Anonymous
Hi!

I got two insti rapid finger prick tests done. One at 89 days and the second at 140 days, bith negative. I have had a swollen lymph node in the neck for 4 months and also a lump near my elbow. What symptoms can these be?

I just had oral sex unprotected and deep kissing.

Are these tests reliable enough? Do I need any other test or any further testing? Some websites state that 6 months testing is conclusive.
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Anonymous

Hello,

Thank you for contacting AIDS Vancouver Helpline. I hope I can answer your questions as best I can.

HIV symptoms can mirror other viral infections or can be due or explained by other things, testing is really the only way to know. Partner with a doctor to find out more about your symptoms.

It's great that you got tested for HIV. The Rapid test takes 4 weeks to 3 months (although 95% of infections are detectable within 4-6 weeks). Most people develop detectable antibodies in 21-25 days. The World Health Organization considers all tests conclusive at 3 months (84 days). Since you had your first Rapid test on the 89th and a second 140th day, your test would be conclusive as far as this activity.

You would need no further testing at 6 months unless you were on chemotherapy, antiretroviral medication for Hep C, had an immunodeficiency disorder diagnosed at birth, or were on Pep or Prep for HIV. If this is not you, you would need no further testing and your negative results on the 140th day are conclusive.

I am unsure whether you received or gave oral. Receiving oral sex is a negligible risk, meaning this activity has the potential for HIV transmission because they do involve the exchange of body fluids . However, there has never been a confirmed report. Giving oral sex is a low risk activity, this activity has the potential for HIV transmission because they involve the exchange of body fluids . However there have been few reports of infection attributed to these activities. As far as deep kissing is concerned, saliva is not a fluid known to transmit HIV. It is estimated that a person would have to drink a gallon of saliva to be a risk for HIV infection. Also saliva actually contains an enzyme that inhibits HIV.

I hope I have answered your questions. If you would like further information please check our website at http://www.aidsvanc[www.aidsvancouver.org](www.aidsvancouver.org)ouver.org or give us a call at (604)-696-4666.

Best Wishes,

Renee

AIDS Vancouver Helpline Volunteer
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