Is this testing enough to rule out having HIV? Four small questions

[pac-man-pa]

I had a low-risk encounter, rubbing a stripper's vagiana with a cut on my cuticle, no visible fluids cam on my hand, but I don't know this for sure, also she was Asian (where I here the infection rates are higher). Considering all this I got very very nervous and decided to get tested?

--4 week OraQuick Advance test - Negative.
--I also got a 42 day (6 week) OraQuick Advance -Negative.
--At 40 days after the incident I got a Proviral DNA by PCR (from Labcorp)- Negative and HIV Antibody Screen ELISA  - Negative.

I had four questions:
(1) Have I done enough testing and can I be sure that I do not have  HIV?
(2) Are anymore tests needed?
(3) My temperature has always been below 98.7.Is it possible to have HIV realted sore throat and possibly swollen lymph nodes 6 weeks after the exposure, though all my tests so far are negative?
4)LabCorp's own Patient Service Center took my blood on Wednesday afternoon, and the results came in Monday evening. Do you think that the sample remains stable that long (their website says it remains stable for 96 hours, which puts it till Sunday afternoon, in my case). Do you think this timeframe could have had any effect on the Proviral DNA by PCR results or LabCorp would have this procedure standardized and would not mess up? Are any of these doubts valid?

Please please answer, as the place that ordered my tests, does  not have doctors who can provide advice, so I need to have some idea of what all these tests mean, are my doubts unfounded, and whether I should be sure that I don't have HIV.

[H. Hunter Handsfield, M.D.]

Lucky for you that you weren't successful in posting it as a new thread.  You would have been out $15.00, without a reply.  The notice below is prominently displayed in the forum's Post a Question" link.  It is intended precisely for the kind of question you are asking, whose answers are readily available in the archives.

HHH, MD

"If you have not done so, please review other threads in our archives and the FAQs for questions similar to yours and Dr. Handsfield's replies.  Questions that duplicate other frequent ones, for which abundant replies exist, and that have little educational value for other forum users, will be DELETED WITHOUT RESPONSE.  YOUR DONATION WILL NOT BE REFUNDED.  The most common examples of such questions are those about low risk exposures to HIV, such as oral sex, hand-to-genital exposure, and nonsexual contact with possibly infected blood or body fluids."

[VTStallion]

I know I asked a question in my previous comment, but every time I try to post a question, I receive the message that there have been too many questions posted already.

To clarify my previous post, I tested negative at 8 weeks with the Oraquick test. My exposure was unprotected vaginal sex. I have two more weeks until the 12 week time frame. Just need some reassurance.

[VTStallion]

Do those four small questions apply to unprotected vaginal sex as well?

[H. Hunter Handsfield, M.D.]

Let me restate my main point in different words:  Since you could not have been infected by the exposure you describe, all your questions about testing are irrelevant.  None of the additional information you provide makes any difference in my responses.

Sparkeler is right.  Move on.

[sparkeler]

I think you have an irrational fear of hiv. No one has been infencted in the incident you describe.  Your tests are conclusive.  I suggest you move on and enjoy life and if you have trouble letting go of not having this disease seek some professional help.

[skerdstraght68]

heres a neat little info grahpic i found.  Might be useful.  The doc can despute if he wishes.

http://www.aegis.org/pubs/rita/2002/RI020102.html

[pac-man-pa]

Thank you very very much for your reply, it helps me a lot. I am not going to post and "what ifs" - but this is my last post I will not post anything more at all, so here goes (1) Just wanted to clarify that in my question 4 - I asked if the sample would have been stable by Monday morning when they must have tested it (this is past the 96 hours after collection.) Please let me know.  (2) Even if there were vaginal fluids on my hand, does your diagnosis remain the same. (3) Have you seen anyone test postive, after these tests at the weeks they were done after. Sorry for bothering you, even if it is yes/no, let me know about these questions and I will never ever bother you again.

[H. Hunter Handsfield, M.D.]

I know you are frightend, but you badly overreacted.  You have done everything wrong.  There was no HIV risk from the exposure you describe and you didn't need testing.  And what a waste to have DNA testing!  And people who need more than "just the results", i.e. who want to discuss test interpretation, should see a provider and not make their own decision to be tested and then use a lab or online site without available professional consultation.

To answer your specific questions:  1) Yes.  2) No.  3) No.  4) Of course the website information is valid. Why in heaven's name would a site give misinformation about such things?

Please do not post any follow-up "yes, but" or "what if" questions.  There is no additional information you could provide that would change my opinion.  Just move on.

HHH, MD