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How To Test For HIV?

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Posted on Thu, 14 Aug 2014
Question: Hi I had unprotected sex with a stripper what are the chances of female to male transmission of HIV. I also want to know since it's been 5 weeks if I should get tested now and if it's reliable
doctor
Answered by Dr. Deepak Kishore Kaltari (43 minutes later)
Brief Answer:
Serological test will not be positive till 12 week

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

The chance of female to male transmission is nearly half of that of male to female transmission.

As you had unprotected sex , there is definitely risk of transmission. Serological test which detect antibodies may not be positive till 12 weeks following exposure known as serological window period.
You can get test like P 24 antigen assay and HIV RT PCR which will be positive as early as 10 days following potential exposure. So would suggest you to get the antigen test done.


Do get back to me if you need any further assistance, will be glad to assist you.


Take care

Best regards
Dr Deepak XXXXXXX
MBBS, MS, MCh
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepak Kishore Kaltari (9 minutes later)
Do most people have some slight symptoms by a month or two because I didn't have any so far. Except for a spot on my forehead I don't know if that's considered a rash. And I heard within 3 weeks antibodies usually show up but that might be wrong. And another question what are the chances of infection if the source is HIV positive

Thanks you
doctor
Answered by Dr. Deepak Kishore Kaltari (24 minutes later)
Brief Answer:
Serological window period is 12 weeks

Detailed Answer:
Hi

Greetings

60 to 70 % of individual who contract infection do experience symptoms of seroconversion like body ache, fever, sore throat and lymph node enlargement. Absence of symptoms does not denote one has not contracted the infection.
In case of unprotected sex the risk of transmission from female to male is 60 to 70 percent depending on viral load and stage of disease in infected individual. The serological window period is between 8 to 12 weeks before which antibodies are not detected in serum.
You can go ahead with antigen testing and be assured when the result is negative

Take care

Best regards
Dr Deepak
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepak Kishore Kaltari (4 hours later)
It is that high??? The cdc estimates are much lower but the partner like I said is unknown status but if she were I did not hear from anyone that the chances of me getting the I infection is over 50%

And where can I get antigen test I have only seen rapid test
doctor
Answered by Dr. Deepak Kishore Kaltari (46 minutes later)
Brief Answer:
The test is available in local laboratory

Detailed Answer:
Hi

Greetings

The chances of contracting HIV from female to male depends on stage of HIV infection. As the status of the stripper is unknown the risk may be as high as 60 %. This is especially true as there are usually micro abrasion present over the urethral opening which increases the risk significantly.
Rapid test is only screening test .
P 24 antigen assay and RT PCR HIV can be done from your local laboratory. If it's unavailable, a baseline rapid test is to be done now and next repeated 12 weeks post exposure.

I hope I have clarified your doubt.


Take care

Best regards
Dr Deepak
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepak Kishore Kaltari (15 minutes later)
So is a antibody completely inaccurate at a 5 week mark? And I had read from reputable sites the rate of infection from woman to man even from an infected source is 1/500 to 1/2500 how could it be over 60% for unknown status I'm sorry but I'm just wondering. Also when do most people experience symptoms I heard 3-6 weeks
doctor
Answered by Dr. Deepak Kishore Kaltari (8 minutes later)
Brief Answer:
The risk of infection is high in unknown source

Detailed Answer:
Hi

Antibody testing is inaccurate at 5 weeks so it calls for baseline test followed by repeat at 12 weeks.
The risk of transmission is low from female to male if the female is in initial stage of infection. As the status of source is not known it would be definitely to analyse the risk. In clinical practice it's always considered as high risk.
The seroconversion symptoms may occur from 1 to 5 weeks after exposure .

Take care

Best regards
Dr Deepak
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3195 Questions

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How To Test For HIV?

Brief Answer: Serological test will not be positive till 12 week Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day The chance of female to male transmission is nearly half of that of male to female transmission. As you had unprotected sex , there is definitely risk of transmission. Serological test which detect antibodies may not be positive till 12 weeks following exposure known as serological window period. You can get test like P 24 antigen assay and HIV RT PCR which will be positive as early as 10 days following potential exposure. So would suggest you to get the antigen test done. Do get back to me if you need any further assistance, will be glad to assist you. Take care Best regards Dr Deepak XXXXXXX MBBS, MS, MCh