Anonymous
Dear Team,
Iam from india.
1 year and 8 months before i had unprotected oral sex with a guy.
And 1 year and 6 months before i had protected vaginalintercourse with a lady of unknown status. she was nearly 50 years old.after finishing my encounter while taking out from her i noticed that condom has strucked in her vagina.it was half inside and outside of her vagina. i dont know when its came out of my penis.
After 8 months of my post exposure i did hcv and hiv test.
i got hcv positive and hcv rna pcr test valve was less then 15 range. doctor told me there is a chance for me to cure automatically by my immune system because 15 to 25% of the people their immune systme cures hcv ...
and also i verified in internet that 15% of hcv infected peoples having chance to cure by their own body immunity with in a year after infection. same thing happened to me.
by luckly last 4 months i got hcv negative and also my hiv test is negative.
After 1 year and 4 months i did HIVE elisa test and HCV elisa test both are negative.
Also at 1 year 3 months of my post exposure i did
HIV 1&2(p24ag,ab/Serum, Elisa)- Non Reactive and
westorn blot for hiv1 & 2 - negative.all are not detected .
my question is .
1. will there is any chance in my case that hcv reproduced again??
2. will hcv affects hiv window period???
3. some of them telling hiv incubation period may be extened up to 3 to 5 years, its depends up on that person only..is that true??? any cases are there?
4. In what are all the cases,the seroconverion for hiv will delay and how long??
please help me i am really confused a lot.....
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Anonymous
Hi there and thank you for using the AIDS Vancouver online helpline as your resource for HIV/AIDS related questions.
Both unprotected oral sex (if giving) and protected vaginal intercourse are considered low risk for HIV transmission. Condoms are still the most effective way to protect against HIV and other STIs. Even if the condom did slip off/get stuck, the risk is still considerably less than having complete unprotected sex.
Your doctor was correct in saying that although you tested positive for HCV initially, there is a chance that the virus can be cleared in the early stages. About 20% of individuals who become infected with HCV will clear the virus from their body within 6 months, though this does not mean they are immune from future infection with HCV. The other 80% of people will develop chronic hepatitis C infection, during which the virus may cause mild symptoms or no symptoms at all. These people will, however, carry the hepatitis C virus for the rest of their lives and will remain infectious to others. For more information about HCV, you can visit http://www.avert.org/hepatitis.htm.
1.. Since you tested negative at your second HCV test, then you must be part of the 20% that cleared the HCV within 6 months of becoming infected. Thus, as per your most recent test results, you do not have HCV. However, even if you have successfully cleared the virus, this does not mean that you are immune to re-infection. You are still able to get infected with HCV, and this can be prevented by avoiding direct contact with contaminated blood and injection drug use/sharing needles.
2. Having HCV does not affect the HIV window period. The HIV window period would only be affected if you were undergoing HCV treatment at that time. Since your HCV was cleared on its own, without going on treatment, your HIV test results would not be affected by your HCV in any way. In terms of your HIV tests, all your tests were taken at least 3 months post exposure, and you can be certain that you do not have HIV (if you have not had any other exposures since that time).
3. In terms of the HIV seroconversion period being extended up to 3 to 5 years, this is not true. It takes 4 weeks to 3 months for seroconversion to occur, and if you get tested during or after that time, results will be conclusive. Since seroconversion does differ a bit for each individual (some will seroconvert at 4 weeks, others 6 weeks, others 3 months, for example), getting tested at or after 3 months will provide completely accurate results
4. There are only 3 reasons that seroconversion may be delayed. A re-test at the 6 month mark is only recommended for people undergoing PEP treatment, HCV treatment (which I explained above), or for people with an immunodeficiency disorder (such as Type 1 Diabetes) since they may take longer to produce HIV specific antibodies.
As well, it is important to remember that HIV is only one of over 30 STIs, some of which are far easier to contract than HIV. Regular visits to your physician regarding your sexual health are recommended for any one taking part in any sort of sexual activity.
Hopefully this answers your questions, and if you have any other questions or concerns, please feel free to call or email us.
Take care,
Stephanie
AIDS Vancouver Helpline Volunteer
e: helpline@aidsvancouver.org
p: (Mon-Fri 9-4pm ): (604) 696-4666
w: http://www.aidsvancouver.org/helpline
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