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Bad Situation

Question: 

Hey guys and thanks for the help !! I got myself in a really bad situation and cheated on my girlfriend with a commercial sex worker while on a weekend away with some friends. She insisted on using a condom and so did I (she actually had a full bowl of them). I did not check the condom at the end. The was the first time I sleep with a sex worker and this was my second sexual partner ever. I felt horrible an admitted everything to my GF. We have talked everything through and I have never felt more confident about being and staying monogamous and I want to make sure I can continue this relationship in a fully healthy way. I just want to know If my test are fully reliable and I can can have no worry of putting my girlfriend at risk. These are the tests I took all of which were performed by a doctor or nurse:

4weeks- full std panel
6 weeks (44 days)- 4th generation HIV lab test, syphillis, Hep
6 weeks (44 days)- Insti rapid test
8 weeks (58 days)-4th generation HIV lab test, syphillis, Hep
9 weeks (67 days)- 4th gen HIV rapid test
10 weeks (69 days)- 4th gen HIV rapid test
10 weeks (72 days)-4th generation HIV lab test, syphillis, Hep
11 weeks (75 days)- 3rd gen HIV lab test
11 weeks (76 days)- Insti HIV rapid test
12 weeks (83 days)- 3rd gen HIV rapid test
12 weeks (86 days)- insti rapid test
13 weeks (94 days)- 3rd gen HIV rapid test
13 weeks (94 days)- 4th gen HIV rapid test
14 weeks (96 days)- 4th generation HIV lab test, syphillis, Hep

I know this amount of testing is sort of excessive (actually really excessive)...but I just really want to keep my partner as safe as possible. Thank you guys in advance

kindly,
Nathan

Answer: 

Hi Nathan,

Thank you for your inquiry. From what we gather from the question, you were asking about the conclusiveness of the testing you received after your safe-sex encounter.

It was responsible for you to seek testing following your safe-sex encounter in order to ensure both you and your partner's safety. Although you were safe, vaginal sex with a condom is still considered to be a Low Risk (Evidence of transmission occurs through these activities when certain conditions are met), due to potential for improper use and breakage (1).

Official HIV testing guidelines for the 4th Generation EIA recommend re-testing at 12 weeks post exposure for completely conclusive results. Because of your diligence with testing follow ups (as long as your test results returned negative) you can confidently be assured that your 14 week (96 day) post exposure test results are considered extremely accurate and conclusive.

Recommendation: No need for further HIV testing with the scenario provided, refer to a physician for other health related questions.

All the best, AIDS Vancouver Helpline/Online, Cody