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Author Topic: Symtoms and Negative HIV test after High Risk Exposure  (Read 573 times)

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Offline Gopal019

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Symtoms and Negative HIV test after High Risk Exposure
« on: November 08, 2019, 01:25:55 pm »
I had 2 high risk exposures with a CSW about a month apart. 1st one was on 1st Feb 2019 and 2nd one was on 1st march, condom broke and I realized at the end so I am not sure how long the exposure was. 2 days after my last exposure I had flu like symptoms with sore throat, fatigue and stomach problems. The symptoms resolved after 5 days. Since then I had 12 hiv tests including 3rd gen and 4th gen tests.

I also had RNA PCR test by Taqman at 70 days, 15 weeks and 25 weeks which all came back negative. However my CMIA test value came as high as 0.52 on my 3 month test, my last test was at 8 months CMIA index value 0.06.

I lost 4kg (5% of my weight) weight within first 2 months of exposure which I am not able to recover till now inspite of eating more then usual. I still have stomach issues, burning sensations in hands and feet, sever dandruff in hair started about 5 months after, headaches, wight tongue which remained for about a month. My STD panel test came positive for HSV IGG and clymaida

can these symptoms be associated with HSV or clymadia? are my HIV tests done till 8 months conclusive or need to check again after 1 year or so? are these tests done in India accurate? if not can anyone recommend any more accurate test at this time?

Offline Jim Allen

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Re: Symtoms and Negative HIV test after High Risk Exposure
« Reply #1 on: November 08, 2019, 02:02:33 pm »
Hiya

I'm sorry to hear that you have been feeling unwell however it has nothing to do with HIV. Stop focusing on HIV and work with your doctor to treat whatever is making you sick. I hope you feel better soon.

Quote
my CMIA test value came as high as 0.52 on my 3 month test, my last test was at 8 months CMIA index value 0.06.

It's background noise for lack of better phrase. If you took 10 tests back to back you could end up with different single values on each one and it would never be 0.00. Ill put it this way 0.52 and 0.06 signal value is the same result.

The VL testing was irrelevant but the above antibodies test is negative so unless you have had ongoing exposures since the above-mentioned incident, it's simple, you don't have HIV.

Quote
can these symptoms be associated with HSV or clymadia?


Generally no, but instead of speculating online continue to work with your doctor to find out what is making you sick.

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. Consider starting PrEP as an additional layer of HIV protection going forward

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

Kind regards

Jim

« Last Edit: November 08, 2019, 02:38:34 pm by Jim Allen »
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

Offline Gopal019

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Re: Symtoms and Negative HIV test after High Risk Exposure
« Reply #2 on: November 10, 2019, 04:13:21 am »
Hi Jim, thanks for your reply!!

I understand that antibodies test is considered to be gold standard for hiv testing however, in case antibodies formation is delayed the pcr rna test would be relevent right? What I mean is that, just in case I have certain immunodeficieny which i am not aware about and my body is not able to create antibodies to the measurable amount then in that case viral load tests would be able to picup the infection?

Or does vl tests can only detect virus 1-2 months after exposure? Do you think DNA pcr test would be more relevent?

I just need to make sure of hiv as I am married and we are planning for a baby, and need to be fully ensure before moving ahead.

I haven't had any possible exposure since march2019. Can there be any other scenerio where these tests may not have picked up the infection till now?

Thanks,
Gopal

Offline Jim Allen

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Re: Symtoms and Negative HIV test after High Risk Exposure
« Reply #3 on: November 10, 2019, 04:52:12 am »
Hiya

The short answer is, No.

There are only two dozen true cases of what you are suggesting and the vast majority from past generations of testing. Of them, most are extremes like related to post-mortem finds and people with end-stage AIDS or long term IV drug users.

The result you have is about 99.8 % - 99.9% i.e considered definite. To be honest testing reactive past 6 weeks is already highly unlikely.

Anyhow the 0.1% past 12 weeks without any ongoing exposures, let's shave it down a bit unless you are on PrEP, PEP, Chemotherapy, dying or a long term IV drug user the 0.1% really doesn't apply.

You would have more odds of being hit in the head by a meteorite one day whilst sitting on the toilet. Now if you think you have suddenly development rare severe autoimmune deficiency, by all means, talk to your doctor to rule out that you don't have autoimmune deficiencies for your peace of mind

DNA testing would not be recommended as screening either.

Quote
I am married


Well obvious perhaps, but if I don't point this out it would be wrong, so if you have been engaging in unprotected intercourse with your partner or plan to do so this would meet all the biological conditions needed for acquiring HIV.

Now I don't judge couples that decide to engage in unprotected intercourse, it's often based on trust within a relationship, however, just note this trust or faith does not prevent HIV and any unprotected intercourse is simply accepting a possible risk to you of acquiring HIV. Test regularly, understand your real risks.

Good luck with trying for a baby, I would say test together 3 months post any possible encounter for HIV & STI's to reduce your risks.

Best, Jim


« Last Edit: November 10, 2019, 05:39:32 am by Jim Allen »
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

Offline Gopal019

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Re: Symtoms and Negative HIV test after High Risk Exposure
« Reply #4 on: November 10, 2019, 06:38:28 am »
Hi Jim,

For detecting any kind of immunodeficiency I also had a cd4/cd8 test, I know this test is only for hiv positive people but I wanted to see if my immune system is doing alright.

I tested cd4/cd8 on 75th day of exposure and my cd4 was 487 and cd8 was 890 which caused cd4/cd8 ratio 0.6. do you think the low cd4cd8 ratio could be a sign of immunodeficiency?

Offline Jim Allen

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Re: Symtoms and Negative HIV test after High Risk Exposure
« Reply #5 on: November 10, 2019, 07:35:14 am »
Hiya

It's not just for people living with HIV and your results are within average range

Move on with your life!
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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