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question for TEAK

hi teak
i have a ques please help me out
at 8th may  79 days before i have a unprotected sex with a sex worker and during intercource my condom broke about 4 or 5 seconds and i ejaculate in her.... next day we both took test which was negative, and after 4 weeks i took my test hiv 4th gen was neg and now finally after 79 day 11 weeks i did that sex worker test again at 4th gen elisa again she is negative ....
what r my chances of getting hiv???? i didnt do any sexual act in this period and i have no ars symtoms at all and she is neg at that time and again at 11th week also

plzz give me  usefull advice and answer , please solve my problem
17 Responses
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Avatar universal
Canada, US and the UK all have the same testing guidelines and I gave you the stance on testing that is used on this forum and that is what we go by.
Helpful - 1
186166 tn?1385259382
it is stated repeatedly on this forum that a test done at 6-8 weeks post exposure will give a very good indication of one's status, and at that point unlikely to change.  it is also stated that according to the current guideline, this must be followed up at 3 months for a conclusive result.

UNTIL the guideline is changed...3 months remains conclusive.
Helpful - 0
Avatar universal
Hi Teak, you're still not getting my point , I do know that Canada's and the world's testing guidelines suggest 3 months because by that point almost 100% of people would have seroconverted but my point is that majority of healthy individuals will have seroconverted by 6 weeks! We have noticed that with commercial seroconversion panels when evaluating the INSTI HIV 1/2 antibody test, I am simply coming on this forum because it helped me during my own dilemma and now that I work for the BCCDC I am passing on this information which is documented and highly researched.

Read this: http://www.aac.org/site/PageServer?pagename=basics_home#13

Why do some sources advise waiting longer than 6 weeks for HIV testing?

Most people will test accurately for HIV after 6 weeks have passed since their last risk. In some cases where a person has a highly compromised immune system, such as those in which a person has recently undergone chemotherapy or an organ transplant, it may take 3-6 months for their body to develop enough antibodies to test positive.

These are very extreme situations, however, and other more common conditions such as colds or the flu, diabetes, asthma, and many others, will not affect the body's development of HIV antibodies in that way. Those who suggest window periods longer than 6 weeks are trying to account for all those who may also have compromised immune systems. The CDC (Centers for Disease Control and Prevention) recommends waiting 3 months for a conclusive test result.

----------------------------------------------
I understand the reason for the 3 month wait but what I am saying is that one can stop worrying if they have tested at 42 days and are negative.
Helpful - 0
Avatar universal
Apparently you don't know Canada's testing guidelines.

http://www.phac-aspc.gc.ca/publicat/ccdr-rmtc/07pdf/33s2-eng.pdf

All HIV tests that rely on the presence of HIV specific antibodies are less reliable for patients who are in the period of HIV seroconversion, often called the HIV window period. During the window period, the patient’s immune response
has not yet produced detectable levels of HIVspecific antibodies. HIV testing may not be reliable in patients who have had HIV-risk activity inthe previous 3 months, onsequently they should be counselled on the need for appropriate repeat
HIV testing.
Helpful - 0
Avatar universal
thats alot buddy for helping me :)
can u give me one answer more plzz ,, bcz after that incident i m v concious and scared for any sexual act
can kissing and oral sex causes hiv??
as if a person has cuts or sores in his mouth?? and wat about unprotected oral sex?
Helpful - 0
Avatar universal
You are HIV negative, if she's negative at the 11th week on any possible test available today then she does not have HIV and she didn't pass it on to you. Move on buddy :-)
Helpful - 0
Avatar universal
As you were told the manufactures and the FDA sets the testing guidelines and we go by the manufactures and the FDA guidelines on this forum.

by Emily_MHModerator , May 06, 2010 07:28AM


On MedHelp, we follow the guidelines set by the Centers for Disease Control (CDC), test manufacturers, FDA, and our experts, Drs. HHH and Hook.

For this forum, it is 3 months. Yes, a 6 or 8 week test may be accurate, but it's not conclusive until 3 months. Saying that the 6 or 8 week test is a good indicator is fine, but to be conclusive, testing must happen at 3 months. It is also this forum's position that oral sex by itself does not require testing.

You can quote doctors, but make sure you say that. Doctors are licensed to practice medicine and can say that given the particulars about exposure, timing, etc., that someone doesn't need more testing. However, unless you are a doctor, you can't say that.

Emily
MedHelp
Helpful - 0
Avatar universal
i was negative at 4 week post exposure and didnt do any sexual act after that incident..
Helpful - 0
Avatar universal
actually i m v scared about my test thats y i did that gurl test at 11th week so that if she is negative at 11 week again then how could she passed hiv virus to me 11 weeks before as u said chances of hiv  is nil,,what say??
Helpful - 0
Avatar universal
Hi Teak

I currently work at the BCCDC in Vancouver, Canada amongst top HIV researchers and the manufacturers of Biolytical's INSTI test.

The 3 month window period is advised by the CDC and by many health organizations in order to account for all persons in the population who may seroconvert later i.e. cancer patients who have undergone chemotherapy, persons who have serious immune complications etc.

However all healthy individuals i.e. a greater than 98% of all the population will seroconvert by 6 weeks, the advice given by the state of Massacheusets applies to all currently available 3rd generation tests.

The advice I am giving this individual is fact and is to calm his worries as I have been in his situation before, we have the technology today to shorten the window period. The 4th generation test looks for both the p24 antigen and antibodies and when administered at 28 days on a healthy individual who DOES NOT have a serious immune system complication will be definitive.

Even then cancer patients etc. can take a viral load test called the NAAT which gives a definitive result at 8-10 days post exposure.

TEAK I have been reading a lot of your posts but a lot of them don't seem to take into consideration modern HIV testing methods, the 3 months advice for 3rd generation and 4th generation tests are all well and good but people need to understand that when you're negative at 6 weeks its highly UNLIKELY that you can turn out positive by 12.
Helpful - 0
Avatar universal
Get you conclusive test result with your anxiety will be wondering two years down the road.
Helpful - 0
Avatar universal
Hi Teak

I currently work at the BCCDC in Vancouver, Canada amongst top HIV researchers and the manufacturers of Biolytical's INSTI test.

The 3 month window period is advised by the CDC and by many health organizations in order to account for all persons in the population who may seroconvert later i.e. cancer patients who have undergone chemotherapy, persons who have serious immune complications etc.

However all healthy individuals i.e. a greater than 98% of all the population will seroconvert by 6 weeks, the advice given by the state of Massacheusets applies to all currently available 3rd generation tests.

The advice I am giving this individual is fact and is to calm his worries as I have been in his situation before, we have the technology today to shorten the window period. The 4th generation test looks for both the p24 antigen and antibodies and when administered at 28 days on a healthy individual who DOES NOT have a serious immune system complication will be definitive.

Even then cancer patients etc. can take a viral load test called the NAAT which gives a definitive result at 8-10 days post exposure.

TEAK I have been reading a lot of your posts but a lot of them don't seem to take into consideration modern HIV testing methods, the 3 months advice for 3rd generation and 4th generation tests are all well and good but people need to understand that when you're negative at 6 weeks its highly UNLIKELY that you can turn out positive by 12.
Helpful - 0
Avatar universal
BT my question is that
we both were negative at the time of that incident ,, then i tested that girl at thet same date and at 11th week  negative so is this possible that she infected me that day??? like 79 days before??
i havent tested my self yet except 4th week which came negative

should i consider my self negative or wait for 12 weeks for conclusive test??
Helpful - 0
Avatar universal
UK testing guidelines.

Post-test discussion

The need for a repeat HIV test if still within the window period after a specific exposure should be discussed. Although fourth generation tests shorten the time from exposure to seroconversion a repeat test at three months is still recommended to definitively exclude HIV infection.

http://www.bhiva.org/documents/Guidelines/Testing/GlinesHIVTest08.pdf
Helpful - 0
Avatar universal
Well you didn't help. There are no tests marketed or sold that will give a conclusive negative result earler than 3 months. Mass. doesn't make the testing guidelines. The testing guidelines are set by the manufacture of the tests and the FDA.
Helpful - 0
Avatar universal
Hi I'm not TEAK but I think I can answer your question sufficiently.

A 4th generation HIV test taken at 28 or more days after a possible exposure is definitive and accurate, if the test came out negative at both 4 weeks and 79 days post exposure you can consider yourself 100% HIV negative.

Even a 3rd generation HIV test taken at 6 weeks or 42 days post exposure is definitive and accurate.

Take care in the future to always use protection during sex so that you don't have to worry unnecessarily.

If you want clarification on this info I've given you take a look at freedomhealth.co.uk , they are one of the best HIV doctors in the UK and provide  a 4th generation test which is definitive at 28 days.

Also the health department of the State of Massachusetts says that a 3rd generation HIV test taken at 6 weeks is definitive and accurate.
Helpful - 0
Avatar universal
Chances you are positive within a week, is nil.
Helpful - 0
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