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STIs and HIV test accurate and reliable?

Question: 

Hi, I was contacted with a girl with unknown HIV status 8 months ago.

We didn't have sex/intercourse - just 'fingering' (into her vaginal and found vaginal discharge on my finger) and french kissing.

However, I was having flu-like illness like high fever (39C), headache and diarrhoea at the 4th weeks after that incident which many articles and websites stated those were HIV infected symptoms. Therefore, I went to test several time including all STIs and it cames out NON-REACTIVE.

Here are my test:

ELISA test at 6 months (25 weeks post exposure) - non-reactive
CMIA test at 7 months (28 weeks) - non-reactive
syphilis serology (modified VDRL) (28 weeks) - non reactive
herpes simplex type II lgG - negative
Chlamydia lgG - negative
Anti-HCV (EIA/MEIA Method) - negative

It was so happened that I had those symptoms at 2-6 weeks period after exposure which makes me worried so much. I couldn't figure out any reason for these symptoms to happen. I wish it was a coincidence but hardly for me to except.

My question are:

1) Is this HIV test with ELISA and CMIA at 7 months post exposure conclusive enough?

2) For Std profile, the clinic told me that they only do blood test for all std profile and my result is very accurate. But as I know, urine test is needed to test Chlamydia in order to get a very conclusive result. Any advice for my result?

3) Is there any possible to obtain Chlamydia and Gonorrhea through 'fingering' and kissing?

4) if symptoms developed as stated 2-6 weeks post exposure, is it for sure caused by HIV infection?

Hopefully you could provide me a professional and convinced advise. Thanks.

Answer: 

Hello,

Fingering is considered a negligible risk for the transmission of HIV. This means that there has never been a reported case of HIV transmission occurring in this way and we do not require testing for this risk level.

Kissing is considered no risk for the transmission of HIV and is a safe activity.

In regards to your symptoms, we do not use them as an indication of the presence of HIV as they can be highly variable and do not show up in everyone. The only way to be sure about your HIV status is to receive testing.

  1. HIV tests are considered conclusive 3 months post-exposure, so all the tests you have had are considered conclusive. This means that you do not have HIV and require no further testing for HIV.

  2. For chlamydia, it is usually detected through a urine test or a swab of the urethra. However, we are volunteers and not medical professionals, so it would be best to discuss this with your doctor.

  3. Fingering is a possibility, but kissing will not transmit either of these. I would encourage you to discuss this with your doctor as well.

  4. As stated previously, there are no clinically recognized symptoms of HIV and they are not used as an indication of the presence of HIV.

In health, Erin