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High risk behaviour for HIV - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: HIV and AIDS
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   hello
Doctor :  
How can I help you?
User :   i was chatting with another Doc whenI faced technical isues
User :   do I need to start from the begining
Doctor :  
Yes
User :   ok
Doctor :  
No need
Doctor :  
I was the same doctor
Doctor :  
Please continue
Doctor :  
I apologise for the difficulty
User :   good ...
User :   its ok ...
User :   so do I need to be worried abt HIV now ?
User :   I have just had occasional sex .. it has never been a pattern
Doctor :   Ok
Doctor :  
There might not be risk of HIV
Doctor :  
but the behaviour is a risky behaviour
User :   ok ..
User :   wht If I stop righ away ..
Doctor :  
It is just a luck
Doctor :  
that you could not contract it
User :   as in
Doctor :   If you stop it right away the risk contraction becomes zero
User :   ok got it ..
User :   how do I knw If I am safe now
Doctor :  
You can get a test done by your consent
User :   what test is it
Doctor :  
This is called ELISA
Doctor :  
for HIV 1 and HIV 2
User :   and whts it for
User :   and is it expensive
Doctor :  
It costs Rs 100
User :   any symptoms I Need to be worried on .
Doctor :  
Not now
Doctor :  
But you have to get the ELISA done once now, after 3 more months and once after 6 months
Doctor :  
this is valid if you stop the risky behaviour today
User :   oh this scary
Doctor :  
No you need not worry
User :   are u sure ...
User :   is it risky if have had 2 partners in a year ..
Doctor :  
If the ELISA is non reactive be assured that
Doctor :  
you have not contracted ELISA
Doctor :  
sorry HIV
User :   whts ELISA
User :   ok
User :   is it risky if I had 2 partners in a year
Doctor :  
Let me answer the second question first
User :   I am asking this as I am nervous ..
Doctor :  
It is still risky to have multiple partners at any period of time
User :   why do u say so
Doctor :  
You can have single partner at any period of time
User :   how do u define single partner and mulptiple partner
Doctor :  
Single partner is having sexual relation ship with only one person during a certain period of time
Doctor :  
Say from Jan to Jun you have only XX as your sexual partner
User :   period of time canu define that aswell
User :   ok
Doctor :  
from Jun to Dec, XZ could be your parnter
Doctor :  
THis is not risky behaviour
User :   last year I had a sexual partner and this year another partner is that ok or is that bad as well
User :   ok got it
User :   but during june to dec if I had occasional sex once with another partner is that bad
Doctor :  
Yes
User :   even once is risky ?
Doctor :   Yes
User :   oh my my
User :   now ur scaring me
Doctor :  
In all the above situation having an unprotected sex ia also defined as risk behaviour
User :   couldu explain that more ..
User :   If i do not ejaculate in the vagina still am I at risk?
Doctor :  
Unprotected intercourse is with our barrier contraceptive like Condom or female condom
Doctor :  
The virus tranmsits irrespective of the ejaculation
User :   ok .. so if I take HIV 1 and HIV 2 tests now then I dont have to be be worried right
Doctor :  
Yes
Doctor :  
even one intercourse can transmit infection from an HIV infected person, but the risk is very low.
User :   how will I get to knw if the person is infected ?
Doctor :   Please don't be scared because even - by chance - one has HIV infection, that is not the end of the world
Doctor :   HIV infection can be managed very well and one can lead a long, healthy life. Please don't get into negative thinking.
User :   i shall tellu my life style
User :   I have beenhaving casual sex once a while with known persons while I have been married ...
User :   this has been the pattern for the last 6 years ...
User :   sex with others has been at a frequency of once in 4 months
User :   this is how my sex life has been
User :   I have another doubt...
Doctor :   Please go ahead
User :   If I were to be HIV positive ( assumption )...in 2008 end .... and If my wife has been tested in 2009 may and she is negative am I safe ?
Doctor :  
With the above life style that you described this falls under high risk behaviour
Doctor :  
No
User :   please explain
Doctor :  
The risk of transmission per sexual intercourse is low
Doctor :  
but might be your wife is so fortunate that she did not transmit from you ( assuming you are HIV + )
Doctor :  
All your queries come to an end if you get the ELISA test for HIV
User :   so I have to make my self clear by taking a HIV 1 and HIV 2 test
Doctor :  
ELISA is enzyme linked Immunosorbent assay
User :   these are two tests or one test
Doctor :  
DId you follow?
Doctor :   Which city are you in?

User :   BAngalore
Doctor :  
It is only one test
Doctor :   You can reach an ICTC
User :   so when I go to a lab I need to say ELISA or HIV 1 and HIV 2 test?
Doctor :   n a medical college or district hospital close to your home.
User :   these tests can be done in a clinic ? laboratory >
Doctor :   Yes
Doctor :  
They can be done
User :   how long with the results take ?
Doctor :   on the same day
User :   ok
Doctor :  
Please get back to me with the result
Doctor :  
and I shall tell you how to proceed further
User :   do I ask for ELISA test or HIV 1 and HIV 2 ?
Doctor :  
Ok
Doctor :   Yes
Doctor :  
DId you follow?
User :   wht do I ask for wen I go to the clinic
Doctor :  
Ask for ELISA for HIV
Doctor :  
that is it and sign on the consent form
Doctor :  
You can go back for the result
User :   ok ..thanks ..
User :   whts ur personal opinion ..am I in high hisk
Doctor :  
Please fill the feedback form
Doctor :  
My opinion is having sex with known people is fine
User :   ok .. thanks ..
User :   thanks a lot willget back t
Doctor :  
Thanks for consulting us
Doctor :  
Bye for now.
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Lab Tests
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