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Still Worried

Hi there, I'm a Canadian living in New York City. I had unprotected vaginal sex multiple times with the same girl on the weekend of September 18th 2015. We were seeing each other for a few weeks on and off but it wasn't a committed relationship. This wasn't some random girl I met either, we worked together, and as far as I knew she was clean. We had also been sleeping together unprotected in the months prior to that...

The following friday after that weekend I fell suddenly sick, Immediately I went to the docs and was diagnosed with just a bad cold. After it didn't go away for a few weeks it got worse and turned into a sinus infection. I've been dealing with a laundry list of different symptoms and feeling terrible on and off ever since then. I haven't felt all the way better or at least how I felt before I got sick since then. I was taking loads of over the counter meds plus 3 different antibiotics over the course of the fist few months or so after I initially got sick (I also had a Hepatitis A vaccination prior to a trip to mexico a few months before on June 30th 2015).

I spoke with her shortly after that weekend and she was fine, not feeling sick either in the days before or after that. She tested negative for everything when she went for her yearly gyno appointment a few weeks after that weekend.

I've tested for all other STI's and infections as well as gone through a general physical and general blood test/cell count test. The doc's tell me everything is in the green and fine. However, In the back of my mind I always suspected HIV so I started testing:

October 5th 2015, rapid hiv test: negative
November 27th 2015, HIV 1/2 AG/AB 4th gen w/ reflex, non reactive (negative)
December 16th 2015, HIV 1/2 AG/AB 4th gen w/ reflex, non reactive (negative)

I'm still feeling quite ill and still very paranoid. I haven't had any sex since that weekend to be safe in the meantime also. At my last followup I asked the doctor when can I be finally sure and does he recommend that I test again and he said:

Your HIV is negative and typically waiting 3 months is the standard. I cannot guarantee that you do not have HIV but it is HIGHLY unlikely. The lymph nodes you have are either normal palpable nodes or residual from your prior infection (sinus). However, in answer to your question, Yes repeating your HIV again in one month would be recommended.

So basically, he's asking me to come in and test again at the 4 month mark, which worries me because I thought I was done and past all of this...

I'm reaching out to you in hopes in calm down my anxiety and get some questions answered.

Mainly, after I take this 4th month test and it comes up negative again can I stop worrying? Is there a chance that it would take this long for a positive to show up if I indeed was actually infected? Everything I read online says 3 months is conclusive. Other than being sick right now I'm a perfectly healthy individual. I'm not on any of the things I've read that would affect it (chemotherapy, heavy medications, immune deficiency, etc) Are there any factors that would give a false negative? I just want to be sure after this 4 month test because I keep reading some people take up to 6 months and I really don't want to go through another 2 months of worrying and waiting.

Thank you in advance.

Borderline ELISA - ONLY Female with Female sexual relationships

Dear reader

I recently took a blood test for a general check up and my HIV test results came back as borderline .

- I am 22 / Female
- Never had a sexual relationship with a man
- Never used toys ( dildos, etc )
- Never injected drugs or shared needles ( i smoke marijuana on daily basis but nothing else, not even cigarettes)
- I had unprotected Oral sex with 2 girls . One of them 1 year ago and the other one 3 months ago (both claimed to be healthy)
- I had a Flu shot 3 months ago
- Around 2 months ago i had Herpes on my lip for the first time but applied antibiotics on it so it went away quickly ( i guess i got that from a friend who i shared a Marijuana role with and after i saw she had the herpes on her lip )
- I have a tattoo and its 1 year old, it was done in a hygienic manner
- Currently i was diagnosed with having a urinary infection, but i don't have the symptoms so my Dr told me to retake the urine test
- My White blood cells count is 8200
- The only sickness i had experienced in the past year was a tommy flu ( last week and a lot of people in my university have it now )

since i didn't expect to have HIV at all the borderline result really terrified me and now i'm waiting for my PCR test results.
- What causes a borderline test results / what does it mean /?
- Given my condition, how reliable my test results are going to be please ?
- on the other hand this situation has caused me a lot of stress and all of this is happening while i am on my PMS, i can't sleep properly or eat properly. my heart rate average in the past 5 days is 98 while usually its on 65-70 . Could you maybe suggest a way that can help me reduce my anxiety please ?
- Can any of the factors mentioned above ( Flu shot, Herpes, Marijuana, alcohol, urinary infection) manipulate my test results both PCR and ELISA 3rd generation ?

- Which test is the most accurate one for detecting HIV after all ( amongst all the testing methods existing) ? as my research shows they all can be wrong for so many reasons ! How can i finally know if i have it or not ?

Thank you for your time .

1982

My exposure is 16 month older and my question is specific
I DID PCR RNA QUALITATIVE FOR HIV1 IS THIS TEST IS GOOD AND RELIABLE AFTER 15 MONTH EXPOSURE OR THIS IS GOOD ONLY IN FIRST FEW WEEKS OF EXPOSURE MEANS THE RESULTS OF THIS TEST AFTER 15 MONTH EXPOSURE ARE RELIABLE

NAT SCREENING && ELISA

Hi Doctor

I had NAT Screening 55 days after the exposure and all are non reactive. HIV Antibody Test (Non Reactive) 5 months after the exposure. Is it accurate ? Do i need to take a test again for Hepatitis and Hiv? Help me please doctor. thank you

RNA test location

If I want to get test earlier, within 2 weeks after the exposure. Where can I get the RNA test in Vancouver? I assume it is free?

I HAVE HIV SYMPTOMS

Hi, I had an oral sex with a guy I swallowed half of his cum and half was spit out. 4 days later he told me he is HIV+; the following week I got tested and everything came back negative. After 1 week, I started having the symptoms. I had rashes (maculopapular rash) all over my body and bruises on my legs, and diarrhea for two weeks, which made me lost 8 lbs in just 2 weeks.

I took the HIV RNA test on the 17th day which came back negative. I am freaked out now and don't know what to do anymore. On my 26th day, I went to get tested again and now just waiting for my results. Am I going through seroconversion phase? And if I am, would it show to all the tests that I have done including the HIV RNA test? Am HIV+ now? I am beginning to accept the fact that I am now HIV+ and beginning to lose hope. PLEASE HELP!

HIV window period compared to other STI windows

There are many post about accuracy of HIV tests and as stated it is always best to retest at 3 months period for absolute confirmation.

The lower limit (4 weeks) on the window period is likely set by the sensitivity of the test while the upper limit (3 months) is set by the biological variation in humans.

But I was interested to know why the window period is so long specially for HIV compared to other STIs including bacterial and viral.

Is this something to do with

1) How your body produces antibodies to HIV specifically, it is slower? Maybe because HIV can hide inside of cells more efficiently?
2) Means of testing, other STIs especially bacterial will look for the bacterial itself therefore will always be able to detect much sooner? Although syphilis is also form detecting antibodies from a blood test as well I thought?
3) Or window periods are essentially the same for all infectious diseases just in the case of HIV to make sure we can catch all the cases, we must be much more stringent and extend the window period to catch as many statistical outliers as possible.

If the latter is correct and if most people test for STIs such as chlamydia (3 weeks) much sooner than HIV, is likely that there a lot of missed cases of chlamydia, on top of the fact that most people don't present symptoms and get tested in the first place.

Two encounters that got me scared of HIV

Hi,
Last March I had sex with an escort and after I was done I discovered that the condom was broken.
I had a combo test 4 weeks post (April) and it was negative , I had another combo test on 4 Months I think and it was negative too.
My second encounter was with an escort too , I had protected sex with her but she was grinding on my penis with no condom and her
vaginal fluids were all over it ( I am not sure if I had scratches or not) but when we were talking she told me she never has unprotected sex.
My last test was the rapid test which was one week after my second encounter and 7 months after my first.

Now it all began after my first encounter , since after that I started getting very anxious and super scared of HIV because I see a lot of escorts and not in monogamous relationship , I have sex with multiple partners of unknown status all the time.
I always use protection but after I am done with all the sex I start getting worried

My questions are:
1-What are the risks of my two encounters considering my tests
2-I am thinking about getting the RNA test tomorrow , how accurate is that and whats its window period?
3-Are escorts considered high risk as most people including me think they are?
Thanks

Test Accuracy

Hi, i had protected sex about 8 weeks ago with commercial sex worker. I did fingering in to hers vagina and post that had vaginal sex. I had done DNA PCR test on 15th day was negative. I have done Antibody Elissa test on 57th day which is post 8 weeks of possible intercourse was again Negative.
Can I consider my test results conclusive?

Multiple negative test conlusive?

Hello, I had 1 protected enclosure about 16 weeks ago, I tested PCR RNA negative at 2 weeks, then negative 4gen combo (antigen and antibody) at 28 days and again negative at 13 weeks. Then I tested negative rapid blod test at 14 weeks. Are these negative results conclusive?

Is there any change I can get positive after? Do I need to test at 6 months? Can antibodies be detected at a further point or with just the antigen and RNA is fine to rule out a a possbility of infection? I want to start my monogany sex life again with confidence!
Thanks!

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