sign of injury or mark but got very scared and started testing for hiv.I did not notice any blood coming form her mouth and did not have any cut or injury before she sucked my nipples. After the event i checked my nipples repeatedly but could not find any injury or small cut. I am very scared.

please refer to my test results below:-
risk date- april 7,2016
hiv-1 rna QUANTITATIVE pcr on april 18- negative, target not detected (10 days after exposure)
hiv 1/2 & p24 antigen combo test on may 6- index value- 0.07 negative(28 days after exposure)
hiv-2 pcr detection on may 14- negative,target not detected(37 days after exposure)
hiv 1/2 & p24 antigen combo test on may 21- index value- 0.11 target not detected(44 days after exposure)
hiv-1 rna QUALITATIVE PCR on may 24- negative, target not detected(46 days after exposure)

now can i consider myself 100% negative for both hiv-1 and hiv-2 and move on with my life or do i need a confirmation with an antibody testing at 90 day mark? is there a possibility that all my pcr and hiv 1/2 and p24 antigen combo test(CMIA) are false allnegatives? Is the hiv 1/2 & p24 combo test the same as the hiv duo test? I have read that both the duo and pcr test are considered conclusive by 4-6 weeks by hiv specialists... i know u may say that i dont really need testing but please help.

HIV Tests

I had a 5 sexual activity. After 1 year I did HIV PCR test and ELISA antibodies result is negative. Is test reliable? And if ı have a superinfection was it released in test results? Some web sites says cant be detected antibodies. On web a patient with hiv 1 superinfection case. Sorry my bad english

worried

I've had protected sex on 1st May 2016.
1.On the 21th day from exposure, i took the following tests-Hiv antibody/antigen,vdrl,Hepatitis B and C test.All negative.
2.On the 33rd day from exposure ,I've taken HIV 1proviral dna test and 4th generation HIV antibody and P24 antigen test.All negative.Could you please say if the results are conclusive.

Unprotected Oral Sex, Elisa Combo and PCR

Hi all
first of all I've to say this helpline is very useful and well done too.
Let's move straighforward to the point. I'm in a homosexual relationship since 3 years but in May we decided both to have one experience each with other guys, always protected insertive sex and both did unprotected oral sex without ejaculation in the mouth and without any sort of contact with blood.
Doing some math
My Boyfriend took an Elisa 4th generation (antibodies + p24) test 35 days after the "possible" exposure with the unprotected oral sex he had, results negative (no reactive).
I took a PCR RNA test after 15 days from the last exposure combined with a Elisa 4th generation test resulting "undetectable , less then 37 copies/ml " and not reactive to the antibody + p24 test.

I know PCR RNA is not a diagnosing tool (but my doctor prescribed me because he found me very anxious) because of high cost, technical problem and high rate of false positive but that actually is a high sensitivity test (so very few false negative results). What I am wondering now is
1) does my boyfriend can take his results as conclusive ?
2) can i take mine as conclusive ?

Now we are 6 (my boyfriend) and 4 (me) weeks after the last possible exposure and we do not have any syntomphs.
Thanks for all !

question about testing

Hi there I am just wondering that when getting a test done hiv if you have to tell the doctor the type of sex you had. For example is there a different test for unprotected anal vs unprotected vaginal sex or is just the standard blood test for all sexual acts. Do I have to tell the doctor what I engaged in or can I just be confident in requesting a test and not worry about giving full details to the doctor.

HIV infection tests

i had an sexual intercourse with a call girl in thailand on last week of (30april2016). i had a protected sex but my condom became little loose later so i am not sure of protection. since then i am afraid of infection. i face some symptom on hiv like tired, dry mouth, loss of appetite, diahorrea, rashes.so by then i did some tests 30days after sex (30may2016). hiv anitbodies test result came was non-reactive . dna pcr test also i had taken results have not come still. can u please tell me that whether i am in safe state or have any other test to detect the hiv much earlier. some people say i have to wait for 3 to 6 months. i am confused. please help me.

PCR RNA question (please answer)

Hello all, thank you for the great answers you guys give.

I have a quick question about the PCR RNA test. Do they need a sample of your blood from "before" an exposure to compare it to? Meaning do they need to see what/how your cells looked like before an exposure and then after to see if/how much of the virus is actually in you? I hope that makes sense.

question 2: If they do not need a before blood sample, what are they actually looking for? Does HIV actually have a distinct look?

Anonymous

I had a reactive result to my HIV 1+2 Ab + HIV p24 AA test. Then they re-ran the test (protocol) and the HIV 1 RNA (PCR/NAAT) test found "No HIV 1 RNA detected" and the interpretation was that it was not consistent with HIV infection but a follow up EDTA is required to confirm.
I am now waiting for the results of the EDTA and my anxiety is through the roof!!
What are the chances that the initial test was a false positive? Is it more likely that the first test was a false positive or that the second test was a false negative?

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