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Author Topic: Worried about my HIV results  (Read 909 times)

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Offline Doan143

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Worried about my HIV results
« on: November 22, 2013, 01:15:57 PM »
I'm scared as hell since last tuesday because I went to the doctor to get my HIV results from the MEIA exam I had myself done. It has been 13 weeks since the last and only unprotected sexual intercourse I've had, and when I told that to the doc, he showed me the results: 2.00 S/CO rate, which as he told me meant reactive (>1.00). Of course, he sent the sample for a WB (which will be ready in 2-3 weeks, the time is sincerely killing me), but he said it was most likely a false positive since by this time (13 weeks after exposure), my inmune sistem should have produced much more antibodies than what the results showed, though he couldn't assure me anything. There are some things I forgot to tell him: the day after the exam I got a nasty flu, with runny nose and sore throat. Another thing is, I had been given a hepatitis B vaccine 2 weeks before the exam. According to some research I did on the internet, both things could lead to a false positive. I know the last word will be on the WB results, but, for my mental wellbeing, I just want to know your opinions about 1) Based on your experience, wether 2.00 S/CO rate is a frequent result for HIV reactive individuals, or if it legitimately leaves a (big?) room for doubt 2) if it makes any difference that the exam was done past the window period AND that the results were relatively little above the threshold (shouldn't it be 30, 100 or 400 by this time?), and 3) Does it really matter that I was about to show symptons of flu when I took the exam (I've heard that usually when you get ill, there's a period of time in which you have the infection but you don't show symptoms), meaning some HIV-like antigens may have been detected by the exam, or that I had been given a hepatitis B vaccine 2 weeks before the exam? Thank you SO much for reading this, I hope you understand I've never been so worried in my life, and some word of advice would relieve much more than you would imagine.

Offline RapidRod

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Re: Worried about my HIV results
« Reply #1 on: November 22, 2013, 07:58:05 PM »
You do not get VL results with an ELISA test. You will have to wait or your WB test results.

Offline jkinatl2

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Re: Worried about my HIV results
« Reply #2 on: November 22, 2013, 08:45:55 PM »
Hang tight, that might ---- MIGHT --- be a false positive.

From an article regarding folse positives in the 4th gen assay in "an area of low HIV prevalence" - which is misleading, because as we all know, LOW does not mean ZERO. However, as this was your ONLY unprotected encounter, and you trsted beyond the three month window, that assay should have been tons higher. I don't want to bring false hope, but I do question a doctor who would not at LEAST run another ELISA, even an oral assay, before confirming as he did.


Quote
The mean S/CO ratio of false-positive results was 2.94 (range, 1.00 to 34.59) and that of HIV-positive specimens by WB was 385.97 (range, 7.28 to 739.98) (Fig. 1). The optimal cutoff value based on the highest sum of sensitivity and specificity was estimated to be 8.8, but assay sensitivity was lowered to 99.36% using this cutoff value. With the sensitivity adhering to 100%, the optimal cutoff was revised to 6.6. Using this cutoff value, the assay specificity and PPV were increased to 99.99% (95% CI, 99.98% to 99.99%) and 89.70% (95% CI, 84.00% to 93.62%), respectively (Table 2).


http://cvi.asm.org/content/17/10/1642.full

I don't know is this hurts or helps, but at least you know all I know.

I really do hope that this is the case, but please understand that HIV today is not HIV a it was experienced and treated even seven years ago. No matter what, you are going to be oK.


"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

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