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Is HIV CMIA Test Done Three Months Post Exposure Conclusive?

Posted on Fri, 21 Jul 2017

Question: Im having sex with following
Wife. Starting without condom end with condom
Girlfriend No1. With single condom
Girlfriend No2. With single condom
I do HIV TEST CMIA every three month
IT IS SAFE ?

Answered by Dr. Dr. Kakkar (15 minutes later)

Brief Answer:
Protected sex is safe

Detailed Answer:
Heklo. Thank you for writing to us

I am dr. kakkar (dermatologist and venereologist) I have gone through your query and I have noted your concern.
Since you had protected sex with your girlfriends therefore there is no risk of HIV transmission. This has also been confirmed with a negative CMIA HIV screening test at 3 months. CMIA is an antibody based HIV screening test and its result is conclusive at 3 months and beyond.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (11 hours later)

And wat about STDs test
Is it require

Answered by Dr. Dr. Kakkar (8 hours later)

Brief Answer:
STD screening

Detailed Answer:
Hi.

You may screen for HSV (type 1 & 2) and Syphilis however the risk of infection is low with protected sex. HIV has already been ruled out.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (57 minutes later)

I have already done this STDs test last month before
But as im having relationship with many girlfrien which test is the best way get rid of doubts after every relationship prior three month

Answered by Dr. Dr. Kakkar (14 hours later)

Brief Answer:
STD screening

Detailed Answer:
Hi.

I suggest screening for HSV type 1&2 (HSV ELISA, IgG and IgM), Syphilis (VDRL/RPR), HIV (4th generation screening test), Urine test/ swab test for Chamydia and Gonorrhea. These tests would be conclusive 3 months after a risky sexual encounter.

Regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr. Kakkar (11 hours later)

Thank you
Last question
I have sex today with my girl friend but during ejaculations condom broke i add new condom
She has tested her HIV CMIA test its negative
Still i have a doubt

Answered by Dr. Dr. Kakkar (7 minutes later)

Brief Answer:
Regarding HIV screening

Detailed Answer:
Hi.

A condom break amounts to unprotected sex. Therefore ideally you are a candidate for post exposure prophylaxis if she also has other sexual partners. This is because a HIV CMIA test does not conclusively reveal HIV status within the last 3 months and if she has contracted HIV recently this test would anyways be falsely negative.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (1 hour later)

FALSELY NEGATIVE?

Answered by Dr. Dr. Kakkar (8 minutes later)

Brief Answer:
Regarding STD screening

Detailed Answer:
Hi

Yes falsely negative, if this test is performed within the window period which is 3 months for an Antibody based HIV screening test. A window period of a test is defined as that interval after infection when the screening test is unable to detect infection. For an Antibody based screening test the window period is 3 months since antibody formation in response to HIV infection may be delayed upto 3 months.
The window period is shorter for a 4th generation HIV screening test (detects both antigen and anti HIV antibody) i.e 2-3 week after a risky sexual encounter.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (1 hour later)

I did not understood the last paragraph
Can u explain me in an simple way

I got it now
Thank u so much
Will revert u along with the reports after maximum one month

Answered by Dr. Dr. Kakkar (17 hours later)

Brief Answer:
Regarding HIV screening test

Detailed Answer:
Hello.

All HIV screening tests have a 'Window period'' during which they cannot be relied upon for an accurate result i.e they may give a falsely negative result. This window period is the time immediately after infection/ risky sexual encounter. The window period varies between tests and it is 3 months for an Antibody based screening test and 2-3 weeks for a combination of Antigen + Antibody based screening test. I want to correct myself that even CMIA is a Antigen + Antibody based screening test so it has a short window period of 2-3 weeks as compared to a purely antibody based screening test. So you can take another CMIA test at 3-4 weeks (after the window period) from your last condom break sexual episode and it would be conclusive.

Regards

Brief Answer:
You are welcome

Detailed Answer:
Thank you for writing to us

Regards

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar