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Avatar universal

combo test after 28 days

am 23 years old ,, 31 days ago i've been in dubai , i was drunk and i have protect sex with prostitute while that the condom slipped then i complete (with out) condom after that i got stressed if she is infected with hiv she was Moroccan , i did test in lab in saudi arabia called hiv p24 ag & abs (hiv combo) after 21 days and 28 days 5 hours both come nonreactive  i have sore throat and Night Sweats and itch and night sweats  but no fever twice during this month ,,, i have stopped having sex with my wife during this time and i'm staying all the time in the bed because of anxiety ,,

1- can i have unprotected sex with my wife now ?
2- do i need to repeat the test ?
3- how percentage that result will change in the next days ? the dr in the lab told me it's 99% reliable after 28 days

greetings ,, and sorry for my poor english
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Avatar universal
I appreciate it ,,
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
No, to my knowledge this is not known to have happened.  Many official agencies continue to recommend final testing with an antibody test at 3 months or more after the last exposure, but it really isn't necessary unless you decide to do it strictly for additional reassurance.  But in the meantime, I still recommend you resume sex with your wife.

Please read the thread linked above, and the other one linked in that one, if you haven't done so.

That will end this thread.  Best wishes.
Helpful - 0
Avatar universal
Thnx for ur help
Have any result changed after 28 days with this test ?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
No problem.  Other illnesses have no effect on HIV test reliability.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum and thanks for your confidence in our service.

The HIV combo test (also called duo, combi, and 4th generation) is conclusive at 28 days.  And test results always overrule symptoms and exposure history.  The sexual exposure you describe may not have been especially high risk (few Moroccan women have HIV), and your symptoms are not typical for ARS (as you seem to know, absence of fever is against it).  But even if your exposure had been high risk or your symptoms typical, the test result rules:  you were not infected.  Finally, I am confident that labs in Saudi Arabia use standard, reliable tests -- probably the same ones in regular use in the US and western Europe.

To your specific questions:

1) You can safely resume unprotected sex with your wife without putting her at risk of HIV.  However, having had (partially) unprotected sex, you might consider testing for gonorrhea and chlamydia, if not yet done; and perhaps a syphilis blood test as well.

2) No additional testing is necessary.

3) 99% is a conservative estimate.  Most experts consider the combo test 100% conclusive at 4 weeks. Below is a thread that goes into more detail about the reliability of HIV testing.

http://www.medhelp.org/posts/show/1891685

I hope these comments have been helpful.  Best wishes--  HHH, MD
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Avatar universal
when i do the test after 28 days i was sick is it affect on the result ??
Helpful - 0

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