Mani
Hello I'm 27 years male.
I had unprotected sex with my friend on 25th November 2019.
But i had all symptoms of hiv. 
I had tri dot test which is negative on 30th December 2019. Which is 35 days after exposure. 
Is that tri dot test is enough and reliable?
If not What kind of tests i need to take? 

If i was infected can i take treatment from free ictc? 
Is free indian government treatment is good enough to treat hiv? 
Plz help me i have so many responsibility 
 And also how long can i live with hiv if i was infected? 
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helpline-volunteer
Hi there, 

Thank you for your inquiry. From what we gather from the question, you were asking about the reliability of a tri-dot or "point-of-care" test that you had received 35 days post-exposure (in which you engaged in the act of unprotected sex). You also inquire about the lifespan of an individual living with HIV, as well as the efficacy of government-supported treatment methods. 

From the information given, this scenario is determined to be High Risk (there is evidence of transmission through these activities and are the majority of cases of transmission). Your actions in receiving HIV screening following your High Risk encounter were as necessary for protecting yourself and others from HIV transmission.

As you have noted, you received a tri-dot or rapid point-of-care test approximately 35 days post-exposure. The HIV rapid point-of-care test you have received can either be administered through the retrieval of blood or oral swab. This test primarily looks for antibodies that have resulted from HIV acquisition. As most individuals develop detectible anti-bodies within 21-25 days, this test is able to detect HIV infection within 4-6 weeks following transmission (1). Above, you ask what sort of tests you should be taking in order to ensure you are receiving conclusive results. Depending on the specific testing method, it can be extremely unlikely to receive a false result.

4th Generation tests can be considered completely conclusive after a certain time. Most HIV specialists consider this DUO tests, in particular, conclusive at 6 weeks (2).

Those who are living with HIV are able to lead healthy and fulfilling lives, provided that they are adhering to regular treatment.

Recommendation: For completely conclusive testing results, please seek additional HIV testing.

If you are satisfied with the Helpline service, please consider donating 

Resources:
(1) Rapid Testing
(2) 4th Generation "DUO"

All the best,

AIDS Vancouver Online/Helpline, Cody



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