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Exposure. Please help!
Hello Doctors and thank you all for your help.
I will make my question short. I have been extremly anxious and sad because my 2 year boyfriend has been found to be HIV positive. He has started treatment immedeatly since his viral load was very high. We always had unprotected sex until he tested positive. 1 week after he was found positive i started feeling what i think might be ARS. I tested twice at one of the best hospitals in my country (south america) after 8 and 12 weeks with the roche combi test and both results came back negative.
1. Do you think i should re test?
2. Is there any possibility that i tested negative after 8 and 12 weeks with a combi test and still be positive?
3. Can i be 100% sure i did not catch HIV from my boyfrined?
4. Would you test again if it where you in my situation?
Thank you for your help.
I will make my question short. I have been extremly anxious and sad because my 2 year boyfriend has been found to be HIV positive. He has started treatment immedeatly since his viral load was very high. We always had unprotected sex until he tested positive. 1 week after he was found positive i started feeling what i think might be ARS. I tested twice at one of the best hospitals in my country (south america) after 8 and 12 weeks with the roche combi test and both results came back negative.
1. Do you think i should re test?
2. Is there any possibility that i tested negative after 8 and 12 weeks with a combi test and still be positive?
3. Can i be 100% sure i did not catch HIV from my boyfrined?
4. Would you test again if it where you in my situation?
Thank you for your help.
MEDICAL PROFESSIONAL
1. Yes, the combi tests will remain positve for the duration of infection once they become positive. While the p24 antigen may become negative, the antibody will not and therefore they do not become negative.
2. No!
3. this is the same question you asked before. My answer won't change. You did not get infected. EWH
2. No!
3. this is the same question you asked before. My answer won't change. You did not get infected. EWH
Thank you very much for your advice doctor! I feel much better knowing i did not get infected and will make my best to support my bf.
I have only one more question which was not very clear for me. My two test were done 8 weeks and 12 weeks after the day my bf received his first positive test.
You say that combi tests are positive im virtually all persons who acquire HIV at 4 weeks following exposure. My questions are:
1. Will they remain positive during the whole course of the illness or is there a moment in which they can be negative even if the person is infected?
2. Have you ever seen or heard of a patient having negative combi test out to 12 weeks and then turn positive at a later time like 6 months?
3. Just for mental reassurance (i really need it) can i be 100% confident i didnt get infected based on my 2 negative combi tests at 8 and 12 weeks?
Thank you very much doctor. You do a great job helping those in need. Feel free to close the thread after this.
I have only one more question which was not very clear for me. My two test were done 8 weeks and 12 weeks after the day my bf received his first positive test.
You say that combi tests are positive im virtually all persons who acquire HIV at 4 weeks following exposure. My questions are:
1. Will they remain positive during the whole course of the illness or is there a moment in which they can be negative even if the person is infected?
2. Have you ever seen or heard of a patient having negative combi test out to 12 weeks and then turn positive at a later time like 6 months?
3. Just for mental reassurance (i really need it) can i be 100% confident i didnt get infected based on my 2 negative combi tests at 8 and 12 weeks?
Thank you very much doctor. You do a great job helping those in need. Feel free to close the thread after this.
MEDICAL PROFESSIONAL
Welcome to our Forum. I am sorry to hear of your BF's infection, both for him and for you. I'm glad to hear that he is now on therapy and hope he is doing well with it. As for your risk, from the lab test results that you report, you can be confident that you did not get HIV and you can certainly be confident that the symptoms that you experienced a week after he found he was infected were not due to HIV. If your symptoms were due to HIV, the combination HIV Ag/AB test you had would have been positive. These tests are positive in virtually all person who acquire HIV at 4 weeks following exposure.
As for your specific questions:
1. Some would suggest following high risk exposures such as you have had that you should be re-tested at 6 months. I do not agree with this recommendation, particularly in that you have had two combination tests which were negative at times long after they would have been expected to be infected.
2. Virtually none.
3. See above.
4. No, I would not see the need for further testing.
I hope these answers are helpful. Again, I'm sorry for your BF, who needs your support, as well as for your concern. I'm glad however that you did not get infected. EWH
As for your specific questions:
1. Some would suggest following high risk exposures such as you have had that you should be re-tested at 6 months. I do not agree with this recommendation, particularly in that you have had two combination tests which were negative at times long after they would have been expected to be infected.
2. Virtually none.
3. See above.
4. No, I would not see the need for further testing.
I hope these answers are helpful. Again, I'm sorry for your BF, who needs your support, as well as for your concern. I'm glad however that you did not get infected. EWH
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