I recently had a sexual encounter with a transsexual female (born male). I received unprotected oral sex and we had protected anal sex (condom). She ejaculated, cleaned off and then gave me oral sex plus anal fingering. I have no idea how well she cleaned up after ejaculation and if there was any left on her body/hand which was then used back on me in form of handjob and anal fingering. I also had slight open abrasions on my penis from previous sex that week which had not fully healed.
The day after I had shooting migraines that lasted 2 weeks. At 14 days after possible exposure my lymph nodes swelled and became sensitive to touch. I also woke up on day 14 in a panic/sweat. I had blurred vision and was experiencing dizzy spells with waves of nausea.
We both got tested the next week (9 days, 21 hours after the sexual encounter). Not sure what test she got but I believe a full test panel (but the HIV test must have been rapid because she got results right away). Results on that test were negative for everything.
My test (same exact time frame, 9 days 21 hrs) was performed using the APTIMA HIV-RNA Qualitative Assay (Gen-Probe). Test came back negative “HIV 1 RNA, QL TMA NOT DETECTED, REFERENCE RANGE: NOT DETECTED”
My question is am I definitively clear of possible HIV exposure or do I need extra testing? Is it possible that the test I got was done too early? I've since read that 11 days post-exposure are needed for that test to be definitive.
I ended up in an urgent care unit today due to the amount of anxiety and stress I am feeling about this entire situation. My heart felt like it was going to burst through my chest I am so nervous. Can't focus and am feeling depressed and overwhelmed. I feel a slight bit of relief with this negative test result but I am not convinced…not sure I will be convinced for a long time the way I am feeling…
Thank you for your response and help
I had a question posted but haven't got any reply !
But let me describe again.
Hello doc !
I did have a possible exposure to local sex worker in Greece ( MAY 2015 )
Symptoms did arrive post 2-3 weeks
Exact flu kinda symptoms!
Was nervous and thought of being infected!
Really felt like killing myself !
Some sources say 3 months some say 4weeks some 6 weeks some 6 months too !
Some say there are 4 situation which effects the hiv testing !
2) treatment for hep c
3) treatment for cancer
How do I know whether I have immunodeficiency ? I was serious kinda ill during my childhood
Suppose if I do I have some immunodeficiency
Does it affect my testing !?
Testing is delayed for antibodies ?
But even with some immunodeficiency antigens /rna/ dna / Id NAT should be detected?it detects the genetic material of hiv
I have take several duo test at
23rd day - Eclia
28th day - Eclia
42nd day - Eclia
58th day - Eclia
89th day - ELFA
93rd day - Eclia
103rd day - ELFA
103rd day - Cmia
122nd day - cmia
And last one was
179th day - Eclia ! All were not reactive
One hiv rna pcr 1 qualitative @ 103rd day - NOT DETECTED
One id NAT test @ 125th day - viral screening for hiv rna Dna 1/2 ! Hep c ! Hep b ! - NOT DETECTED
Two complete immunology test once th day when I had my IgM was slightly high and IgG was slightly low @ 48th day
Again took immunology test at 58th day
All were normal
Again took immunology test at 93rd day
All were normal
Agin took immunology test at 179 th day !
All were normal
Took syphills test at 23rd 42nd 58th 93rd
And 179th day -all non reactive
Took herpes 1/2 IgM IgG non reactive at 42nd day
@ 93rd day IgM coming out as equivocal and IgG was non reactive
@103/104 ( two different lab ) - both IgG IgM was no. Reactive
Took hepatitis b antigen @ 58th and 93rd day non reactive and 179th day - non reactive
Took chlyamdia IgA IgM IgG -negative at 42nd day
Anti HCV - 93rd day and 179th day -not detected
60th day - CBC count was normal
89th day - CBC - lymphocytes full high - neutrophils low
93rd day - Cbc - lymphocytes slightly high rest normal
103rd - Cbc - lymphocytes slightly high rest normal
124th day - lymphocytes slightly high
130 th day - all were normal
179th day - lymphocytes are high rest all are normal
Took vitamin d and vitamin b 12 - Have Deficiency ( I am vegetarian)
Really tensed !
Got some symptoms that is
Sometimes improper stools or dark colored stool !
Minor sore throat !
Still have bad dreams ! Being too anxious !
Can you explain ? This in detailed manner ?
So many duo test ? Yet feeling scared !
I got married recently! I don't wanna infect her !
I got weird throat sometimes it's proper sometimes it's not same with my stools !
Can all this tests be false negative? That hiv PCR rna ? Duo ? Id NAT for hep c hep b hiv1/2
What is the difference between NAT and id NAT test?
I had three immunology test once Igm was high and IgG was low ! Rest immunology tests were normal !
But lymphocytes are high ! Mostly since two months - three months ?
Any testing needed ?
Feeling very anxious and looking for some guidance please.
My boyfriend went for routine bloodwork 6 weeks ago incl an hiv test. His dr said his first test was inconclusive but the second test was fine so he has nothing to worry about. I asked my boyfriend what the deal was with his first test - he doesnt know. He showed me the test results - "eia equivocal. Ag (screen) very abnormal" . The western blot was not done as a secondary bc "low eia signals" dont allow for useful results. So an rna naat was done - no rna found - "these tesults are inconsistent with hiv infection" . His drs final conclusion was " nonreactive"
1. What does the very abnormal on the Ag screen mean?
2. Why wasn't a western blot done?
3. How conclusive is the overall result since the rna naat came back clean?
I am so overcome with anxiety I cant take it another day. Ive spent sbout 40 hours online trying to sort this out and it has just made me more anxious. I just need an interpretation bc trying to do it myself is killing me. Please help me.
I have done a stupidest thing,I had 4 sexual encounters with 4 different sex workers and each sexual encounter was at a gap of approximately 1 week and all sexual encounters was done using condom. My last sexual exposure was on 25th September. From 26th onwards i have different symptoms like a rash on chest ,fatigue, ill like feeling and itchy rashes on my penis and anus,white thrush on backside of my tongue .After 18 days of my last sexual encounter I had RNA PCR qualitative test and the result came as "not detected" later on day 40 after of my last sexual encounter I had 4th generation HIV DUO test which came as non reactive and index value is 0.16.I heard that hiv duo test at 6 weeks is conclusive,is my HIV DUO test is conclusive?or should i have to test again? please reply and help me, thanks in advance.
The only exposure i had on 28th of august is that i licked the breast of a CSW for 2 minute(softly). There was no intercourse happened(vagainal or Anal). I have done HIV NAAT test right after 30 day of exposure it came as negative.
Symptom i faced are below:
White toungue and dry mouth (after 9 days)
Diarrhoea (2 week after exposure)
Burning sensation( 2 week after exposure)
A fever (101) and swollen lymph node (after 60 days of exposure).
Please help i am really worried.
My 90 day are going to complete on 28th of november.
Do i need to go for testing? Really worried.
I have a very complicated situation and would love any thoughts.
Two weeks ago, I had an incident where the I had sex with 3 men, as a bottom, and used a condom, but don't know the status of the individuals. I also don't know if the condoms were put on correctly (as it was dark) and one of the individuals came in me (I don't believe the condom broke but not sure).
So two days after the incident, I started on PREP (I couldn't get PEP) and then 5 days later, I went and got tested. The Antigen, Antibody test were both Negative but the clinic also did an HIV RNA quant test that showed up Positive with a viral load amount of 294. At this point, I had been on PREP (Truvada) for 5 days.
5 Days later, I got another RNA Qual (Super sensitive so from what I was told, detects viral load of <20) and that was negative. I also re-run the antibody and it was negative.
My doctor is hoping that the initial RNA was a false positive (due to the context) and because the initial viral load was so low, but also uncertainty because of being on PREP and perhaps that bringing down the viral load prior to the test.
Any thoughts? Sorry, it's a bit convoluted of a scenario but would appreciate any counseling.
I took the RNA PCR Test at 11 days post exposure and it returned back negative. It is almost a month since the exposure and I have experience no flu-like symptoms at all.
Since the RNA PCR Test was negative, I can assume that given the accuracy of the test at that time that I am perfectly okay, correct?
I mean, my doctor is an Infectious Disease doctor and he deals with people that DO have HIV/AIDS and he told me that the virus would already by at detectable levels in the blood by the time I took the test, and he was quite confident enough to even prescribe me with PrEP.
Now, I've seen a lot of post answers regarding the RNA PCR test and some of your volunteers give a window period for it of 3 months when it's actually a less than a month window period, why? I've seen some giving the correct answer for the window period here. I just want to know why the answer isn't consistent.
Anyways, I am glad to know I am HIV negative, as far as the RNA PCR Test goes, and that I am fine.
Thank you for answering my questions in advance!
I have had an contact with a true positive person. I received fellatio, thats all i have done!
That happened on January 27... my last test is on august 17 i think (among many other tests..)
I have been tested well over 10 times, I have had 3th gen elisa's, 4th gen duo tests, westernblots, and one time RNA PCR test on 9 week after exposure.
I have had many symptoms(i will not go into much details) the remaining symptoms are:
Isometric Tremor (when i flex my muscle and try to hold it just shakes and cant remain steady), brittle nails, cold feed, eyefloaters and some weight loss + pain in the head when i look right with my eyes.
I am considering to get another test, but I am too scared to do this now... I have had so much hard time, every test i engaged i died inside waiting for the dreaded news... THANK GOD I remained negative, but even after hearing so many negative tests, I still cannot get back to normal :(
Can you please advise me how to proceed in this kind of situation? Should i go to another test and if so, what is my chance of testing positive after almost 7 months negative duo test, 9 week RNA test - undetectable + westernblot ( and many more tests).
THank you! I love you!
Hi, thank you in advance for taking the time to adress my concerns.
I was anonymously informed that I was a contact and to get tested. No date or idea of when was provided so im basing my experience on the most recent potential exposure (I generally practice safe sex but this involved heavy drinking which blurred my memory).
My first test was a pooled nat at 10 days (non reactive) followed by an insti, p24, and pooled naat, at 4.5 weeks (all non reac) and finally an insti test at 6.5 weeks (non reac) coupled with a pooled naat at the suggestion of the nurse due to the fact I was listed as a contact and my general anxiety over the issue. I will not get the naat result until next week. How reliable is the combination of testing to date up to the 6.5 week negative antibody test? How likely is the 6.5 week naat to change from 4.5?
Do I need to go back at 12 weeks for verification or can I rely on the variety of tests recommended?
Can I consider HIV RNA test at 45 days conclusive? Many say it is conclusive at 28 days. Is it true? Can I relay on that?