Anonymous
Hello! I had contact with a commercial sex worker , vaginal sex with condom for about 2 minutes . I know the risk of infection is small but I had symptoms . I read that test which I did ( p24 antigen HIV 1/2 EIA method ) is coclusive after 6 weeks. I tested this method after 5 weeks negative and week later , that is 6 weeks was also negative . I will go test after 8 weeks. Can be this test coclusive? Because I go for a longer period gone I will not be able to testing. Thank nicely
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Anonymous
Hello and thank you for contacting the AIDS Vancouver Helpline.

We are happy to help answer your questions. We understand that after engaging in sexual activity with a commercial sex worker, you decided to carry out a test to find out if the symptoms you are experiencing are related to HIV. We are happy to hear that since, an HIV test is the only reliable way to learn your status. Additionally, we want to let you know than engaging in sexual activity with a commercial sex worker does not necessarily put you at greater risk of acquiring HIV.


The indications you have received so far can be considered reliable since, 95% of infections are detectable by the 4th Generation EIA test as early as 4 to 6 weeks post-exposure. You are correct that many HIV specialists consider the results of the 4th Generation EIA test conclusive as early as 6 weeks post-exposure, but, *we always suggest individuals use guidelines from their local region to achieve conclusive HIV test results*.

We do not see any risk of acquiring HIV from the exposure you have described since:

* when risk factors (e.g. broken condom, another STI) are not present, sexual intercourse (with condom) can be considered a no-risk activity

* using a condom is the *most effective way to prevent the exchange of body fluids* from happening during sexual intercouse, and [other activities](http://helpline.aidsvancouver.org/question/risk-assessment-chart)

* the exchange of body fluids is required for HIV transmission to happen


The results of the HIV tests you carried out 5 weeks and 6 weeks post-exposure can be considered a strong indication of your status, and, indicate that the symptoms you are experiencing are not related to HIV. We have considered the exposure you have described and do not believe further HIV testing is required for this exposure since, there was no high-risk activity involved in your exposure. However, routine STI&HIV testing is always encouraged for sexually active individuals. We trust we have answered your questions and thank you for contacting the AIDS Vancouver Helpline.


Sincerely,

Marta

AIDS Vancouver Volunteer

[AIDS Vancouver Online Helpline](www.helpline.aidsvancouver.org)

Monday to Friday 10AM to 4PM (PST)

1-604-253-0566 ext 299

Private and Confidential
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