Anonymous
I just turned 24 and found out my bf whom I will I refer to as "v" was confirmed positive on April 15th. His estimated exposure was in late September 2014 when he had unprotected anal sex. "V" recalls the week of thanksgiving 2014 experiencing ARS fluelike symptoms. Currently he is experiencing sever depression. He has not started antiviral therapy or HART yet and I am confused about this?! I was tested April 16 2015 with RNA test and I am still waiting on the results. Moreover I tested negative Feburary 2015 before we had sexual relations. I took an oruaquick test April 15th 2015 and it was negative. We had sexual relations around Feburary 26. Since then we have had protected anal intercourse 6 times which included unprotected oral sex. I haven't been able to function since then. I am curious about what my risk for these prior events?! I have spent approximately 72 or more researching hiv and can't seem to stop. Someone please give me advice.
Thanks
Concerned Lover
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Anonymous
Hello and thank you for contacting the AIDS Vancouver Helpline.

We hope that the information we provide can help you make a decision about how to proceed. We want to let you know that there are many resources available to support you and your partner during this time, and we can also help connect you to those in the future.

It sounds like you are already familiar with HIV testing, but we can give you some more information about the HIV tests you have received, and the guidelines we use to assure reliable results.

We always suggest that individuals be tested for HIV at 3 months post-exposure or later to achieve conclusive results. However, the indication provided by a Rapid test for HIV as early as 4 weeks post-exposure or later is also a good indication of your status. Additionally, the Pooled RNA NAAT test is highly reliable as early as 10 to 12 days post-exposure or later. The results of the Pooled RNA NAAT test for HIV should give you a very strong indication of your status especially since, you have taken it later than 10 to 12 days post-exposure.

We use guidelines from the BC CDC, which suggest that the results of all HIV tests can be considered conclusive at 3 months post-exposure or later. However, if the guidelines in your region differ, we always suggest following guidelines from your local healthcare professional to pursue testing for HIV since, they may consider information that is specific about your region.

It sounds like you have had several low-risk exposures (since Febrauary 26), and the HIV tests you have received have indicated that you have not acquired HIV. Since only an HIV test can tell us if an individual has acquired HIV or not, the safest measure would be to partner with your healthcare professional to confirm when the results of your HIV test(s) can be considered conclusive. However, we want to let you know that oral sex is considered a negligible to low risk activity for acquiring HIV and that there are many activities that are safe to engage in when risk factors (e.g. the presence of another STI) are not present. Additionally, engaging in sexual intercourse (with a condom) is considered a low-risk activity for acquiring HIV when risk factors are present (e.g. broken condom/other STIs). When risk factors (e.g. broken condom/another STI) are not present, there is no risk of acquiring HIV from engaging in sexual intercourse (with a condom).


We cannot make suggestions about your partner, but research tells us that many individuals who are living with HIV, and who treat it (in North America) today never progress to AIDS, and do not pass on HIV to other individuals. Here at AIDS Vancouver, we have a Case Management program to support individuals living with HIV and the following page has more about it, including contact information: http://www.aidsvancouver.org/case_management

Additionally, here at AIDS Vancouver, we have a unique program that can be accessed by all members of British Columbia, including individuals in Sero-Discordant relationships (where one partner is living with HIV and the other is negative), who wish to learn more about how to decrease their vulnerability and risk of acquiring HIV, give our Helpline a call and we can suggest some resources

We trust we have answered your questions and hope this information may shed some light on your situation. Feel free to contact the AIDS Vancouver Helpline again, or call us (604) 253-0566 ext 299 for immediate assistance with general inquiries. We would also be happy to connect you to an AIDS Service Organisation in your region if it is necessary in the future.

Sincerely,

Marta

AIDS Vancouver Volunteer
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