Anonymous
Hello everyone, great work, keep it up! (from all the WW)

My questions is this(I already had a question and you answered it but i would love if you answer this one too):
I had tests at 2,4,6,8 weeks duo's - negative 9 weeks PCR-RNA-1 undetectable, westernblot + elisa ab - negative, ot week 10 and 11 duo's -negative, I am planning on testing near 90 days, should this be my end to my tests? I am experiencing many symptoms.. but all those tests? No antigen, no rna, no antibodies, after all those symptoms and nothing.. (also the tests were done at many different laboratories..)

So, in few words, will my 90 days test be considered conclusive? My exposure is receiving oral sex(I was the insertive) from later tested hiv+ person.

Really thank you for taking time to answer my anxiey driven questions.

Love ya.
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Anonymous
Hello and thank you for contacting the AIDS Vancouver Helpline again. We are happy to answer your questions.

It sounds like you are worried about having acquired HIV from your previous partner, in spite of having had number of very reliable tests done. To answer your main question, the results of your HIV test can be considered conclusive at 84 days post exposure or later (as suggested by the BC CDC).

We would also like to reassure you by explaining that receiving oral sex is considered a negligible-risk activity, which means that there has never been a confirmed report of HIV being acquired through this activity, whether an individual may be living with HIV or not. Having said that, further testing may not be required for this exposure.

ABOUT THE 4th GENERATION EIA

* it looks for both antigens and antibodies

* antigens are detectable immediately after infection and for the first few weeks, so the results of this test at 4, 6, and 8, 10 and 11 weeks post-exposure is a strong indication of your status.

* people usually develop detectable antibodies as early as 21 days to 25 days post-exposure or later, and this test is reported to detect 95% of infections as early as 4 weeks to 6 weeks post-exposure. So again, the results of this test at 4, 6, and 8,10, and 11 weeks post-exposure is a strong indication of your status.

* Many HIV specialists consider the results of the 4th Generation EIA test conclusive at 6 weeks post-exposure. However, we follow guidelines from the BC CDC, as mentioned previously, as the safest measure.

ABOUT THE 3rd GENERATION EIA

* looks for antibodies ONLY, but is the same as the antibody portion of the 4th Generation EIA test.

* people usually develop detectable antibodies as early as 21 days to 25 days post-exposure or later, and this test is reported to detect 95% of infections as early as 4 weeks to 6 weeks post-exposure. So, the results of this test at 10 and 11 weeks post-exposure is a strong indication of your status.


ABOUT THE NAAT (PCR, RNA & DNA) TEST

* it looks for the genetic material of HIV

* Many HIV specialists consider this test conclusive at 2-3 weeks post-exposure, and it is used for screening in some situations. You carried out this test at 10 and 11 weeks post-exposure, and this is again a very strong indication of your status.

* It is reported to be 99.6% accurate as early as 2-3 weeks post-exposure, but we still follow guidelines from the BC CDC, as mentioned previously, as the safest measure.

ABOUT THE WESTERN BLOT TEST

* used as a confirmatory test for HIV status and is considered the "gold standard" for HIV testing

* is reported to be 99.9% accurate at 4 to 8 weeks post-exposure

* The results of this test at 10 and 11 weeks post-exposure is also a strong indication of your status, but we still follow guidelines from the BC CDC as mentioned previously, as the safest measure.


We hope that we could bring some relief to the concerns that you mentioned, and give you an idea about how to proceed. We always support building relationships with local healthcare professionals, and are glad to see that by doing so, you have started a dialogue about your health. The HIV tests you have carried out indicate that the symptoms you are experiencing are not related to HIV, but we encourage you to continue partnering with your local health care professional to find out more about them.

While further HIV testing may not be required for this exposure, we always suggest that sexually active individuals be tested for all STIs, including HIV, regularly to maintain overall health.


Feel free to contact the AIDS Vancouver Helpline again in the future, and/or ask about our Health Promotion Case Management Program

to learn more about how to decrease your vulnerability and risk of acquiring HIV:

By Phone: (604) 253-0566 ext 299

By Email: helpline@aidsvancouver.org

Online: http://www.helpline.aidsvancouver.org


We love our whole community!

Marta

AIDS Vancouver Volunteer

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