Anonymous
I have sexual relationship with a woman of unknown HIV status. Four weeks after this sexual ecounter I went for a general Dorctors health check and as part of the health check they ran an HIV test (Duo Test). A week after they called me to tell me the HIV test came back positive. At the 5th Week I went and did an ECLIA test whcih came back negative (4th Generation), with the same blood sample, they ran another test the next day and also came back negative. At 13-14 weeks I went and did a HIV 1/O/2-Abs-ICMA and came back negative. With the same blood sample I then asked the lab for a 4th Generation (p24 + antibody test) and also came back negative. Is this last negative conclusive? Do I need additional testing? Please help. Thanks
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Anonymous
Hello there!

Thank you for using AIDS Vancouver Helpline as your source for HIV/AIDS related information.

It is great to hear that you were concerned for your health and got tested, as testing is the only way to know one's status. All HIV tests provided by healthcare specialists are safe, reliable, accurate, and especially sensitive to the point where a positive result will sometimes be obtained even when there are no HIV antibodies in the blood. This is often due to the test detecting antibodies that are very similar to HIV antibodies. Therefore, it is required for all positive results to be confirmed by another test method.

Official HIV testing guidelines dictate that all HIV tests are confirmatory at 3 months or 12 weeks post-exposure. Your negative results at 13-14 weeks, therefore, can be considered conclusive, provided there have been no subsequent exposures during the meantime. We are confident that you have not acquired HIV, and no further testing is required.

We here at AIDS Vancouver recommend all sexually active individuals to practice safe sex (through condoms and water-based lubricants) and receive regular testing for all sexually transmitted infections (including but not limited to HIV) annually, bi-annually, or every few months depending on one's schedule.

I hope this answer was helpful. Please feel free to contact us again if you have further questions or concerns.

Hani

AIDS Vancouver Helpline Volunteer
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