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PEP

Post PEP Testing

 
Hello - thanks for such a great site.  Apparently the CDC and the organization that puts together the testing guidelines after Post Exposure Prophylaxis (PEP) recommends the first antibody test to be performed 6 weeks post exposure.  That is only 2 weeks post-PEP.  
 
Can you give some insight into why this test is even recommended at all given the fact that PEP delays seroconversion?  Im just trying to get my head around their thinking here, and why the results would have any relevance at all.  
 
Their second recommendation is 12 weeks post exposure and 3 months post exposure.  I understand those two, as that would be 6 weeks after PEP.  Enough time for antibodies to develop.
 
I was exposed to an HIV+ female with two sessions of unprotected insertive vaginal intercourse.  I was put on PEP medications within 9 hours of exposure and completed the full 28 days.  I tested negative on an OraQuick Saliva test at 5 weeks, 6 weeks, and again at almost 7 weeks (47 days).  
 
Yet 13 days after completing PEP, I became very ill with intense fatigue, glandular activity, headache, and noticeable nausea.  I'm not sure that 17 days (post PEP) 47 day (post exposure) negative test has any value or meaning whatosever....
 
What do you think?

What are the steps if you are detected HIV +?

HI there,
It is a scary moment for me right now as I had sex yesterday and the condom broke inside me and i had some cum all in me. The guy I had sex said he is clean and tested Jan. Of course I;m terrified about it and didn't sleep at all last night... I want to get tested of course, but I;m soooo scared and no idea what to do if the test comes +...
Is there a "pill" or something I should do as this happened less than 24 hours?
Sorry to be so opened but when that happened I duched and cleaned myself in the shower with water for like 10 min or so...
Is there any thing I should do or know? Is there any test that I can go in and get it done and know the result right away? The wait would just kill me and I wouldn't be able to go through this...
I'm freaking out of course.. any help and comment would be soooooo good right now...
thanks a bunch!

Can lamivudine/zidovudine Treat anything else other than HIV or hepatitis?

Hi.
My friend visited a doctor a few days ago because he did not feel so well.
The doctor did some blood tests and gave him lamivudine/zidovudine & another drug i cant remember the name of.
Based on my research, all of these drugs treat HIV.He was advised to take them for about a month.Is there  chance that these drugs could be used to treat something else other than HIV?
My friend does not seem to understand yet he says his test showed HIV-negative.
Please help us understand. 

PEP affecting HIV duo test at 6 weeks

 
Hi. I experienced a significant HIV risk. I had intercourse with a Thai sex worker and when I withdrew I realized the condomn has broken. I went on PEP for 28 days. I see that the HIV duo test at 6 weeks is seen as conclusive. However, does PEP alter the accuracy of the result. What would you say is the accuracy after taking PEP?

HIV antibodies

Is it possible for hiv antibodies not to be detected after 13 months  post exposure ?

Dentist in panic

Hi there! I am a dentist, and was inserting a metalic matrix in between two teeth. I had to push real firmly the matrix with the pulp of one of my fingers. In the middle of the procedure, and with the gloves full of blood, I noticed a break (tear) in one of the fingers of the glove. I removed the glove, put on a new one and continued to work. When I was done, I noticed that one of my fingers, the same corresponding to where the glove tore, had a cut similarly to a paper cut. I squeezed as much as I could, and it did not bleed. I opened it as much as I could, and could see just a slightly deep area, but no bleeding. I cleaned with 70% ethanol, and felt anything. Scrubbed with detergent, and after 2 hours, I decided to open the cut and remove the edges so I could check if any bleeding had occurred more deeply that could not be seen otherwise. I did all the procedure with a lot of ethanol and detergent soap. Again, no bleeding, just an increased sensibility to touch as part of the epidermis had been removed. I squeezed as much as I could again, and no bleeding. However, I am still concerned that microscopic access to the bloodstream might have occurred. In such a case, would I feel the stinging with the ethanol? The patient was my boss´s husband, and she said to me that he had no disease. But who knows? Would you recommend PEP in a case like this? Thanks a lot!!!

HIV risk

I had protected sex with a masseuse in Bangkok on 28 Jan. She had been giving me an oil massage on my back and legs, then she went and showered and came back and we had intercourse. She helped me put on the condom and pinched the tip. I am worried abou whether she could have got oil on her hands during foreplay by touching me and if it could have got onto the condom and damaged it.
I also had brief uncovered oral during foreplay.
I was rubbing her pubic mound and clitors and felt some wetness. I had slightly injured the nail of the finger I was using, while opening a can two days previously and there was a small bruise under the fingernail (not bleeding however) and the nail was a little looser because of the damage but healing. Is there any possibility of her vaginal fluid having got under my fingernail. I don't think it did but can't be sure.
As it is only three days so far I haven't got tested but am planning to get a PCR test after 10 days. I have also started PEP (after about 65 hours after exposure).

Risk of transmission and other questions

Hello ,
I am Rodrigo. I write you because I have inquiries about risks of transmission of HIV, and also other questions. By October 31th, 2011, I had receptive and protected anal sex ( we used condom which did not break) with a guy whom has HIV (I realized of that the next morning of the intercourse). Also, I did fellatio to him (without condom), but there were not ejaculation, and when we were kissing ( eating a chocolate), I accidentaly bit his lip so I guess there was some infected blood that came into my mouth. I did not have any cut in my oral mucosa, but I was receiving treatment for peptic ulcers because of Helicobacter Pylori infection. He was diagnosed by June 20th, 2011 ( when his viral load was 76,500 copies/ml). Since that time, he is receiving HAART with lamivudine-zidovudine-Nevirapine twice daily, but he told me that there are some days ( at maximun 3) that he does not take the pills.
When I realized of him diagnosis, I went to a doctor who gave me profilaxis about 18 hours post-exposure with lamivudine-zidovudine, at 24 hours I received Efavirenz, and at 36 hours I received Lopinavir-Ritonavir. My question is : What is my overall risk of acquiring HIV, taking in consideration all that I have described above?.
I got an EIA 4th Generation at 33 days post-exposure, and 63 days post exposure ( 33 days post-PEP), both came back negative. How accurate are my results?. Do I need more testing?. I am planning to get another test within 1 month, What is the likelihood that my results would change?.
Thank you very much in advance.
Sincerely,
Rodrigo.

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