Anonymous
Hi,
Thank you guys for all the info.
I am a 21 year old guy, and a residence of India(north east).
I had a unprotected sex with a girl whose hiv status is unknown to me in the year 2013 june and my last exposure was on april first week 2014 with a csw, but this was a protected sex with a latex condom, and i believe it didn't slip or break either.
I am doing college in calcutta and i live there in a rented house(self cooking). I was in a very low diet and was also hooked in bad habits(drugs) such as corex(cough serup, nitrozen10 tablet(N10)for two months prior, weed smoking(marijiuana),drinks and smoking for past 1 and half year almost.
This feburary(2014) i had a wet cough for almost one and half month and stomach ache but didn't stop taking those stuffs. On june(2014) i was diagnosed with tubercular lymphadenitis(stomach lymph nodes) and the tb specialist told me to get tested for hiv in a ictc centre,(indian government hiv testing and counselling centre) and the word hiv woke me up, millions of questions appeared "THE FEAR". I got tested in a ictc centre(rapid hiv antibody test) on june 19(2014), i got my results in half an hour, thankfully it was non-reactive(negative), it was a relief but not for much time, technician told me to get tested again(follow up test) on november2014, and the "what if's" came up.
I have a fear that i have got this disease from a girl with whom i had unprotected sex in june(2013), but what if my condom broke up with a sex with csw.
My questions
1- Can a free hiv test be trusted as in India ictc centres provide free testing under government ?
2- Is my TB playing a role in false negative antibody result ?
3- Am i early for antibody result or my body haven't created enough antibodies to show up in a test ? My last exposure with csw was probably on 1st or 2ndof april 2014 not a date after this and another one was a year back.
4- Can a low diet or drugs could've caused TB lymph. and I am just freaking out ?
5- Can i trust the report ?
6- Do i need to go for a follaw up test? cause its freaking me out.
7- Will my report change into positive in nov. ?
8- How to ease my mind ?
Please do answer. Thank you
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Anonymous
Hello and thank you for using AIDS Vancouver as your source for HIV/AIDS related information.

In order for an HIV transmission to occur, certain body fluids such as blood, semen/pre-cum, anal, vagina, or breast milk from an HIV positive person must have direct access into the blood stream of an HIV negative person. As far as unprotected intercourse goes, the activity carries with it a high risk of transmission meaning that studies have repeatedly shown that there is an association between HIV transmission and the activity and many reports have shown transmission in this way. I would like to commend you for using a condom as this is the best way to protect not only yourself from receiving a sexually transmitted infection, but also your partner. Sexual intercourse with a condom carries with it a low risk of transmission which means that there is a potential for transmission of HIV because of the exposure to body fluids, but only a few reports of infection have been reported and usually under certain identifiable conditions (such as the condom breaking).

As far as your interactions with a commercial sex worker goes, sexual intercourse with a commercial sex worker does not carry with it a higher risk for HIV than intercourse with anyone else. Anyone can pass on HIV regardless of age, occupation, ethnicity, gender, or sexual orientation, It is the activity (ie. unprotected anal/vaginal intercourse, needle sharing) that poses an HIV risk.

The test provided to you by the ICTC (rapid test) will give you pre-emptive results during the window period of 4 weeks to 3 months post exposure, with up to 95% of infections being detected between 4-6 weeks. In the WHO guidelines, an HIV test is determined to be conclusive at 3 months post potential exposure. With that being said, given that you got tested at approximately 2 months post possible exposure, your test results are not likely to change if you were to get re-tested at 3 months post possible exposure. It is completely up to you as to whether or not you would want to do this.The accuracy of the rapid test relies on antibody levels; the above window period reflects the tests ability to pick up on these antibodies.

The following are the only factors or conditions in which the accuracy of HIV tests may be impacted:Hepatitis treatment, a pre-existing immunodeficiency disorder, chemotherapy treatment, or being on PEP (Post Exposure Prophylaxis). So your TB does not play a role as far as HIV testing goes.

Regarding you TB diagnosis, unfortunately we cannot answer any questions related to this as this is out of our scope of knowledge. We would recommend that you approach your health care provider with any further questions and also in order to ease your mind about the accuracy of your report. We also recommend that you look through our forum on [AIDS Vancouver](http://www.aidsvancouver.org/) for more information. Furthermore, you may find the following website to be helpful as well [http://smartsexresource.com/](http://smartsexresource.com/)

Hopefully we have addressed all of your concerns.

In health,
Johannah
Volunteer AIDS Vancouver
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