You have been seirously overtested. Your results so far already prove you were not infected -- and we already discussed the impossibility of catching HIV from the exposure you described. Any other testing you do a) is an unnecessary waste of money and b) will be negative. Please do put all this behind you.
Dr. Handsfield,
Firstly, thank you again for the incredible service you provide. There is no question that those of us that are battling the guilt / anxiety of the situation we got ourselves into are very difficult to deal with, and you do it incredibly well, so thank you.
Here is what I hope will be my final question:
As I indicated above, I had a PCR test done at 20 days post exposure, that came back negative, they also did an antibody test at that time. I just learned that this was done on the latest generation Roche Qualitative DNA PCR Test.
On Day 42 (Six Week Mark) I had the Trinity Biotech Rapid HIV test done at a local clinic and that too came back negative.
I am having the antibody test done at labcorp this afternoon and am wondering if it is even neccesary given the negative result of the rapid test. Is my antibody test going to be negative since the Rapid Test results were negative (i.e. does the rapid test replace the need for the Antibody Test?)
Thank you for your comments, as I cannot tell you how often I have read your feedback over the last two weeks. I also apologize for the repetitive questions - just want to determine if I can safely put this behind me at this point.
Thank you for all the wonderful work you provide and for being so quick to respond. I can honestly say the service you've provided has been largely important to me holding it together.
I hope you will allow me one last question as i have not been able to answer it looking for the answer in other posts.
In working with my doctor, and working through some stomach issues I have been having, he tested me for a number of autoimmune conditions, one of them celiacs disease. The iga test he ran was idicated I have low iga. He ordered a full panel of igd, igm, igd tests as follow up. All my blood work has been in te normal ranges.
My question is as follows:
With there now being potentially a problem with my immune system, are my antibody tests out to 4.5 months less conclusive?
You mentioned above my PCR making it virtually impossible to have contracted HIV from insertive oral sex, with the potential of my immune system being potentially problematic, this negative PCR becomes pretty important in my opinion- can I trust the result of that pcr to be 100% conclusive?
I had ruled out HIV and put this behind me until my doctor mentioned a potential prob with my immune system.
Thank you, as always, this is a woderful resource...
There are only a handful of different HIV antibody (EIA) tests, all are equally accuarte, and all labs use them.
There are simply no circumstances that can make it possible you caught HIV during the exposure you describe. Ignore all "yes but" or "what if" questions or thoughts that enter your mind (and for sure don't ask them on this forum), and stop looking for more information about it. Accept the truth that you aren't infected and move on.
This thread is over.
Dr. Handsfield,
Is there any difference in reliability between the EIA test that you send out for and the rapid hiv test done in the US? I.E. will a negative Rapid result in also a Negative EIA / Antibody test you send out for?
I have read that there is not, but wanted to re-confirm with you....
Thank you.
Welcome to the forum. Bottom line: you were not at any risk of HIV and did not need testing and especially should not have had a PCR. But that negative PCR result confirms you were not infected.
Oral to penile HIV transmission doesn't occur at all, according to some experts; or may carry a risk around once in 20,000 exposures, if the oral partner has HIV. That's equivalent to receiving BJs by HIV infected partners once daily for 55 years before infection might be likely. With only a 6 second exposure, I would consider this a zero risk exposure. And the chance any particular female sex worker or masseuse has HIV is extremely low anyway; in the US, probably no more than 1 in 1,000 such persons has HIV.
Despite what you think you have learned by searching on line, your symptoms do not suggest HIV. In any case, test results always are more reliable than symptoms, and it is not possible to have HIV with a negative PCR test at 20 days.
However, the standard testing that has been most rigorously studied is an HIV antibody test, which is completely reliable at 6-8 weeks; or a combination antibody test with p24 antigen, which is 100% reliable at 4 weeks or more. You may wish to have one of these tests as well. You can be sure the results will be negative; there is simply no realistic chance of catching HIV in this situation.
I hope this helps. Best wishes-- HHH, MD