Please Dr.HHH I want (YOUR) answer

[Saudi]

Dear Dr. HHH .

I read most of your posts here and I will feel very very very fine if I recive your reply .

Here is my story .

I had a sexual exposure in april 2008 and it was protected using a condom , and there was some neck kissing and touching for the vagina . The pentration was only for 1 minet . I went to the bathroom and I removed the condom and noticed that my semen was in the top of it . but I am really afraid if there was any microscopic hols or any hols I didn't notice .

I know you will say my risks are low but I really feel bad when I remember that my life could be distroied and my wife and my baby . also my family .

I had tests using Acon rapid test ( US company and its factory located in china and it has FDA Approval ) @ 4 weeks and it was negative . I also did p24 antigen test @ 4 weeks and it was negative also .
5 weeks I had IFA test and it was negative.
6,7 weeks I had Acon Rapid test for ( HIV1/2 , Syphlis, HBV and HCV ) and they all came back negative.
today I am planing to take Acon Rapid test for HIV 1/2 coz today will be 8 weeks. but I am thinking to take IFA test rether than rapid test.

So my questions are :
Do you think that the latex condom could transmait the HIV if there were tiny hols .
How accurate is the test @ 7 weeks ?
How about the accuracy of Rapid test ( let say those without FDA Approval ) ?
Do you think I need to make my 8 weeks test with rapid test or IFA or ELISA ?
Can I back to my wife and have sex with her without protection ?

PLEASE DR.HHH I need  your answer

[H. Hunter Handsfield, M.D.]

I already told you it is impossible that you caught HIV from the exposure you describe.  You did not need testing at all.  Therefore, logic dictates that you do not need additional testing of any kind.  Yes, 8 week tests pick up about 98% of new HIV infections.  No, I never saw a patient who tested positive after a negative test at 8 weeks.

I will not have any further comments.

[phprajs]

can anybody answer me. I'm very worry

[phprajs]

i live in saudi arabia middle east.I tested my blood for hiv.after 18 days. 65.days 81.days and 112.days after mistake. I tested  three at policlinic and one at normal hospital. They all came negative. I have been reading your comments and advise in here it's really helpfull. But would like to know that your 3 moths window period 100% accurate for all around the world or in only europe usa britain etc. I mean i live in saudi and i don't know which generation elisa they used for antibody. And i didnt ask them which generation they used.as your 3 months window period  comment i'm safe but i'm scared that thinking  may they used old elisa method.i just could not belive my negative test please advise me . Now i'm thinking to go another test after complate 6 months. Please what you suggeste me ?and also i red in some web. Some rare ppl takes up to 6 months to detect antibody. Why they said that ?really so then what is reason those rare ppl ? I'm at very depressio sir please give me your good suggestion. Thank you sir  

[Saudi]

I also had Duo test after 30 days .

It will be helpfull if Dr.HHH confirm this

Please Dr . Your last comment.

[Egypt2008]

I am sorry . but I have this question which I read about it and it makes me very happy . and I want you to confirm it .

in the community forum. One member saied that he read a post for you saying " Duo Test ( antibody / p24 ) is 100 reliable after 4 weels " I asked my doctor about the test done to me in 4 weeks mark and he told me it is Combo ab/ag test .

I don;t know how to find that post . so can you please Dr. and make me happu and confirm it ?

[Saudi]

Thanks Very much Dr. HHH , you helped me in this.

I will never cheat on my wife again and Thank GOD that this time I didn't had a risk ,

[Saudi]

Dear Dr.

I had only that exposuer that I told you about . and no thing else happen .

What do you think about the p24 test , I did it in week 4 with the antibody test ?
I didn't had any symptoms . Also Dr. I did today my 8 weeks test jus after I posted this thread . I did the test to be sure about any thing . Do you belive that in 8 weeks about 98% of the positive will be picked up ?

Also Did you ever saw any case tasted poz after 8 weeks negative.

Thanks alot Dear Dr. HHH .

[H. Hunter Handsfield, M.D.]

Since you used a condom for the brief penetration, there was no risk of HIV.  Condoms do not have microscopic leaks (and if they did it wouldn't make any difference).  Your tests are valid and you didn't catch HIV.  The answers to the specific questions are:

*  No.
*  Completely accurate.
*  Completely accurate for those with FDA approval.  Probably the same for rapid tests in other countries that might not have been evaluated by FDA, but I have no way of knowing for certain.
*  No.
*  Ssince you could not have caught HIV from the exposure you describe, I see no risk for your wife.  But I never guarantee someone isn't infected.

Regards--  HHH, MD