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Can i consider my tests conclusive / final Sir
Dear Doctor,
Thanks for your support in the past. I have also gained some support from the Int'l forum.
I need your further advise. I do understand that some of this may be irrational, but i have further followed up and tested based on my doctors advise here in Japan.
I took 3 (three) 4th generation tests (Ag/Ab) at 26 days (4th week), 42 days (6th week) and at 56 days (8th week). All were duo tests administered in Japan (antibody tests after a blood draw). My doctor in Japan recommended testing at 60 days or at 8 weeks, considered reliable in Japan (and in Israel from what i read on this foum).
I know my risk is considered low risk (by the cdc) and theoretical risk by this form (deep kissing and lick to my shaft, but no penetration of any sort) and some others, however, what are your thoughts after my testing. Would tests at week 4, 6 and 8 be conclusive and reliable even if someone (not myself) had had a higher risk exposure, such as Anal Sex or Vaginal Sex? Would these tests till be reliable. I feel that the exposure and then actual tests all independent statistical events, and after reading on the case of helpme21 or some other reports, i am obviously anxious (plus i had a rash at 1 week and some diarrea between my 7th and 18th day post symptoms - i assume if that was ars / seroconversion, then my duo tests would have showed a result by the 4th and 6th week.
I will follow up with a test at 84 days / 12 weeks, but your further advise and thoughts would be greatly appreciated. (the guidelines in Australia, the U.K., Japan, Isreal, and the U.S.A, MA within the USA, all differ although all say to confirm at 3 months)- its all rather confusing.
Thanks for your support in the past. I have also gained some support from the Int'l forum.
I need your further advise. I do understand that some of this may be irrational, but i have further followed up and tested based on my doctors advise here in Japan.
I took 3 (three) 4th generation tests (Ag/Ab) at 26 days (4th week), 42 days (6th week) and at 56 days (8th week). All were duo tests administered in Japan (antibody tests after a blood draw). My doctor in Japan recommended testing at 60 days or at 8 weeks, considered reliable in Japan (and in Israel from what i read on this foum).
I know my risk is considered low risk (by the cdc) and theoretical risk by this form (deep kissing and lick to my shaft, but no penetration of any sort) and some others, however, what are your thoughts after my testing. Would tests at week 4, 6 and 8 be conclusive and reliable even if someone (not myself) had had a higher risk exposure, such as Anal Sex or Vaginal Sex? Would these tests till be reliable. I feel that the exposure and then actual tests all independent statistical events, and after reading on the case of helpme21 or some other reports, i am obviously anxious (plus i had a rash at 1 week and some diarrea between my 7th and 18th day post symptoms - i assume if that was ars / seroconversion, then my duo tests would have showed a result by the 4th and 6th week.
I will follow up with a test at 84 days / 12 weeks, but your further advise and thoughts would be greatly appreciated. (the guidelines in Australia, the U.K., Japan, Isreal, and the U.S.A, MA within the USA, all differ although all say to confirm at 3 months)- its all rather confusing.
tested negative via 4th gen. on week 12, 85th day. thanks for your support doctor.
Ok doc. I will test at 85 days next week and will post my result.
Thanks for the reply.
Thanks for the reply.
MEDICAL PROFESSIONAL
See the thread whose link I provided above, where I explain the reasons for varying advice. I also said there that I won't get into online debates with Dr. Bob or any other expert. Dr. Hook and I stand by the test interpretations and advice we give on this fourm.
Doctor why does doc bob on the body.com say 3 mos and 6 mos for a significant exposure? Is this the actual recommended guideline? Dunno what to believe???
Nov. 3rd Entry...reply from Dr. Bob
Hi,
Following a significant HIV exposure, such as unprotected receptive vaginal-penile sex with a partner confirmed to be HIV infected, HIV testing is recommended immediately (as a baseline), at three months and at six months to definitively confirm transmission has not occurred. Your wife will need to be tested out to six months from the date of the last potential exposure (unprotected sex).
Dr. Bob
Nov. 3rd Entry...reply from Dr. Bob
Hi,
Following a significant HIV exposure, such as unprotected receptive vaginal-penile sex with a partner confirmed to be HIV infected, HIV testing is recommended immediately (as a baseline), at three months and at six months to definitively confirm transmission has not occurred. Your wife will need to be tested out to six months from the date of the last potential exposure (unprotected sex).
Dr. Bob
Thanks Doctor. Your service, dedication and response time is un-matched. I think there is an irrational basis in what i am feeling, and the fact that you give me / us a few minutes to calm our fears and help us, is a very noble and warm gesture indeed. May God bless you and all those that make this platform available to all those dealing with medical dilemmas or difficulties.
MEDICAL PROFESSIONAL
Welcome to the STD forum. I see that you have had some extensive discussions on the HIV international forum and the HIV community forum. It seems you are having difficulty accepting the reasoned judgments you received that you don't have HIV. I have not yet read this question, but reponding to the title you selected -- "Can i consider my tests conclusive / final?" -- if you had negative tests for HIV at least 6 weeks after your last possible exposure to HIV, then for sure you were not infected and indeed your tests are conclusive.
Now I have read your question. A negative duo test (i.e. a combination test for both HIV antibody and p24 antigen) is 100% reliable if done 4 weeks or more after exposure. Your test results prove you were not infected. You do not need any additional testing.
Although it is true that you can find many online sources that will advise a need for later testing -- e.g. 3 months or even longer -- with modern HIV antibody tests, it virtually never takes more than 6-8 weeks. Further, those issues apply only to the HIV antibody tests. There is no debate about the duo/combo test; for sure a negative result at 4 weeks proves no HIV infection is present.
Here is a thread that discusses the reasons for the widely variable advice you can find about the time required for reliable HIV testing: http://www.medhelp.org/posts/HIV-Prevention/-A-Question-on-Testing/show/1347755
Unlike some of your other threads, there won't be any follow-up comments or discussion. Accept the truth that you do not have HIV. There is no information you can provide that could possibly change my opinion or advice.
Regards-- HHH, MD
Now I have read your question. A negative duo test (i.e. a combination test for both HIV antibody and p24 antigen) is 100% reliable if done 4 weeks or more after exposure. Your test results prove you were not infected. You do not need any additional testing.
Although it is true that you can find many online sources that will advise a need for later testing -- e.g. 3 months or even longer -- with modern HIV antibody tests, it virtually never takes more than 6-8 weeks. Further, those issues apply only to the HIV antibody tests. There is no debate about the duo/combo test; for sure a negative result at 4 weeks proves no HIV infection is present.
Here is a thread that discusses the reasons for the widely variable advice you can find about the time required for reliable HIV testing: http://www.medhelp.org/posts/HIV-Prevention/-A-Question-on-Testing/show/1347755
Unlike some of your other threads, there won't be any follow-up comments or discussion. Accept the truth that you do not have HIV. There is no information you can provide that could possibly change my opinion or advice.
Regards-- HHH, MD
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