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Please help me with my situation..

Hi,

Recently (2 weeks back) I had a sexual encounter (Oral by her and Vaginal insertion) with a woman. I didn't wear a condom during the oral but used it during vaginal insertion. Unfortunately it has been ripped during the intercourse and I could not notice it until I finished the act. I was hell scared from then on. Although the woman claims to be 100% sure that she is healthy I am very concerned. This encounter is the first one in my life. After this exposure I had the following physical changes.

1. Just after the day of the act there existed a sense of urinating frequently that lasted for few days (no pain, burning sensation and puss) and I dont feel it any more.

2. A week after exposure I ate lots of ice cream (around 0.7 ltrs). Immediately the next day after that I had a very sore throat which included cough and mucous. I visited a doctor who gave me ROXID(antibiotic) with ascorill she said this might be strep. After a week I still have this so I visted an ENT specialist who asked for a blood test and a CT scan. After the tests he diagnosed that I have "concha bullosa" with a deviated septum along with swollen tonsils. He gave me antibiotic "ofloxacin".

Following are my blood test results:

total leucocytes : 8000
lymphocytes: 37% (22-44 required)
monocytes: 2% (0-4 required)


Please let me know what are my chances of contracting a STD (HIV in particular). I am very scared.

36 Responses
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366749 tn?1544695265
COMMUNITY LEADER
Abhthvu Bhayya ! First of all, relax and calm down. Not everyone contracts HIV from a single act of unprotected sex with an HIV+ partner. In your case, there are many odds in your favor. If she is not an HIV+ (as its rate should be very low in common polulation of India), then there is no risk, because one can not give something he/she does not have.

Having said that, condome failure puts you under a risk (no matter how small it is), because you can not judge the HIV status of anyone just by looking at his / her face or general health. You should also not believe in words when dealing with such kind of serious matters.

You were wise and smart using protection for penetrative sex (oral sex is a no risk thing, even if done unprotected) however your protection failed and turned your protected sex into unprotected. This is the only problem associated with this barrier which otherwise provides total protection against HIV and other STD's.

Though your symptoms appear to be due to common illness and do not look like ARS, never concentrate too much on symptoms, they are misleading in most of the cases and many actually infected people remain asymptomatic.

What I can suggest you, get yourself tested after 6-7 weeks of the exposure with a follow up test done after another 6 weeks to get a conclusive result and lay all your worries to rest permanently.



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Avatar universal
Kindly let me know the tests that I should take at the end of both 6 and 12 weeks....I heard ELISA test is accurate enough to determine the status or is there any other reliable tests...I am very worried right now in spite of these assurances hope you can understand that.
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366749 tn?1544695265
COMMUNITY LEADER
Here in Pakistan, MEIA or ECLIA Cobas 6000, utilizing electrochemiluminescene, are normally used by the Pathological Laboratories. All the antibody tests, including Rapid, Ora Quick and ELISA are reliable, accurate and you can trust the results reported. For an antibody test, time is important. Tests are reassuring after 6-7 weeks and conclusive after 3 months.
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Avatar universal
I forgot to mention some thing....I developed few(3-4) red colored pimple like lesions on my back a week back. Although all of them got cleared within 2-3 days, one still persists. Is this some kind of HIV rash? Do HIV rashes come along with other symptoms as well?
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Avatar universal
You were never at risk of contracting HIV.
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Avatar universal
You had condom failure.Test at 4 weeks with a DUO test and at 12 weeks for a conclusive result.All the best.
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Avatar universal
Thankyou for your replies....I know the odds are in my favour but even the thought of minute possibility is killing me and you also can understand the stress of undergoing the test.....I am planning to take the test on 13 th NOV hope everything goes well......I think this is the worst mistake I have made till now....
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Avatar universal
If there was a condom failure, then it is a risk and requires testing.
I agree with getitright77, at 4 weeks DUO test will give you excellent indication of your status. But if I were you, I wouldn't worry too much.

I respect Teak, but I do not give my advices based on his comments.
Helpful - 0
Avatar universal
Hi All,

Thanks for your replies. I am sorry but some things are continuously worrying me right now and all of a sudden from few days I am having this bowel movements frequently and today I had loose stool once. I think these are symptoms of diarrhoea if I am not wrong. It is now making me all more scared to death and I already have this feeling of HIV in my head. Please let me know the severity of diarrhoea during ARS. Its been 25 days since exposure and waiting to get the DUO test done in 3 days. Hope everything goes absolutely well.

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Avatar universal
I know its easy for me to say abhtnvu but dont focus on the symptoms, they mean very little in relation to the diagnosis of HIV.

However i do find it frustrating that Teak didnt feel it necassary to correct his initial comments in this thread. Condom failure means there is a risk, but its a low one. Get yourself tested and you can put this behind you. I wish you every success.
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Hi I had exposure on 16th of October 2011 can I get tested (DUO Test) today i.e 12th November 2011.
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Avatar universal
Yes,now is the perfect time to have the DUO.27 days is ideal because that is when the p24 antigen is at it,s peak and that test is 99% accurate at 4 weeks.
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Avatar universal
Hi,

I have visited a doctor who prescribed the following tests:

1. Tridot test
2. PCR test

Tridot test result came back negative and PCR test result would only come after 2days. What can I infer from this negative tridot test result which is negative after 4 weeks how reliable is this result?

Thanks a lot for your patient answers.
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Avatar universal
Any negative test result is good but 4 weeks is to early for that test.Also,a PCR is not a standalone test and needs to be followed up by an antibody test at 12 weeks.
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Avatar universal
Ya I do understand the that a tridot test is too early at this stage....but can you please tell me if PCR test is good enough an indicator of the status...as per doctor he says PCR detects at early stages although the negative status needs to be confirmed after 3 and 6 months.
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Avatar universal
The PCR RNA is good for early detection and needs to be confirmed with an antibody test at 12 weeks not 6 Months.
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Avatar universal
what is diff between PCR RNA and PCR DNA tests...I am asked to take DNA test. Is that equally reliable?
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Avatar universal
Either has to be confirmed with an antibody test at 12 weeks like i said.The PCR DNA is a viral load test that is used to monitor persons already diagnosed with the virus.It is not a diagnostic test.
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Avatar universal
That means RNA is a diagnostic test where as DNA is not. Hence the DNA test may not even tell if there exist any infection...Am I right?
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Avatar universal
Why test twice when you can test once with an antibody test and it will be conclusive at 3 months?
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Thanks a lot for the info. But I just wanted to understand whether a PCR DNA test is very reassuring test at this stage and if that being negative would be very unlikely to change after 3 months? I am asking this question so that I can stay calm for next two months. I already went through a lot for this one month.
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Avatar universal
PCR-DNA tests are not diagnostic tests.
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Hi,

My test results came back today. At 4 weeks both my TRIDOT test (equivalent 3rd generation ELISA antibody test) and PCR DNA test both are negative. I know that I would have to take a conclusive test at the end of 12th or 13th week but my question is how favorable are these results and what would be the case that would be lead to opposite results at the end of 13th week? Please kindly help me because it would reduce my anxiety and help me to focus more on tasks at hand.
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Avatar universal
The results are good because there negative but you know when to receive your conclusive result.You should have had a PCR RNA instead of the PCR DNA.8 weeks to go and your results will be conclusive.All the best.
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