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Author Topic: Question regarding testing and PCR  (Read 999 times)

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Offline loveall

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Question regarding testing and PCR
« on: June 28, 2009, 06:34:42 PM »
I had been given oral sex (unprotected) with a sex worker. I also had intercourse, for a few minutes when we realized the condom tore. It has been three weeks and just went to  the doctor because I've had three days of fervor.  I did  not bring up the sex with the doctor because frankly I had not thought about it. But now I'm wondering given the timing could this be related. The doctor have me some antibiotics.

I understand oral even unprotected is of little risk but how about the broken condom. Since it was a single act and I have no idea whether the sex worker has hiv I'm assuming my risk is low.

Any help determining risk would be greatly appreciated.

Offline Andy Velez

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Re: How much risk
« Reply #1 on: June 28, 2009, 08:48:09 PM »
Receiving oral is not low risk. It's NO risk. No man has ever been confirmed to have been infected by receving oral. It's safe to say you won't make history by becoming the first.

You had a single, low level risk incident by having your condom tear. The condom protected you until it broke. HIV is a difficult virus to transmit. It is significantly harder to accomplish from female to male rather than the other way around.

Just as a precaution I suggest you get tested at 13 weeks to confirm your negative status. I expect you will test negative.

As for your symptoms, there is nothing HIV specific about them. If they persist you should discuss them with your doctor.

Good luck with your test. 
Andy Velez

Offline loveall

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Question regarding testing and PCR
« Reply #2 on: July 15, 2009, 11:01:55 AM »
I had sex with a sex worker, condom broke in the middle of intercourse, it was a pretty good tear, I'm not sure how long we had gone before it was noticed. I know the risk of transmission between woman to man is small 1-300,000 or so and that single incident risk is fairly low, but there is still risk.

My questions relates to PCR RNA testing. I know it not the standard "approved method" for testing but I do not want to fully wait 13 weeks and have to deal with the stress. My understanding is that PCR testing can throw false positives but is 99% accurate after about 30 days. I can deal with false positives since the vendor is willing to retest if positive and I'm willing to deal with the cost.

Is there any reason why the moderators on this forum are adverse to PCR testing?

Thank you.

Offline Ann

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  • It just is, OK?
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Re: Question regarding testing and PCR
« Reply #3 on: July 15, 2009, 11:13:44 AM »
la,

I've merged your new thread into your original thread - where you should post all your additional thoughts or questions. It helps us to help you when you keep all your additional thoughts or questions in one thread.

If you need help finding your thread when you come here, click on the "Show own posts" link under your name in the left-hand column of any forum page.

Please also read through the Welcome Thread so you can familiarize yourself with our Forum Posting Guidelines. Thank you for your cooperation.


PCR testing in your situation is a waste of time, money and resources. You're unlikely to end up positive due to this one-time incident. However, if you DO get a PCR, make sure it's a RNA PCR, not a DNA PCR. The RNA is approved for diagnostics, but is normally only used in situations where infection is likely, such as being the receptive partner in anal intercourse with someone who is known to be hiv positive.

You can test as early as six weeks with a standard antibody test as the vast majority of people who have actually been infected will seroconvert and test positive by then, with the average time to seroconversion being only 22 days. Also, if you test with a kit that includes p24 antigen testing, an infection can be picked up in the first three weeks. For more informatin on this, read the Testing Lesson linked to in the Welcome Thread I referred you to above.

Any negative result from any test must be backed up with a conclusive negative at three months. Any positive result from any test must be confirmed with standard antibody and Western Blot testing.

I do not expect you to end up hiv positive from this incident.

Ann

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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

 


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