HIV Transmission and Testing > Am I Infected?

Hiv Exam and Antibody questions

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Xian:
Hi All,

I'm overly concerned and stressed out. Please hear my story.

I had a test done 23 days after exposure(male to female vaginal)had reactive on the exam, but a negative western blot confirmation.

Test name: HIV 1/2 abs w reflex
Results for abs was below
Negative
Reactive
Reactive
Western blot: negative negative

At 31 days I had another two test
Test name: HIV 1/2 eia w reflex
Results for eia
Negative negative
Test name:  hiv 1/2 multispot
Results for multispot
Negative negative

At 57 days I had two more test
Test name: HIV 1/2 eia w reflex
Results for eia
Negative negative
Test name :  HIV rna pcr rt
Results for rna
Negative

I had  female tested at 31 days of our exposure with test name and results below
HIV 1-2 antibody chemiluminescent immunoassay
Negative negative

She may have been sexually active and i think she was from what i been told.

Has anyone seen results like this and it changing to positive. Please be honest I don't want to infect anyone.

would antibody produce at 23 day hide and not show at 31 days?
at 57 days would it not show up again if it produced at 23 days?

Can false positives happen at labs?

I also asked Dr HHH and he said 8 weeks is conclusive, but I still have a great deal of anxiety and regret. It was a drunken I barley can remember and wish i can take back. Dr HHH said it is most likely and false positive, but anxiety is still intense.

 I keep feeling stomachs pains and kidney pains and had fever  at around week 7 that lasted 2-3 days and i keep feeling weird sharp pains in my lungs.

All my test was done in the states.

Please tell me your experiences and thoughts on this forum members.

Jeff G:
We go by the cdc recommendation of 6 weeks past any possible exposure and gain at 3 months to confirm the results .The average time to seroconversion is 22 days. Most who are infected will test positive by 6 weeks. For various reasons a small number will take longer and that is why we follow the CDC recommendation to test at 3 months for a conclusive negative result.

A 6 week negative test rarely changes so I say you are in pretty good shape and should look forward to a negative test at 12 weeks .

Here's what you need to know in order to avoid hiv infection:

You need to be using condoms for anal or vaginal intercourse, every time, no exceptions until such time as you are in a securely monogamous relationship where you have both tested for ALL sexually transmitted infections together.

To agree to have unprotected intercourse is to consent to the possibility of being infected with an STI. Sex without a condom lasts only a matter of minutes, but hiv is forever.

Have a look through the condom and lube links in my signature line so you can use condoms with confidence.

Anyone who is sexually active should be having a full sexual health care check-up, including but not limited to hiv testing, at least once a year and more often if unprotected intercourse occurs.

If you aren't already having regular, routine check-ups, now is the time to start. As long as you make sure condoms are being used for intercourse, you can fully expect your routine hiv tests to return with negative results.

Don't forget to always get checked for all the other sexually transmitted infections as well, because they are MUCH easier to transmit than hiv. Some of the other STIs can be present with no obvious symptoms, so the only way to know for sure is to test.

Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid hiv infection. It really is that simple!

Xian:
Hi Jeff and All,

Thanks for your reply.

I wanted to update my testing done on July 10th 2014 (91) days after exposure( April 9th 2014 exposure date)

I had 3 more test done. Below are results

Hiv 1/2 4th generation antibody/antigen - done at quest labs
Negative Negative

Hiv 1/2 differentials( multispot test) - done at quest labs.
Negative negative

Hiv Rna pcr rt
Undetected <20ml ( doctor said it negative) - quest labs

I'm still worried because my general doctor(not hiv specialist) said I have to test a full 6 months?  Is that the case because my first antibody test reactive?

Scientifically if you have been infected and have antibodys positive you stay antibody positive right?

Ex: if your infected 23 days reactive then you should have reactive test at 31 days and 57 days and 91 days later right?

Is there any case in medical journal someone who has antibody reactive and then negative 7 test later at different time intervals become positive at a later time(6months - 1 year later?)

Is 3 months(91) days conclusive?

- Xian





Jeff G:
You are conclusively HIV negative and do not need to test again for this specific incident . A 12 week negative test is sufficient for HIV testing provided you have not had unprotected anal or vaginal sex during this time period .

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