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HIV duo test during seroconversion illness
First of all, this forum has been very helpful and educational, I really appreciate all the posts and responses.
However, I have a very difficult time during the past 6 weeks. I had a risky behavior, which was a group oral sex (the person who perform on me were performing an oral sex to another guy prior me (with no ejacuation, and my encounter was very brief but it was unprotected) and a episode of protected insertive anal sex.
Two weeks post possible exposure, I started to have a sore throats for two days, mouth ulcers and rash on my lower back. The next week (3rd week post exposure) I started to have muscle (upper arms) pain, one day of low grade fever (99.5F) and discomfort in my abdominal area. On the 4th week post exposure, I had one morning diarrhea and series of loose stool, along with rashes (1 bum on my face, 2 bums on my neck and 3 bums on my perianal area), at this point i still felt the discomfort in my belly (suspected to be enlarged spleen) and some morning chills and one night of night sweats.
On day 31 post exposure, my level of anxiety have gone through the roof, I decide to get tested, the doctor gave me a HIV duo test. The test came back negative. The doctor said that it was more than 99% accurate at 4 weeks and beyond and I do not need any retest after. But one week after the test (5th week post exposure) I have abdominal discomfort and occasionally loose stool, and weird rashes that appear for only couple of hours on my arms and legs (but to be fair, I always has bad skin with rashes since I was a child). I am very anxious about the accuracy of the results and the symptoms.
my questions are
1. can HIV duo test on 31 days after exposure taken in account with occurring symptoms of seroconversion illness be assuring?
2. would the symptoms delay the detection process of the test?
3. Is it possible that both the level of p24 protein and hiv antibody in my blood sample are both too low for detection at 31 day post exposure?
4. should I take a retest for antibody on the 12th weeks?
Thank you in advance for your answers and I have to apologize for the lengthy post.
However, I have a very difficult time during the past 6 weeks. I had a risky behavior, which was a group oral sex (the person who perform on me were performing an oral sex to another guy prior me (with no ejacuation, and my encounter was very brief but it was unprotected) and a episode of protected insertive anal sex.
Two weeks post possible exposure, I started to have a sore throats for two days, mouth ulcers and rash on my lower back. The next week (3rd week post exposure) I started to have muscle (upper arms) pain, one day of low grade fever (99.5F) and discomfort in my abdominal area. On the 4th week post exposure, I had one morning diarrhea and series of loose stool, along with rashes (1 bum on my face, 2 bums on my neck and 3 bums on my perianal area), at this point i still felt the discomfort in my belly (suspected to be enlarged spleen) and some morning chills and one night of night sweats.
On day 31 post exposure, my level of anxiety have gone through the roof, I decide to get tested, the doctor gave me a HIV duo test. The test came back negative. The doctor said that it was more than 99% accurate at 4 weeks and beyond and I do not need any retest after. But one week after the test (5th week post exposure) I have abdominal discomfort and occasionally loose stool, and weird rashes that appear for only couple of hours on my arms and legs (but to be fair, I always has bad skin with rashes since I was a child). I am very anxious about the accuracy of the results and the symptoms.
my questions are
1. can HIV duo test on 31 days after exposure taken in account with occurring symptoms of seroconversion illness be assuring?
2. would the symptoms delay the detection process of the test?
3. Is it possible that both the level of p24 protein and hiv antibody in my blood sample are both too low for detection at 31 day post exposure?
4. should I take a retest for antibody on the 12th weeks?
Thank you in advance for your answers and I have to apologize for the lengthy post.
Had you had a condom failure you would have posted it in your original post. That is not something you would have just happened to leave out.
Your negative duo test at 7.5 weeks is not likely to change at 3months.Its a good result.
Thank you, and what is the chance that my result will change after the 7.5 week duo test?
It doesn,t matter if you changed it once it broke.You had condom failure.You require testing 3months post Feb7th 2011.
For clearer understanding, this is the timeline.
7 Feb 2011 - condom broke situation
25 Feb 2011 - the situation with group oral sex
9 or 12 Mar 2011 - the symptoms starts to occur
28 Mar 2001 - negative result for HIV ag/ab test
(some of the symptoms still occurring at the moment (rashes and discomfort in belly)
thank you again
7 Feb 2011 - condom broke situation
25 Feb 2011 - the situation with group oral sex
9 or 12 Mar 2011 - the symptoms starts to occur
28 Mar 2001 - negative result for HIV ag/ab test
(some of the symptoms still occurring at the moment (rashes and discomfort in belly)
thank you again
Sorry to bother you again, but may I add that 7.5 weeks before the test is also have a condom break situation (but I change the condom right away). Thank You again.
Thank you for you answers and your kind words, I am deeply appreciate for all of the responses.
You might want to test for other STD,s but not hiv,because the unprotected oral sex you engaged in was never a risk even if the provider had pre-cum in his mouth.Don,t stress anymore your fine.Stressing will only make you sick and encourage more symptoms.
Thanks again for all the answers, its been very helpful. Although, this may sound repetitive and annoying for you guys but I'm still concerned about my oral sex situation; is it possible that the person who had the oral sex before me is HIV positive and had left some pre-cum in the mouth of the guy who performed oral sex on me. Is this situation a possible route for hiv transmission. And could this mean my test result is conclusive despite all the occurring symptoms (I also forgot to mention about leg numbness and joint pain in the knee). And also, along with the HIV DUO test I also had a CBC count which also came back abnormal with high level of Neutrophil and slightly low total lymphocyte (at 1400 ul count).
Again, I'm very grateful to all the responses and sorry to annoy you with all the questions, I am literally going insane with the amount of stress for the last 6 weeks.
Again, I'm very grateful to all the responses and sorry to annoy you with all the questions, I am literally going insane with the amount of stress for the last 6 weeks.
You never had an exposure. You used protection and oral sex is not a risk of HIV transmission.
Hiv is never diagnosed on the basis of symtoms alone,also many different infections and reactions cause similar types of symptoms not specific for hiv.Your symptoms are not related to hiv,but possibly stress.
thank you so much for your response, it was really fast and helpful. It really helps to have someone evaluate my risk. But to be frank, I still worries because of all the symptoms.
You never had a risk of hiv infection from your oral sex situation or your protected insertive anal sex,however you need to test for other STD,s but not hiv.Well done for using protection when engaging in anal sex.
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