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Author Topic: Worried over unprotected exposure and testing window period  (Read 2733 times)

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Offline Rrgid

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Worried over unprotected exposure and testing window period
« on: October 30, 2017, 05:59:05 am »
About 11 weeks backs I had an exposure with a sex worker. The condom broke during vaginal intercourse. I checked with my doctor and he did not advise Pep for this exposure. I tested with 4th generation hiv duo (cmia) on 28, 36 and 48 days after exposure. All were negative. I also tested for hiv-2 RNA 37 days after exposure and it was undetected. I have following questions:
1. What do you think are my chances of hiv infection?
2. Have you come across cases where hiv duo results have changed after 7 weeks from negative to positive?
3. Should i get tested again on 84 or 90 days for a conclusive result?
4. Do i need to repeat the test at 6 months?

Offline JimDublin

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Re: Worried over unprotected exposure and testing window period
« Reply #1 on: October 30, 2017, 06:10:20 am »
Hi

Most people will test positive by 22-28 days, guidelines are to test at 6 weeks and again at 13 weeks to confirm the result. 6 weeks will pick up on the vast majority of cases , the 13 weeks is to exclude any outliers.

1: We don't do odds here, it either was or was not a risk. Statistics mean very little to individual cases.

2: yes
3: yes
4: no

Here's what you need to know in order to avoid hiv infection:
Use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions.

Keep in mind that some sexual practices which may be described as ‘safe’ in terms of HIV transmission might still pose a risk for transmission of other STI's, so please do get fully 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.

More information on HIV Basics, PEP, TaSP and Transmission can be found through the links in my signature to our POZ pages, this includes information on HIV Testing

Kind regards

Jim

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Offline Rrgid

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Re: Worried over unprotected exposure and testing window period
« Reply #2 on: October 30, 2017, 06:23:37 am »
Thanks Jim! Will my 84 day report if negative be conclusive? Reason I'm asking this is because I'll be traveling for 3 weeks after this and may not be able to test. The anxiety will affect my work related travel. Sorry if you find this question annoying.

Offline JimDublin

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Re: Worried over unprotected exposure and testing window period
« Reply #3 on: October 30, 2017, 08:29:36 am »
Look try to relax.

All I can do is give you the guidelines of 6 & 13 weeks
That said I really do not expect your test results to change when you do test, so try not to stress about this too much.

Sorry that I can't do more than that but I really am unwilling to speculate.

Take care.

Jim
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Offline Rrgid

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Re: Worried over unprotected exposure and testing window period
« Reply #4 on: November 10, 2017, 01:39:17 am »
Hi Jim, I got tested at 13 weeks /91 days from the exposure and the result was non-reactive, 4th generation hiv duo CMIA. Can I conclude from this that I'm free from HIV?
I did not have unprotected sex after this encounter. The results came in so early than expected, I'm not able to believe it. I did the test from a private lab. Sorry I'm asking this again but do I need to test at 6 months?

Offline JimDublin

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Re: Worried over unprotected exposure and testing window period
« Reply #5 on: November 10, 2017, 02:25:57 am »
This result is considered conclusive, move on with your life  :)

Going forward Use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions.

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

Jim
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Offline Rrgid

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Re: Worried over unprotected exposure and testing window period
« Reply #6 on: February 05, 2018, 06:53:35 am »
Hi, It's been about 3 months since I last posted my test result, which was 91 days from the exposure - Hiv duo test, result negative. After my last test, I was very confident about my result and forgot about my incident. But somehow, since last few weeks, the thought that what if I'm still in the window period resurfaced. This is partly due to the series of illness which I went through. I understand that hiv is not diagnosed by symptoms, so won't get into details of the illness.
To be sure that I've tested outside the window period, I asked the Hiv specialist in my country (India). He asked me to test at 6 months for confirmation, which is as per Naco guidelines.
This new piece of information increased my anxiety. All I want to know now is, is the 6 month guideline still being followed? Am I still in the window period or have I tested at the right time and do not need any further testing.
I've asked this question in this forum before, but at that time I was more concerned about the 3 months guideline. I'm asking about the 6 months now only because of the illness and Naco guidelines followed by Specialist in my country.

Offline JimDublin

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Re: Worried over unprotected exposure and testing window period
« Reply #7 on: February 05, 2018, 09:43:04 am »
Unless you have been undergoing chemo or you are a long term intravenous drug users, the test is conculsive at 3 months post exposure.

Most HIV specialists tend to lean towards 28 days being near conclusive. Now the 3 months window we give is really for the outliers and shown to be conclusive. 6 months would have been guidelines and thinking some 20 odd years ago, testing has moved on since than and the scientific understanding as well. This inculdes the testing used in India.

I am sorry to hear you are being scared for no reason whatsoever however you have a conculsive negative result and we can not help you here further.  I am not going to go rounds on this topic with you.

Jim

Anyone who continues to post excessively, questioning a conclusive negative result or no-risk situation, will be subject to a four week Time Out (a temporary ban from the Forums). If you continue to post excessively after one Time Out, you may be given a second Time Out which will last eight weeks. There is no third Time Out - it is a permanent ban. The purpose of a Time Out is to encourage you to seek the face-to-face help we cannot provide on this forum.
http://forums.poz.com/index.php?topic=220.0
« Last Edit: February 05, 2018, 09:47:31 am by JimDublin »
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Offline Rrgid

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Re: Worried over unprotected exposure and testing window period
« Reply #8 on: February 05, 2018, 10:25:22 pm »
Hi Jim, Thanks for the reply and reassurance. Sometimes your tend to forget the advice given earlier, which is what happened with me. This forum has been my reference guide, ever since my last incident. I thought it was best to ask this question, to clear the uncertainty. Thanks for clearing my doubts.
I won't post again. Thanks to you and all other forum members, admin team for your active contribution.

Offline JimDublin

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Re: Worried over unprotected exposure and testing window period
« Reply #9 on: February 06, 2018, 10:41:59 am »
You're welcome
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Offline Rrgid

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Re: Worried over unprotected exposure and testing window period
« Reply #10 on: January 09, 2019, 12:19:59 pm »
Hi, over last one year I've tried to stay away from any risky behavior and done Std testing at regular intervals. I also practice safe sex with my partner and use condoms during sex.
This post is regarding a recent incident which I had 3 weeks back. I went to a massage place and things got a bit out of hand. The massage lady (thai) was on top of me, fully clothed (underwear and cotton pants) grinding her vagina on my penis. I was sleeping naked on my back, and there was a towel in between us. So there was three layers of clothing between our genitals. After a few minutes, I saw that she reached orgasm. I went on to check if the towel was wet with the fluids and found it to be a bit moist. Which means these fluids would have passed through the three layers and touched my penis and urethra opening.
I thought that it would be safe to put a towel between our genitals since she was already wearing clothes, but I guess it was not enough to let the vaginal fuilds reach my penis. Request you to assess my situation. Am I at risk of being infected by HIV? Should I go for testing at 6 weeks and 3 months for this incident?

Offline JimDublin

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Re: Worried over unprotected exposure and testing window period
« Reply #11 on: January 09, 2019, 12:46:50 pm »
No HIV risk whatsoever
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Offline Rrgid

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Re: Worried over unprotected exposure and testing window period
« Reply #12 on: January 09, 2019, 01:28:19 pm »
Thank you for the reply Jim. Before the act i told myself the same thing, that it should not be a risk considering the amount of clothing and keeping the towel in between. However, I was not able to get past the thought that vaginal fluid touched my penis.
So from your reply I gather that I should not worry about it and don't need to test for HIV specific to this incident, right?

Offline JimDublin

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Re: Worried over unprotected exposure and testing window period
« Reply #13 on: January 09, 2019, 01:35:20 pm »
Let me be to the point, even if there had been no towel between you and she had rubbed her vagina on your penis or all over you it would still not be a HIV risk, none!

No penetration of her vagina with your penis = No risk!

Jim
HIV 101 - Everything you need to know
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Transmission and Risks:
HIV Transmission and Risks
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HIV Testing
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Offline Rrgid

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Re: Worried over unprotected exposure and testing window period
« Reply #14 on: January 09, 2019, 02:13:23 pm »
Thanks Jim for answering my queries once again. I seem to have over thought this scenario and panicked. I'll try my best to move on from this event and forget about it.
Thanks and wish you a Happy 2019!

Offline JimDublin

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Re: Worried over unprotected exposure and testing window period
« Reply #15 on: January 09, 2019, 02:20:17 pm »
You're welcome and Happy 2019 to you as well.
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
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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