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Hiv testing at 7 weeks accuracy? 4th generation test. Feeling symptoms

Question: 

Hello. First of all thank you! I have a couple questions about HIV test and accuracy and window period and systompms.
I'm a gay men of age 22. Living in the USA.
On April 5th of 2016 I had intercouse with two guys. I was the reciver. We used condoms I never saw the comdom being broken but I have so many thoughts going through my head. Both of the guys said that there HIV negative. That night after we were done I went home and to the bathroom to go number two I noticed I had popped something that looked like cum and it was whitish and yellowish. I clean it out with soap and water. I was so scare I had asked the guys several times they said that they are not and not they won't reply anymore . It was a night stand. Ever since I have regrets and gilt. So I Waited almost a moth be more specific exactly at 27 days to get tested on May 2 2016 I went down to the clinic to get tested for HIV. I had asked to do a blood test. They took blood out of my arm and they sent it to the lab. The test that was done was the 4th generation test and they also did a rapid test as well..they were able to give me the results for the rapid test. I went back into the clinic on May 4th to get my result but originality I was going to go there to get another rapid test because I could not wait for the results any longer they did another rapid test and thank God it was negative. When the clinician took me into the room to tell me about my results and told me they had received my test from the lab and they were both negative the rapid and the 4th generation test. I was so happy at the moment. But a couple weeks later I noticed that my glands around my neck were hurting that was on May 21 and 22 . I have not experience any flu symptoms but i do have a pain in near my armpit and pain near my neck. And also I have constant headaches. I have also notice that my body feels itch and I also noticed a big red spot on my nose it kind of looked a pimple. I tried popping it by nothing came out. Not looks all brown and it's pretty big. I'm really worried that it could be a symptom of HIV. The following morning on May 23 2016 I went down to the clinic the day after I I felt the pain on my neck I went down to the clinic to get another test done they did an HIV rapid test where they took some blood out of my finger. For both rapid test they did took blood out of finger. the test came back negative. Right at the 7 weeks mark. Today on May 24th 2016 I went to another doctor and I had told him about my situation I asked him for another HIV test he did the western bolt test. I'm really scare of the outcome! I've Been feeling overwhelmed. I haven't had sex with anyone's ever since. The doctor asked me to come back on Thursday. May 27th
My question is what are the chances of it coming back with a scary results? Like positive? The doctor told me that having 3 negative results is s good sing but I honestly don't know what to believe anymore. I'm so scare I want to cry about it. Should be worried? I don't want to look online anymore it's making me feel more overwhelmed. Can you guys tell me anything that I can do feel better? And are those good signs? Thank you.

Answer: 

Hi there, and thanks a lot for contacting the AIDS Vancouver Helpline for your HIV/AIDS related health information. It seems you're concerned about the possibility of HIV transmitting during an encounter. We're happy to answer your question for you.

Here is a bit more information on the tests you've had:

Test Name
Method
Window Period
Conditions
4th Generation EIA Blood test that looks for antibodies AND p24 protein antigens. Commonly referred to as the "combination," "combo" or "DUO" test. P24 protein is detectable immediately after infection but only for the first few weeks. The antibody (ab) test has a window period of 4-12 weeks post exposure. This test is widely available in North America. Most HIV specialists consider this test to be conclusive at 6 weeks but official HIV testing guidelines still recommend re-testing at 12 weeks for conclusive results. Conclusive at 3 months post exposure.
Rapid or “Point-of-Care” Blood or oral swab test that looks for antibodies. Up to 95% of infections are detectable within 4-6 weeks post exposure. Most people develop detectable antibodies in 21-25 days. The rapid test is a type of 3rd Generation test. Two forms available: finger prick blood sample or oral swab. Oral swab test is most common in the U.S. but due to false positives in Canada it is not approved and blood collection is more likely. Many places in the U.S. and abroad may charge a fee for rapid testing. Conclusive at 3 months post exposure.
Western Blot Immunoblot which detects HIV antibodies directed against specific HIV proteins. Interpreted according to Canadian consensus guidelines. 4-6 weeks, may take up to 8 weeks for a positive result Standard test protocol, as confirmatory test. Considered to be "gold standard" for confirmation of HIV infection. If test results are indeterminate, PCR NAAT Tests are usually performed to confirm an infection. Accuracy is 99.9% after 4-6 weeks

You'll see in the chart that the RAPID and DUO tests are considered conclusive, meaning their results are taken as accurate, 3 months (or 90 days) post exposure. So you'd have to wait until at least July 5 for these tests to be considered accurate. This is not to say the tests you've had are not very good indicators of your status, they are just not considered conclusive.

You'll also see in the chart that the Western Blot test you've had would be conclusive after at least May 5-May 19 (so will be conclusive). It is unlikely that it will give different results, as the tests you've had are good indicators of your status. This test will be conclusive, and you will not require further testing.

Thanks a lot for contacting the AIDS Vancouver Helpline with your question, we hope it has been answered fully.

Trevor

AIDS Vancouver Helpline/Online
helpline.aidsvancouver.org