Anonymous
Dear Doctor,

I had unprotected sex (oral and Virginia) afew times with one woman who I meet casually twice. Her HIV and Syphilis is unknown, after that I realised that she met a few guys for sex within 1 years. She is quite active in sex, that is my suspect. I have tested the HIV Duo Ultra and Syphilis test on 73 days from last exposure, I got negative result for both HIV Duo Ultra (ag-not detected / ab-0.03) and Syphilis. But I have still worry because some of the small red dot rash on my penis and small itchy blister appear in my hand. But those small red dot rash on my penis disappear after 1-2 days after I applied skin cream given by doctor. Hand are also same. I still have appointment to retest on 93 days and wait for the test.
Could you please advise whether 73 days HIV Duo Ultra and Syphilis are conclusive? I am very much concern about Syphilis, 73 days test is conclusive for Syphilis test?
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Anonymous
Hello,

Thank you for contacting AIDS Vancouver. I want to congratulate you on getting tested, it is the only way to know your status. I will go over some information about HIV testing to clarify your situation.

The Canadian guidelines state that HIV antibody tests like the one you have taken are conclusive at 12 weeks; however, many experts agree that 4th generation tests can be conclusive at 6 weeks. Your test result at your 93 day appointment will be conclusive. There are a few situations where tests are not considered conclusive for HIV until 24 weeks. These are

1. If you are on anti-viral treatment for Hepatitis C

2. If you are receiving chemotherapy

3. If you are on P.E.P. treatment for HIV

4. If you have a previously diagnosed immunodeficiency disease

If none of these situations apply to you then your follow-up 93 day appointment will be conclusive.

At AIDS Vancouver we provide accurate information about HIV and AIDS, we are not doctors. For your concerns about syphilis I can direct you to a credible [website](http://smartsexresource.com/topics/syphilis) about sexually transmitted diseases.

You mention you had a rash that disappeared after taking skin cream, if it reappears I suggest revisiting your doctor but otherwise that does not affect your HIV results.

Best regards,

Alex

AIDS Vancouver Helpline/Online

Monday-Friday 9am-5pm (PST)

1 844 INFO-HIV (Toll free Canada & U.S.)

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