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HIV - exposure question

Question: 

I had a handjob 17 weeks ago from someone and I didn't know her status. I touched her vagina and immediately touched my penis, sucked her nipples/

I had multiple RNA and 4th gen tests out of anxiety and all were negative. I am having lot of symptoms since my exposure like pain in armpits be hindears in the thighs. Is there a chance that I got infected with all my negative results?

Is there chance for the virus levels to be very low to be detected by these tests at 16 weeks

14th day - HIV-1 RNA Qualitative - Negative
29th day - HIV-1 RNA Qualitative - Negative
29th day - HIV Screen 4th Generation wRfx -- Non Reactive
35th day - HIV Screen 4th Generation wRfx -- Non Reactive
42th day - 10 test panel+HIV Screen 4th Generation wRfx -- Negative and Non Reactive
49th day - HIV Screen 4th Generation wRfx -- Non Reactive
49th day - HIV-1 RNA Qualitative - Negative
56th day - HIV Screen 4th Generation wRfx -- Non Reactive
63th day - HIV-1 RNA Qualitative - Negative
63th day - HIV Screen 4th Generation wRfx -- Non Reactive
70th day - HIV-1 RNA Qualitative - Negative
70th day - HIV Screen 4th Generation wRfx -- Non Reactive
105th day - HIV-1 RNA Qualitative - Negative
105th day - HIV Screen 4th Generation wRfx -- Non Reactive
Week 16 - HIV Screen 4th Generation wRfx -- Non Reactive

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the HIV testing you accessed after receiving a hand job and engaging in vaginal touching and nipple sucking. The bodily fluid that could have presented a potential risk is the vaginal fluid being introduced to the penis.

From the information given, this is not considered a High Risk or even Low Risk activity - this scenario is determined to be of Negligible Risk (There is no evidence or no documented cases of transmission. However, there is a theoretical possibility of transmission under certain extenuating circumstances).

Since you accessed testing outside of the window period (12 weeks for the 4th Generation test and 3 weeks for the HIV-1 RNA - Qualitative Assay) you can be assured that your negative results are completely conclusive. As long as the index value is below a certain value (depending on the test), the negative result is reliable. It is important that you do not rely on acute HIV symptoms, or "ARS" in any way to indicate whether or not you have HIV. There are no clinically defined symptoms for acute HIV infection that can predict whether or not someone is HIV positive; the symptoms that are seen are only seen in some people, and are very similar to the flu or several other things that can cause similar presentations.

Recommendation: There is no evidence or no documented cases of transmission regarding your scenario. Additionally, with your test results coming back negative after the testing window, you can be assured the test results are accurate. In light of the symptoms you are feeling (painful armpits, neck, thighs) you may want to refer to a healthcare professional for more personalized answers.

All the best,

AIDS Vancouver Helpline, Jason