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HIV positive/Negative

Dear Doctor ,

I had my last exposure about 33 weeks back , it was active anal intercourse unprotected with a girl of unknown status not a sex worker.I have the following tests so far -
1)HIV test for P24 antigen and Antibodies to HIV 1/2 - (CMIA) Chemiluminiscent Microparticle Immunoassay twice,
Once at 6 months post exposure and then again at 6 months 2 weeks post exposure.Both non reactive.
Then again i tested twice using a different method at a different lab called immunochromatography twice both non reactive.Is this totally conclusive ?
2)Does the P24 antigen remain in the blood stream untill antibodies are produced ? Hence if i was still in ym window period(rarest of cases) if antibodies were not detected would the p24 antigen been detected atleast ?Please Explain this
3)I also had a pro viral DNA test using the PCR method , at 8 months post exposure it tested negative , but said the lower limit was 100 copies is it possible that i have a viral load of less than 100 at 8 months post exposure without any anti HIV medication ?
4)I have also heard the HIV virus can remain dormant in the body and antibody tests or DNA tests may not detect it is it possible ?
5)I tested negative for VDRL and Hepatitis C , should i test for any other STD ,as i feel weak and i have fatigue ?
6)Do HIV symptoms that of ARS show up at 7 months post exposure or before ? And is the HIV rash itchy or not ?
7)I also had a Immunoglobulin test for Immunoglobulin G and E both were normal 848 and 91.2 respectively does this mean that there is no infection in the body ?
8)Is a combination of antibody tests and PCR tests enough to rule out HIV totally and have you ever had a case where somebody tested negative in both the tests at 7-8 months post exposure but tested positive later ?

Thanks
Regards Timothy English
5 Responses
936016 tn?1332769204
MEDICAL PROFESSIONAL
Dear Tim,

I'm going to go paste your question beneath then go through it all bit by bit.

The one thing I should say at the outset is that you are most certainly, definitely HIV negative from the episode you are concerned about.

I had my last exposure about 33 weeks back , it was active anal intercourse unprotected with a girl of unknown status not a sex worker.I have the following tests so far -
1)HIV test for P24 antigen and Antibodies to HIV 1/2 - (CMIA) Chemiluminiscent Microparticle Immunoassay twice,
Once at 6 months post exposure and then again at 6 months 2 weeks post exposure.Both non reactive.
Then again i tested twice using a different method at a different lab called immunochromatography twice both non reactive.Is this totally conclusive ?

Yes, completely and totally.

2)Does the P24 antigen remain in the blood stream untill antibodies are produced ? Hence if i was still in ym window period(rarest of cases) if antibodies were not detected would the p24 antigen been detected atleast ?Please Explain this

You're getting confused - look at my post on the Freedomhealth forum regarding this - you can see it by copying and pasting this into your browser:-

http://www.freedomhealth.co.uk/forum/showthread.php?t=3593

3)I also had a pro viral DNA test using the PCR method , at 8 months post exposure it tested negative , but said the lower limit was 100 copies is it possible that i have a viral load of less than 100 at 8 months post exposure without any anti HIV medication ?

No - not in these circumstances

4)I have also heard the HIV virus can remain dormant in the body and antibody tests or DNA tests may not detect it is it possible ?

Only in the immediate few days post infection - otherwise this is complete nonsense

5)I tested negative for VDRL and Hepatitis C , should i test for any other STD ,as i feel weak and i have fatigue ?

Only for the standard ones such as gonorrhoea, chlamydia etc

6)Do HIV symptoms that of ARS show up at 7 months post exposure or before ? And is the HIV rash itchy or not ?

HIV acute symptoms will show up sooner - but you do not have HIV

7)I also had a Immunoglobulin test for Immunoglobulin G and E both were normal 848 and 91.2 respectively does this mean that there is no infection in the body ?

Irrelevant and of no use to anyone

8)Is a combination of antibody tests and PCR tests enough to rule out HIV totally and have you ever had a case where somebody tested negative in both the tests at 7-8 months post exposure but tested positive later ?

a) yes, you are HIV negative b ) no - never ever.

forget it, you've tortured yourself to death over this - stop it, forget it and move on.

best wishes, Sean
Avatar universal
About the question on viral load , after hiv infection is the viral load higher than 100 always if no medication is used ?
Avatar universal
?
Avatar universal
I had protected sex with a women. Condom broke. Had immunocheck HIV anti 1/2 home test 4 weeks after. Came back negative. Am I good doc or should I retest. Kinda losing my mind over it
936016 tn?1332769204
MEDICAL PROFESSIONAL
Hi Tim

No, you will have a massive HIV viral load in the early stages of HIV and it will remain above 100 copies /ml.

Mr Nicnak, you need to pay for and ask your own question and not hijack poor old Tim's thread.

best wishes, Sean
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