HIV Test at 2 months

[Tarheel119]

I had unprotected vaginal intercourse almost three months ago. About a month after this episode, the doctor diagnosed me with sinusitis.  Needless to say that I have battled this the last three months.  I just can't seem to get over this.  I just finished my third antibiotic.  I have worried that this may be HIV weakening my immune system, therefore not getting over this bout with sinusitis.  Could this be the case?  I also started (or just noticed) getting tiny, tiny red markings on my skin.  Some are raised, but most are not.  They are not like pimples or anything.  There is also not a pattern to them.  They are just sporatic on my body.  This frightened me also.  So much that I got an HIV antibody test two months after the risky encounter.  It came back negative, but have been worried that it may still not have developed antibodies.  Should I be okay with a negative test two months after the encounter?  I have just been stressed out about this.  You answers will be greatly appreciated.

[H. Hunter Handsfield, M.D.]

Relax.  With a negative HIV test 2 months afterward, you can be 100% certain you did not acquire HIV during the sexual encounter you describe.  Sinus symptoms are not like those of acute HIV infection; and in any case, symptoms NEVER are a useful indicator for or against HIV.  (And by the way, it isn't at all surprising that your "sinusitis" did not respond to antibiotics.  Most cases of apparent sinusitis may not involve actual sinus infection; and most cases probably are not due to bacteria that would respond to antibiotics.  It likely was appropriate for your doc to prescribe antibiotics in the hope they would help, but lack of response really isn't a surprise and certainly doesn't indicate HIV.)

Good luck--  HHH, MD

[unknown7803]

A related discussion, HIV Test was started.

[blacktango_us]

A related discussion, vincent was started.

[WorriedDrainedOut]

In my craziest stupied moment intoxicated I did unprotected oral sex on a sex worker while she did likewise to me. We then had protected sex thereafter but very near towards the orgasm I took the rubber off and went in her for about 5 mins before I had orgasm in her. straight thereafter I realsied what a dumb *** I was after the alcohol died out and hosed every part of myself down. I am circumcised in my early teens as well but am still freeaking out.

I went for a rapid antibody test (20mins result based on 1 drop of blood) on 56 days (exact 8 weeks) after the incident as I could not take the anxiety any longer and thank god it came out negative. I was councelled by the test administrator before and after the test and have been told that I am in in low-med risk group because
1) where I am (singapore) from the sex workers are tested every 2 weeks.
2) that was my only exposure as I did not do anything this stupid after my last test last year.
3) I have no symptom whatsoever at all, no fever, no rash, no headaches and as mentioned in this forum that symptoms are not a definite sign of HIV infection anyways

But I am still worried sick cause
1) he advised me that the test is not conclusive according to the manufacturer as it requires 3 months to be conclusive
2) the guilt I have done that may hurt my family
3) Am not certain how accurate or the percentage of me not getting HIV based on the test at this 8 weeks rather than recommended 3 months
4) Worried about going back for the conclusive test in a month

Please someone advise me as every min is driving me crazy with anxiety, worry and losing nerves and sleep.

[worriedsick608]

Thanks again Jonny.  What about other STDs? like herpes?  Does the rule of days still hold in this sitution?

[JohnnyV]

The 12 week mark is relatively arbitrary. Actually by 8 or 9 weeks it's already approaching 100% and even the state of Massachusetts now accepts 6 weeks as definitive. I've known a LOT of people who did HIV tests and nobody who tested negative at 60-80 days has ever tested positive later, without doing something risky in the interim. In my most recent HIV scare (and I had significant risk), I tested negative at 6 and 9 weeks and then at 83 days. Most experts told me the third test was not even necessary, but I stuck by the CDC guidelines.

So if you got a neg. result at 78-80 days, it's pretty certain you're in the clear. We're all rooting for you.

J

[worriedsick608]

Thanks JohnnyV, so would say testing at 78/80 days with negative results be a 100% lock of having nothing? i'm still scared that i didn't make the 12 week cutoff.  And i'm also wondering if i should get retested again at 160 days (around 6 months)

[JohnnyV]

Both 84 days and 90 days are reliable intervals. 90 days refers to those people who count 3 months as calendar months and sometimes they also say 13 weeks. 12 weeks, which is used by NY State, is for people who count 3 months as 12X7. It's all the same since the vast majority of people will test positive by 45 days anyway. By the time you're out at 84 days it's the difference between 99.99999% and 99.99999999%.

[H. Hunter Handsfield, M.D.]

That's a very unusual and peculiar response; I have never heard of a public health STD clinic refusing to provide care to persons with possible STD or concern about it.  Feel free to tell them I think it is a totally wacko policy.  Feel free to tell them I said so. (What health department is it, by the way?)

HHH, MD

[worriedsick608]

Question, when the doctor says 12 weeks how many days is that? 84 or 90?  I'm confused as to when people say 12 weeks because no day count is given.  Can anyone shed more light on what the day count is?

[joeworried]

Thanks for your comment.  

I think my doctor wants me to have another HIV test at 6 months for CYA purposes (his, not mine).  I went in and told him that I had a potential exposure, and his policy is to always perform a confirmatory test at 6 months.  If I were in his shoes, I would probably do the same.

[bluebird05]

I thought so...yeah, they said if I had no health coverage and was "low income" they would help me.  The health dept. STD clinic in question is Sacramento, California.  And my HMO does not seem very educated about STD's...thanks for your response.

[joeworried]

When I read your posting, I thought I was reading about myself.  I developed a sinus infection about 5 weeks after a potential HIV exposure (mine involved fondling a stripper's vagina with a skinned finger).  My doctor prescribed an antibiotic (Augmentin) for the sinus infection, which didn't help.  I also got worried about HIV, and was tested at 2 months (59 days).  The test was negative.  My test was done using my personal doctor and the test was done by LabCorp.

Since then, I have been prescribed additional antibiotics twice (for a total of 3 times) and have noticed the red spots you mentioned.  About 2 months after my HIV test, I developed a case of folliculitis where the strap for my laptop computer goes over my shoulder.  That really had me going, as I thought I was developing a rash.  I also got a bad cough from the sinus infection, and my doctor had me on a steroid inhaler for 6 weeks (with minimal improvement).  I developed other symptoms (hot flashes alternating with feeling chilled, loss of appetite, muscle pains, headaches, etc.), most likely due to anxiety.

My doctor wants me to have another HIV test 6 months after the potential exposure, to make sure that I'm fine.  I'll be going in for this test in the near future (probably just after Christmas).  

The reassurance that the doctor gave you was very reassuring to me also.  I'm sure the both of us are fine.  If you continue to worry about this event, you could always get another HIV test like I'm going to do.

Take care.

[Imdumb]

Wow! - Joe- you are 100% fine in terms of HIV.  I hope your doc is testing you for mental health reasons, not HIV reasons.  You would probably be the first person in the history of the world to get HIV in that way and after testing negative after weeks.  The is simply zero chnace you have it.  Rather than get an HIV test, take the money and buy lottery tickets, your odds of winning that are astronomically higher than you testing positive for HIV.

[bluebird05]

Hi Doc., just wanted to make a comment.  I've often heard advice from you about going to the local health dept. STD clinic for low or no cost treatment/testing.  Well, I did just that, and they would not see me due to the fact that I am employed and with health coverage.  And even though I told them that I would gladly pay for it they still turned me down???  My HMO refuses to do the testing because they don't feel there is a medical need to do it.  I guess I'm stuck with going to a private doctor?