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Really Confused

Question: 

Iam from india.
1 year and 8 months before i had unprotected oral sex with a guy.
 
And 1 year and 6 months before i had protected vaginal intercourse with a lady of unknown status. she was nearly 50 years old.after finishing my encounter while taking out from her i noticed that condom has strucked in her vagina.it was half inside and outside of her vagina. i dont know when its came out of my penis.
 
After 8 months of my post exposure i did hcv and hiv test.
 
i got hcv positive and hcv rna pcr test valve was less then 15 range. doctor told me there is a chance for me to cure automatically by my immune system because 15 to 25% of the people their immune systme cures hcv ...
and also i verified in internet that 15% of hcv infected peoples having chance to cure by their own body immunity  with in a year after infection. same thing happened to me.
by luckly last 4 months i got hcv negative and also my hiv test is negative.
 
After 1 year and 4 months i did HIVE elisa test and HCV elisa test both are negative.
 
Also at 1 year 3 months of my post exposure i did 
 
HIV 1&2(p24ag,ab/Serum, Elisa)- Non Reactive and
 
westorn blot for hiv1 & 2 - negative.all are not detected .
 
my question is .
 
1. will there is any chance in my case that hcv reproduced again??
 
2. will hcv affects hiv window period???
 
3. some of them telling hiv incubation period may be extened up to 3 to 5 years, its depends up on that person only..is that true??? any cases are there?
 
4. In what are all the cases,the seroconverion for hiv will delay and how long??
 
 
 
 
 

Answer: 

Thank you very much for using AIDS Vancouver Helpline as your resource for information.
 
From what you said, it is my understanding that the two sexual encounters to which you are referring took place almost 3 years ago and then again 1 year and eight months ago and you were tested for both HCV and HIV eight months after the most recent exposure, and then after another four months, you were again tested for both HVC and HIV and both results were negative. These negative results for HCV (Hep C) and HIV are conclusive.
 
1. If you have not been had any recent sexual encounters or shared needles with anyone, then your negative HIV and HCV test results are conclusive- there is no need to re-test. Since your most recent HCV test was negative, you do not have HCV. The only way a test can change from positive to negative is if you come into contact with HCV+ blood in the future (most often through sharing needles).
2. Having HCV or being recently infected with HCV will not affect the window period for HIV testing. Only taking HCV treatment/medication may affect the HIV testing window period.
3. No, the HIV "incubation" or window period for HIV is 4-12 weeks. In fact, over 95% of people have detectable antibodies by 4-6 weeks post exposure.
4. The only cases where someone may be recommended to re-test up to 6 months post exposure to HIV are:
Someone with an immunodeficiency disorder
If you are currently undergoing Hep-C treatment
If you have taken PEP for 28 days following a high risk exposure
 
There are different stages of HIV infection, which may last over 10 years before the symptomatic period begins BUT this will not affect HIV testing. Moreover, since you were last tested long after 6 months post exposure, you are conclusively negative- you last test results show you do not have HIV or HCV.
 
We have never, ever heard of extended incubation period of HIV for up to 3 or 5 years, especially with the improved HIV tests available to us today.
Should you have any further questions, please feel free to contact us again.
 
Stay safe and healthy!
Jon,
AIDS Vancouver Helpline Volunteer
604.696.4666, Monday-Friday, 9 AM-4PM
helpline@aidsvancouver.org