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Author Topic: Re: tests negative but symptoms  (Read 1110 times)

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Offline yytt

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Re: tests negative but symptoms
« on: January 11, 2021, 08:19:34 pm »
Hello all, thanks for your time and work for answering questions.
I have been struggling with fear and anxiety caused by HIV for over 1 year and half.

so here is the timeline:

2018 July : unprotected sex
2019 July: 4th generation rapid test Negative
2019 Nov: lab test Negative
2020 Jan: rapid test Negative
2020 May: lab test Negative
2020 Sep: lab test Negative

No risky exposures(such as unprotected vaginal sex, drug injection etc) since 2018 Sep but I kept taking tests to ensure for peace of mind.
I got married in 2019 Oct and my partner's status is Negative.

On 4th Jan 2021 I went to my doctor's office, talked about it and asked him to order one test for me. my doctor ordered 4th generation test for me but somehow the lab ran out of reagent and sent the sample to another lab. today I received the lab report and it showed that they performed HIV-1/HIV-2 antibody differentiation test and they were Negative. but there was a line "Recommend follow-up test for HIV-1 RNA" and it concerns me.

1) Does it mean my doctor's lab conducted a screening test and it was positive, then they sent to another lab for confirmation test?

2) My rational mind tells me that this test was unnecessary but if they did perform a screening test and it was positive, do I need a follow up test?

I can't reach to my doctor and my anxiety and fear are driving me crazy.

I had covid-19 , skin cut from a bike ride, dog scratch in Nov 2020, if that matters.

thank you in advance for your reply.

« Last Edit: January 11, 2021, 10:13:52 pm by Jim Allen »

Offline Jim Allen

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Re: tests negative but symptoms
« Reply #1 on: January 11, 2021, 10:51:17 pm »
Hiya,

Firstly you have conclusively teated negative over the 2018 incident. You did not acquire HIV from this incident and, skin cuts from a bike and dog scratches is not an HIV risk.

1 & 2)

No, look follow-up with your doctor but right now it just means they ran an HIV-1/HIV-2 antibody differentiation test, the result is non-reactive.

They may have skipped the screening test altogether but due to the diagnostic testing algorithm, an HIV-1/HIV-2 antibody differentiation immunoassay will still list a NAT test as a follow-up.  You said you have had no exposures, so testing was not needed in the first place and this result is non-reactive. 

Quote
I got married in 2019 Oct and my partner's status is Negative.

Look unless you keep your partner locked up 24/7 it's just a presumed status.
Now you said you don't have any condomless sex with your partner, so that's fine.

Keep using condoms and test out of standard routine as you are sexually active yearly for HIV and far easier to acquire STI's. If you do choose to engage in condomless intercourse, consider testing more frequently for HIV & STI's.

Here's what you need to know to avoid HIV infection:
Use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions. Consider talking to your healthcare provider about PrEP as an additional layer of HIV protection

Keep in mind that some sexual practices described as ‘safe’ in terms of HIV transmission might still pose a risk for transmission of other STI's, so please do get tested regularly and at least yearly for all STI's including but not limited to HIV and test more frequently if unprotected intercourse occurs

Also, note that it is possible to have an STI and show no signs or symptoms and, the only way of knowing is by testing.

Kind regards

Jim

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« Last Edit: January 11, 2021, 10:53:33 pm by Jim Allen »
HIV 101 - Everything you need to know
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Read more about Testing here:
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You can read about HIV prevention here:
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PEP and PrEP

Offline yytt

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Re: tests negative but fear
« Reply #2 on: January 12, 2021, 09:56:52 am »
Thank you Jim.

one more question, so Covid 19 won't cause biological false positive hiv test result?
I saw some researches on similarity between covid 19 and HIV.

I have been thinking very hard and can't think of any exposures since sep 2018, my doctor is not responsive and my anxiety is going off roof. I am trying to convince myself that I don't have it based on all the test results I had and how I only sexually active with my husband using protected sex since sep 2018.

I also wonder if you can point out where (community etc) that I can get help with my anxiety and fear other than talking to a psychologist?


thank you very much for your help.



Offline Jim Allen

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Re: tests negative but symptoms
« Reply #3 on: January 12, 2021, 10:08:29 am »
Hiya.

?

The Australian COVID vaccine caused some false reactive HIV tests. Storm in a teacup. It's not new, the HIV antibodies screening tests are overly sensitive by design and cross antibodies reaction can happen even pre-COVID. Hence a reactive screening test is not an HIV diagnosis and requires more specific follow-up testing to confirm.

However, this is irrelevant as you did not have a reactive test. You certainly did not acquire HIV from the 2018 incident and, skin cuts from a bike and dog scratches is not an HIV risk.

So HIV is not a concern unless you have had more recent exposures.

Quote
I also wonder if you can point out where (community etc) that I can get help with my anxiety and fear other than talking to a psychologist?

Unfortunately, I don't know any community phobia support resources, I also don't know if that is appropriate. Work with a qualified therapist to help you cope with your irrational fears. 

Jim
« Last Edit: January 12, 2021, 10:15:25 am by Jim Allen »
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

 


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