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Any tests to confirm HIV 3/6months after sex?

Resolved Question:

Hi Doctor

I have done unprotected sex on 14th Jan,2015 and 16th Feb, 2015 and on 2nd March,2015 I have done HIV 1 RNA Qualitative test (sample type EDTA Plasma Blood) and HIV 2 real time PCR (sample type EDTA Plasma Blood). Both the results are negative and on 15th March, 2015 I did an HIV 1 and 2 + p.24 Ag (method CMIA) which was also negative.

Now I am getting married on 9th April, 2015. Can I have sex with her or do I need to wait. What kind of tests I need to do now. Any tests after 3/6 months. I am really worried, kindly advise me. Thank you.

Augustine Joseph


Category: HIV- AIDS Specialist

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Category: Cosmetic and Plastic Surgeon
Dr. Kruti Jobanputra Banodkar is online now

Expert:  Dr. Kruti Jobanputra Banodkar replied 4 Days.

Hello,
Thank you for your query at DoctorSpring.com
I understand your concern.
Considering your last exposure was 02.03.2015, you need to wait at least for 6 weeks, before the tests are valid. Sometimes the PCR test can take up to 6 weeks to be positive, if there is an infection. Since the marriage date is fixed, the best that you can do is get yourself tested again on 02.04.2015, 1 month from the exposure, as PCR test after a month, if negative, rules out the disease 95 % of the times. It will be 100 % conclusive only if you can wait for 6 weeks.
Hope this was helpful,
Feel free to discuss further,
Regards.


Patient replied :

Hi Dr. Deepu,
My last exposure was on 16th Feb, 2015 and I did the p24 antigen testing on 15th March.
My doctor told me that HIV can be detectable in blood sample 4-11 days after exposure by PCR and p24 antigen testing. kinldy confirm.
Best Regards,
Augustine


Expert:  Dr. Kruti Jobanputra Banodkar replied 3 Days.

Hello,
Thank you for your query at DoctorSpring.com
I have reviewed your entire case history, and considering that your last exposure was on 16th of Feb, and you took the p24 antigen after 4 weeks, HIV can be ruled out. HIV RNA and p24 antigen are the first signs of HIV in the serum, and in normal people, the p24 or RNA test is positive within a month, following exposure. Some doctors prefer waiting up to 3 months for the conventional antigen-antibody tests, because in some patients with immunocompromised status, it may take up to 3 months for HIV to be detected via blood tests.
So, please do not worry. Just for a 100 % conclusive result, you can repeat the test around the 5th or 6th of april which is nearly 6 weeks. You can repeat the RNA test and it should be negative. You do not need any further testing beyond that.
Hope this was helpful,
Feel free to discuss further,
Regards.


Patient replied :

Hi Doctor,
Thank you for your message.
It really helps.
I have two more question on this, whether I can for another p24 antigen test as it is more comfortable for me to do.
And as my last exposure was on 16th February, I complete six weeks by now. Can I do the test now. kindly confirm.
Thank you.
Augustine


Expert:  Dr. Kruti Jobanputra Banodkar replied 2 Days.

Hello,
Yes, you can repeat the p24 test now.
It will definitely be negative, please do not worry.
Let me know once you have the reports.
And also wish you a great married life ahead!!
Regards.


Patient replied :

Hi Doctor,
Thank you for your message.
I will take the test today and will reach you back as soon as I get the results.
Regards,
Augustine



Dr. Kruti Jobanputra Banodkar
Category: Cosmetic and Plastic Surgeon
Experience: 
Diploma in Dermatology - Royal College Of Physicians & Surgeons Of Glasgow, UK , 2010
Residency - DNB, Dermatology -  K.J Somaiya Hospital, Mumbai, 2009
Medical School & Internship - MBBS - Dr. D . Y . Patil Medical College, Mumbai, 2004
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