I am a male who had a low risk encounter with a CS man. I was the insertive partnern only and I used protection with a lot of lubrication. I am confident the condom did not break or tear. We did have unprotected oral and deep kissing. I did not finish inside, but finished myself manually (hoping none of his rectal fluids made there way inside my penis). I fell slightly ill at 7 days (slight fever, slight sore throat, which I understand is too early for ARS), that lasted 5 days. In any case, I became worried. I had a Aptima PCR RNA test at 10 days come back not detected. I had a Clearview Stat Pak at 28 days come back negative. I had another RNA test at 32 days (not sure if they did an antibody too, as my PCP ordered it) and that came back negative. As a side note at 10 weeks I had an perinanal abscess (near the anus), that was a first for me, but I am told that has nothing to do with any STD, and I have had a wheeze for about 8 weeks.
Tomorrow is 12 weeks (84 days) since the encounter, I am going to get another Stat Pak, what is the probability that I would remain negative?
Welcome to the Forum. I am confident that your 12 week test will be negative as your combination of antibody test at 28 days and a PCR at 32 days are equivalent (although more expensive) to a DUO (combined HIV p24 antigen/HIV antibody test and thus was conclusive at that time.
As you point out, your flu-like illness occurred too early to be the ARS and it is flu-season. Further, your exposures, condom protected anal and unprotected oral and masturbation have no appreciable risk for HIV.
Please don't worry related to this exposure- there is no reason. EWH
Allow me one more question. In the 83 days that I have been occupied with this, I have done lots of research (most likely too much in the eyes of some). As I have seen in forums, and in speaking with my providers, there seems to be debate or perhaps a disconnect, on words like: conclusive and accuracy, especially (and obviously) when discussing the window period, and tests available.
So my question, if you are a person of some means (as I, with insurance that covers all blood work at no OOP cost to me), in a developed country (USA) does in fact "conclusive" truly apply, to where I would not have to get a 12 week test?
I ask this because I have been wondering for 8 weeks on end (since my last tests as noted). I had to talk myself out of getting tested at week 6, 8, 10, and now I am at the supposed window period termination. I could see if I only, and could only, get Antibody tests, but I am fortunate enough to have these other options. Besides, does not the viral load spike incredibly high during initial infection (let su say within a month) to where a PCR test would have to catch it (okay two questions)?
Let me answer you this way. If I were you, I would not feel they need to test further. Recommendations for further testing given the testing you mention are based on older, out of date information and overly conservative thinking.
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