Anonymous
Dear Dr,

I had unprotected oral sex in April, in which I was the insertive one with a female CSW. A month later I got Epididymitis. Took antibiotics and it got better. 5 months or 149days after exposure, I did a 4th gen CMIA Ag/Ab test and was nonreactive. All is good until recently, 8-9 months after exposure I think my lymph nodes are swelling up and no other symptoms. Can I rule out HIV?
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helpline-volunteer
Hi there,

Thank you for your inquiry. From what we gather from your question, you are asking about ruling out an HIV infection after a fourth-generation HIV test coming back negative.

Fourth-generation HIV tests have a window period of 4-12 weeks when antibodies can initially become detectable. Given that you did that fourth-generation test after this window period, it would be safe to rule out an HIV infection. Swelling of the lymph nodes could mean there might be some other underlying infection or health condition and might require consultation with a doctor.

Thank you
AIDS Vancouver Helpline/Online, Shawn

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