Anonymous
HI i had anal gay sex in USA10 days back and i was the recipient. we did use a condom but after a minute (before ejaculation ) I had to answer a call and when i came i noticed my partner was not wearing a condom to which he replied he took it off when i went to answer the call now its stuck in my mind that he tricked me into condom-less sex. I don't know his HIV status. I am super stressed. After 7 days of exposure, except for minor flu (no fever or headache) I don't have any other symptoms defined in various websites. Please can someone advise me If I should take a test now or wait for 3 months . If yes then which test should i take? I am from Pakistan and there are not much options or consulting clinics here.
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Anonymous
Hi there, and thanks a lot for contacting the AIDS Vancouver Helpline for your HIV/AIDS related health information. It seems you're concerned about the possibility of HIV transmitting during an encounter. We're happy to answer your question for you.

Just to give you an idea of the risks involved in the various scenarios in this case, sex with a condom is considered a low risk activity. Sex without a condom, as you seem to have an idea, is considered a high risk activity. Low risk means that while it is possible for transmissions to occur, they require specific circumstances (like the condom breaking) while high risk means that of the transmissions that have occurred, most have occurred due to activities such as these. We obviously weren't there, so can't say what happened exactly.

If you want to know your status conclusively after this encounter, you'll need to wait at least 3 months for the results of an HIV test to be conclusive. Here is a bit of information on a few possible tests:

These are the most common tests, and you'll see that all are considered conclusive at 3 months. Any of these tests will be sufficient.

As for the symptoms you are experiencing, we at AIDS Vancouver are not healthcare providers, so cannot comment on them. However, HIV infections are never diagnosed based on symptoms alone, simply because the symptoms of an HIV infection are quite common to many other common medical conditions. Testing is the only way to diagnose an HIV infection. If you're concerned about any symptoms you're experiencing, we'd encourage you to see a healthcare provider.

Thanks a lot for contacting the AIDS Vancouver Helpline with your question, we hope it has been answered fully.

Trevor

AIDS Vancouver Helpline/Online

helpline.aidsvancouver.org
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Test Name Method Window Period Conditions
4th Generation EIA Blood test that looks for antibodies AND p24 protein antigens. Commonly referred to as the "combination," "combo" or "DUO" test. P24 protein is detectable immediately after infection but only for the first few weeks. The antibody (ab) test has a window period of 4-12 weeks post exposure. This test is widely available in North America. Most HIV specialists consider this test to be conclusive at 6 weeks but official HIV testing guidelines still recommend re-testing at 12 weeks for conclusive results. Conclusive at 3 months post exposure.
Enzyme Immunoassay Antibody (EIA) 3rd Generation (ELISA) Blood test that looks for antibodies. Up to 95% of infections are detectable within 4-6 weeks post exposure. Most people develop detectable antibodies in 21-25 days. Most commonly available testing method. Conclusive at 3 months post exposure.
Rapid or “Point-of-Care” Blood or oral swab test that looks for antibodies. Up to 95% of infections are detectable within 4-6 weeks post exposure. Most people develop detectable antibodies in 21-25 days. Two forms of rapid test available: finger prick blood sample or oral swab. Oral swab test is most common in the U.S. but in Canada it is not approved and blood collection is more likely. Many places in the U.S. and abroad may charge a fee for rapid testing. Conclusive at 3 months post exposure. |