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Author Topic: Getting married, need testing advice!  (Read 709 times)

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Offline ozzyy

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Getting married, need testing advice!
« on: July 10, 2018, 11:06:06 am »
I took a test 8 months after the first & last time I had sex, for peace of mind & because I am getting married so just wanted to be 100% sure that I am safe.
The test I took was combination antigen/antibody. It was negative. It was the only test I ever took.
In my city there is no std clinic & the docs here are not very knowledgeable about this topic so I came here.

1. I just want to know if this antigen/antibody is the correct and best test to take? (Took it after 8 months because I wanted to be 100% past the window periods)

2. Does it matter if it was not just an antibody test but a antibody+antigen test?

3. Whilst searching online Iíve come across many other tests like PCR DNA & PCR RNA & NAAT & NAT. What exactly is the difference between PCR RNA, PCR DNA, NAAT & NAT? What are they used for?

 4. And more importantly do I need to take a PCR RNA OR DNA OR NAAT/NAT or any other test after a negative antigen/antibody test at 8 months?

Many thanks!

Offline CaveyUK

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Re: Getting married, need testing advice!
« Reply #1 on: July 10, 2018, 11:48:02 am »
1. I just want to know if this antigen/antibody is the correct and best test to take? (Took it after 8 months because I wanted to be 100% past the window periods)

Yes it is.

Quote
2. Does it matter if it was not just an antibody test but a antibody+antigen test?

No, the combination test is common and your results are negative which you can take as conclusive.

Quote
3. Whilst searching online Iíve come across many other tests like PCR DNA & PCR RNA & NAAT & NAT. What exactly is the difference between PCR RNA, PCR DNA, NAAT & NAT? What are they used for?

PCR tests are not applicable for HIV screening, as they are used to confirm viral load in those already diagnosed. NAAT/NAT are very expensive and not commonly used for HIV screening unless in the setting of high-risk exposure.

Quote
4. And more importantly do I need to take a PCR RNA OR DNA OR NAAT/NAT or any other test after a negative antigen/antibody test at 8 months?

No, you are conclusively negative.

At 8 months since last time you had sex, you can take the results as final.
HIV - Basics
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You can read more about Transmission and Risks here:
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HIV TasP
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You can read more about PEP and PrEP here:
PEP and PrEP

Offline ozzyy

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Re: Getting married, need testing advice!
« Reply #2 on: July 11, 2018, 02:23:35 am »
But im still highly confused. The more I search online the more tests come up!
What is an Immunochromatographic test (ICT)?
And now Iíve come across RT-PCR as well. Is RT different from normal PCR?
You said NAT is for high risk exposure but what can be more high risk than sex? So do I need a NAT? But it does appear that none of these tests are standalone and must be taken with antibody tests so I already took an antibody test so am I 100% safe then and I donít need to take any of these other tests? I donít even think the labs in my city offer all these different tests! Am I also right in believing that these viral load tests are only good for detecting early infections and after 9 months if I had viral load it wonít be as high so it wonít get detected on these tests anyway? So no need to take these tests right?

Also will an HIV test be accurate if you have no symptoms? I never had any symptoms I just took the combo test at 8 months. So this is accurate right? Because Iíve read that with viral load tests your result is only accurate if you are experiencing symptoms and ARS.. but antibodies would be formed even if you donít have symptoms right? So is my combo test reliable?

Lastly I came across a post here and I donít understand it https://forums.poz.com/index.php?PHPSESSID=dsv7fcsm3pvi6pn25upvcplhl0&topic=70146.0

The last post says ďfrom your birth up to 3 months prior to the test you did not have HIVĒ why does he say 3 months prior to the test? Surely 3 months AFTER the test also the person will be negative right? If they had no other exposure..

Offline JimDublin

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Re: Getting married, need testing advice!
« Reply #3 on: July 11, 2018, 02:50:44 am »
Hi

I am not sure what is confusing you. You have had a negative result on a test that is conclusive. Be happy and move on with your life.

In terms of screening the only time anyone would need any further testing is if they had a "reactive" or "indeterminate" initial result, at that time confirmation testing would be needed to confirm the results.

You however had a negative result and no follow-up testing is needed.

Also indeed PCR tests are not recommended for screening due to false results, definitively not as standalone alone and you don't need one.

Quote
Lastly I came across a post here and I donít understand it https://forums.poz.com/index.php?PHPSESSID=dsv7fcsm3pvi6pn25upvcplhl0&topic=70146.0

The last post says ďfrom your birth up to 3 months prior to the test you did not have HIVĒ why does he say 3 months prior to the test?

This was not about you so why worry about it?

The test has a 3 month window period, meaning if you test today it will reflect your HIV status from 3 months ago.

Quote
Surely 3 months AFTER the test also the person will be negative right? If they had no other exposure..

We have no idea what risks people take in the window before testing or in the future.

Move on with your life, you have had a conclusive negative result, you do not need confirmation testing or tests that are not designed for the diagnosis of HIV and there are many tests used in the treatment of HIV and in research.

Jim

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 Ďsafeí 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

Please Note.
As a member of the AM I Infected Forum you are required to only post in this one thread no matter how long between visits or the subject matter. You can find this thread by going to your profile and selecting show own post and it will take you here . It helps us to help you when you keep all your thoughts or questions in one thread and it helps other readers to follow the discussion. Any additional threads will be deleted.
   
HIV 101 - Everything you need to know
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HIV Transmission and Risks
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HIV Testing
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PEP and PrEP

Offline ozzyy

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Re: Getting married, need testing advice!
« Reply #4 on: July 11, 2018, 03:04:50 am »
Thank you your response has calmed me down.  However you didnít answer one of my questions, if you could be so kind as to clarify this for me as well - will antibodies be formed for hiv even if you donít experience any symptoms? For instance someone gets infected but has no symptoms and then takes an antibody test after 8 months, would antibodies be formed even if you donít experience ARS or any other symptoms? Iím just worried that I didnít experience any symptoms and hence my body did not make antibodies but I could still be infected? Iíve heard some people with HIV donít experience any symptoms at all for years so does this mean their bodies do not produce antibodies but they are actually infected? In other words would antibody tests be reliable even if you donít have symptoms? Will antibodies be produced even without symptoms?

Offline JimDublin

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Re: Getting married, need testing advice!
« Reply #5 on: July 11, 2018, 03:13:18 am »
I have answered your questions, you are just not listening. The test result you had is conclusive ... End of discussion really and this is regardless of the things you think are relevant when they are in fact not.

Quote
However you didnít answer one of my questions, if you could be so kind as to clarify this for me as well - will antibodies be formed for hiv even if you donít experience any symptoms? For instance someone gets infected but has no symptoms and then takes an antibody test after 8 months, would antibodies be formed even if you donít experience ARS or any other symptoms? Iím just worried that I didnít experience any symptoms and hence my body did not make antibodies but I could still be infected? Iíve heard some people with HIV donít experience any symptoms at all for years so does this mean their bodies do not produce antibodies but they are actually infected? In other words would antibody tests be reliable even if you donít have symptoms? Will antibodies be produced even without symptoms?

The vast majority of people will not develop any initial symptoms. None whatsoever, they will still develop antibodies and still test positive on a HIV test. Symptoms are meaningless both from a diagnostic and testing perspective and hence we don't discuss them here.

Its very simple if what you posted is true and you had no other exposures in the test window of 3 months prior to testing than your test results are conclusive meaning you don't have HIV.

A negative result at that time is conclusive, this also means no further testing is needed and you certainly don't need confirmation testing that is used for reactive result or tests designed for the monitoring of the treatment for HIV or research settings. There is no point in worrying about things that simply do not apply to you.

You are HIV negative, so move on with your life and be happy, just work on keeping your status HIV negative by using condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions. Considering taking PrEP to add an additional layer of protection against HIV and by testing out of standard routine at least yearly for easier to transmit STI's and HIV.

Jim

« Last Edit: July 11, 2018, 03:15:30 am by JimDublin »
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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