insertive anal assesment

[Bello]

Hello all

I am in the UK and have had a brief insertive anal without protection with a guy status unknown. I am a healthy fit guy and my insertion was very brief 2 mins with no ejaculation. I tested with a  DUO/Combi p24 & antibody test at 28 days post risk and again at 8 weeks both negative I also had a full STI screen that came back also negative. I have worries a great deal over the whole thing and had anxiety over it all.

i am aware that in the US the window for conclusive testing is 12/13 weeks , I am also aware that the UK has the same but the HIV governance identify with the new 4 th Generation tests.

I really wanted to know with my risk would a 8 week test turn, as I am really worried about the next test for some reason.

I also wanted to no does Acyclovir muck up any test that I had , as I had just finished a course as i had suspected shingles.

many thanks

[RapidRod]

Post-test discussion (UK Testing Guideline)

The need for a repeat HIV test if still within the window period after a specific exposure should be discussed. Although fourth generation tests shorten the time from exposure to seroconversion a repeat test at three months is still recommended to definitively exclude HIV infection.

http://www.bhiva.org/documents/Guidelines/Testing/GlinesHIVTest08.pdf

[Bello]

Thank you for your reply.

I read that 99% of people will have detectable antibodies at 6 weeks is this not correct?

Do you know if the meds would have mucked up the test?

Do 8 week negative combi test ever turn + as they also test for p24 prior. ?

Wow your profile pic is just like my dog... lovely breed

Thanks again

[Andy Velez]

Bello, given that you had a single risky exposure, that it was as the insertive partner and that you have tested negative at 6 weeks, the great likelihood is that you will continue to test negative at 13 weeks.

Get busy with other things during the waiting time. It will help it to pass much more easily and at the end of the day I do expect you will come out of this ok.

You do need to learn from this experience. You can have as many partners as you like as either insertive or receptive. You just need to do it the safer way everytime, which means the insertive partner must always be wearing a condom. No exceptions. Condoms provide very effective protection against HIV transmission.

Cheers.

[Bello]

thank you Andy

I actually tested at 8 weeks. so nearly there

Was interested if you could help with my previous questions if you can

many thanks

[Ann]

Bello,

It is true that the vast majority of people who have actually been infected will seroconvert and test positive by six weeks. I do not expect your eight week negative to change.

Acyclovir will not have any effect on your hiv antibody test.

Ann

[Bello]

hello Ann

thank you very much for your response, I popped along to the GUM UK clinci for a test and they said that I could test but it was really not needed as they thought in doing so would make me worse with the anxiety.
They confirmed that yes the 12 weeks conclusive is set ,
 but its a guideline set at that point to catch everyone mostly those who have autoimmune problems ect or those who have date with exposure problems as cant remember when.
I see now why, but they say the two tests I had both being Duo combi were acturate at 99.8% at 28 days and after. ( one at 4 weeks second at 8.5 weeks)

oh well i have to move on.... I hope everyone would soon sing out of the same song sheet, I suppose not everywhere has the same standard of test most are mainly antiboby test , even those are 99% accurate at 6 weeks on wards.  Oh well is there a real need to have so much stress with this new testing process.
I had abbott test and they clearly say 28 day accurate at 99.8% so if this was wrong this product would surely not be licenced




Happy holidays 

Bello

[RapidRod]

hello Ann

thank you very much for your response, I popped along to the GUM UK clinci for a test and they said that I could test but it was really not needed as they thought in doing so would make me worse with the anxiety.
They confirmed that yes the 12 weeks conclusive is set ,
 but its a guideline set at that point to catch everyone mostly those who have autoimmune problems ect or those who have date with exposure problems as cant remember when.
I see now why, but they say the two tests I had both being Duo combi were acturate at 99.8% at 28 days and after. ( one at 4 weeks second at 8.5 weeks)

oh well i have to move on.... I hope everyone would soon sing out of the same song sheet, I suppose not everywhere has the same standard of test most are mainly antiboby test , even those are 99% accurate at 6 weeks on wards.  Oh well is there a real need to have so much stress with this new testing process.
I had abbott test and they clearly say 28 day accurate at 99.8% so if this was wrong this product would surely not be licenced




Happy holidays 

Bello

That is not what the manufacture states.
http://www.fda.gov/downloads/BiologicsBloodVaccines/BloodBloodProducts/ApprovedProducts/LicensedProductsBLAs/BloodDonorScreening/InfectiousDisease/UCM216314.pdf

Page 27
Current methods for the detection of HIV may not detect all infected individuals. An ARCHITECT HIV Ag/Ab Combo test result that is nonreactive does not exclude the possibility of exposure to or infection with HIV-1 and/or HIV-2. Nonreactive results in this assay for individuals with prior exposure to HIV-1 and/or HIV-2 may be due to antigen and antibody levels below the limit of detection of this assay.

[Bello]

Thanks

Interesting the thought of this study, but i have looked at the data and the test shows a very high detection rate within the scope of the test being an early test assay.

I noted that the opening line of the paragraph you shown gives a standard get out clause " basically saying current testing will not detect all HIV infected individuals.... well this would be true as No testing in 100% in science ,,I have read this everywhere !.

The labs in the Uk seem to be happy with a 99.89% acturacy level at 28 days, i note also in the study that the testing was done with the 0 to 20 days early detection window. I can't see if any of the tests were done in this study a 8, 9, 10 weeks etc.

Your thoughts

[RapidRod]

Thanks

Interesting the thought of this study, but i have looked at the data and the test shows a very high detection rate within the scope of the test being an early test asssy.

I noted that the opening line of the paragraph you shown gives a standard get out clause " basically saying curret testing will not detect all HIV infected individuals.... well this would be true as No testing in 100% in science ,,i have read this everywhere.

The labs in the Uk seem to be happy with a 99.89% acturacy level at 28 days, i note also in gthe study that the testing was done with the 0 to 20 days eary detection window. I cant see if any of the tests were done in this study a 8, 9, 10 weeks etc.

Your thoughts

Early detection and a concluse test result are not the same.

[Andy Velez]

Although sensitivity of tests in use continues to improve, we follow the CDC guideline that recommends testing at 13 weeks for a conclusive result. In many countries 12 weeks is equally acceptable. At 13 weeks all generations of tests currently in use wil yield a conclusive result.

It may well be that at some point the testing date will be shortened but for now we go with the CDC's recommendation.

[Bello]

Thanks for your response, i didnt know that you followed your cdc  guidelines of the 13 weeks. It would appear that as andy said that in time the govening bodies will recognise the results of the newer tests.

I am in the Uk and although the BAASH guildlines still say 12 weeks , it also recognised the new tests and the accuracy they provide. I have approached a number of clinics and they say that 8week tests are very very accurate and no one I spoke to said they had seen a negative test turn positive without further exposure risk.
I was looking at the data RR gave and I also looked at the Abbott testing results and I must say they are very very sensitive and show over 99.89% testing accuracy at 28 days onwards. I also see that France, Italy and spain have reuduced thier window periods with the newer tests below the 12 weeks mark. France now use 6 weeks with Combi/Duo testing and 3 rd Gen Antibody test. This country test more then most european countries, so this must come from clinic experience and evidence that there is really no need to wait 12/13 weeks to be conclusive.  I also cant understand why then have early testing for HIV when the conclusive is 12 weeks.... this makes no sense whatso ever to me, giving a person a neg test at 28 days and then say " ell it doesnt mean anything as you need a test in two month time... Also companies, Registerd doctors would not put thier jobs on the line saying that the tests where not conclusive prior to the 12/13 weeks...  you guys are very informed could you respond on this please:-\

I have a 2nd question though in the US there are states that say 8 weeks are conclusive why is that the case when you have CDC, would this be the same as in the UK.?  

 

[Andy Velez]

The CDC guidelines are a suggestion and not a law. In Massachusetts for instance 6 weeks is used. As with many things in the world of HIV, things aren't as simple as they might be.

[Bello]

Hi andy

Thanks, I am begining to see a trend here, perhaps there will be changes in the wind, I suppose it was if you compared the early 1st Gen tests six to a year for a result at best.

science is forever getting better and it takes time for all to share in this and get a grip of the changes.

i suppose these brilliant forums help to share views around the world.

Thanks for your support, I really appreciate it

Happy Hols 

[Andy Velez]

Bello, you're welcome.

[Bello]

Happy New years to all for 2011, and especially a thank you to Andy V, Ann, RapidRod etc for your support that you not only have given me , but to others on this forum.


Best wishes

Bello 

[Andy Velez]

Thanks for the good wishes Bello and the same to you for the New Year.

I have merged your latest thread with your previous one because our rule is that all entries should go into the same thread. So if you have occasion to write again make sure you always use this one thread. 

Cheers.

[Ann]

Bello,

If you plan on further participation in this forum, you need to read our Welcome Thread and familiarise yourself with our posting rules.

Not only did Andy have to merge your threads, but I also had to delete the incorrect response you left in someone else's thread. Make sure you read and abide by the rules in future or you risk being banned.

Thank you for your cooperation - and Happy New Year to you too.

Ann

[Bello]

I am disgusted at the way I have been spoken to by Ann on this forum please see below
 who the hell do you think you are speaking like that....... Also for anyone getting to read this before its deleted Radip rod is Teak from Medhelp who is on a HIV power trip all over the HIv forums , The info that is given id outdated especially re testing 4 th generation tests are 28 day conclucive and 3 rd generation tests are 99% conclusive at 6 weeks so its time that these people are put i n there place the best sites to go to on HIV testing ect is Freedom health Uk site up to date and very accurate the Dr's are international HIV experts no jumped up power hungry folls that have nothing else in their lives than to bully and have a go at.

The USA is behind in HIV testing and research ... my god they say CDC say this what a joke MAss at least has the balls to apply the proper window periods, the Admin and Mods even go against experts Doctors on their own site as you will see.

my heart goes out to anyone going through what I have , but please stay away for here and Medhelp go to UK sites and or european  australian sites for upto date information


I hope you get to read this

Bello,

As someone who is not hiv positive, what and where you are permitted to post in the forums is very limited, as you would know if you read the Welcome thread I asked you to and took time to familiarise yourself with our posting rules.

If you had, you would have read the following:


If you read the Welcome Thread before posting like you're supposed to, you will have read the following posting guideline:


Quote


Only those Moderators and members who are authorized to answer questions in the Am I Infected? forum are permitted do so. Unauthorized responses may be deleted without permission of the poster. Repeatedly posting replies of this nature may result in a Time Out or permanent ban, at the discretion of the Moderator Team.

Please read the Welcome thread and abide by our rules in future. If you do not, you run the risk of being permanently banned.



Please consider yourself warned!

Ann

 



 

[Ann]

Bello,

You don't have to like the way this forum is run, but you do have to abide by our rules. As you have demonstrated that you cannot or will not abide by our rules, I have no choice but to permanently ban you.

Freedom Health wants your money. They do not actually care about you or your health nor do they wish to ensure you have a conclusive negative result.

The window period we advise people about is the one which not only the CDC go by, but BHIVA (British HIV Association) as well.

Bye!



edited for clarity