Thank you for your inquiry. From what we gather from the question, you were asking about your risk of acquiring HIV after engaging in protected insertive sex. From the information given, this scenario is determined to be Low Risk (evidence of transmission occurs through these activities when certain conditions are met).
The scenario mentioned above could meet the three components of the transmission equation. There is a possibility of transmission in this scenario due to improper use or potential breakage of the condom. If the barrier is compromised, then there is a chance that HIV-containing fluids had direct access to your bloodstream.
It was very responsible of you to use a condom during insertive sex and to access HIV testing after engaging in a risky activity. There are a few different types of HIV tests, all with separate windows periods of diagnostic accuracy. Two commonly used tests for HIV screening are the 3rd Generation and the 4th Generation HIV test.
The 3rd generation test detects the presence of antibodies against the HIV virus in your blood, while the 4th generation test detects those same antibodies as well as HIV antigens (specific parts of the HIV virus). Due to the additional mode of detection, a 4th generation test is considered conclusive by most HIV specialists 6 weeks post-exposure. The 4th generation test is considered completely conclusive by other physicians and guidelines 12 weeks (3 months) post-exposure, which is also the same window period for the 3rd generation test to be considered conclusive.
Recommendation: Since you have accessed HIV testing outside of the window period, no further testing is required. Refer to a healthcare professional for other health related questions.
AIDS Vancouver Helpline/Online, Marie
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