Question: Hello Doctor, I am 32 year old Male. On 29th May 2015 I had an unprotected insertive virginal exposure with a CSW. It was a brief exposure (less than a minute) with no ejaculation inside the virgina. I was extremely concerned after this event and was very nervous & anxious throughout. I was unable to sleep well at night and my mind kept thinking about HIV & STIs I could have caught due to my mistake. 10 days later I experiences mild lower abdomen cramps and burning sensation during urination for which GP gave me medication for UTI. Urine test and culture showed no bacteria, though I have to admit that I appeared for test after taking the UTI antibiotic at night. After 2 weeks of antibiotics the symptoms of UTI came back, also started feeling groin pain, leg joint pain & gas issues. I visited a urologist who prescribed semen culture and analysis. Semen culture showed no pathogenic organism but semen analysis revealed PUS CELL 12-14/HPF. Urologist concluded I had abacterial prostatitis and over active bladder for which he gave me bactsol and Roliflo OD. I should also tell you that I was already taking medicine for Hypothyroid since March 2015 (Thyronorm 50mcg) and was having difficulty controlling urine since mid 2014 for which I didn't consult a doctor & kept ignoring it. After starting medication for Prostatitis my physical condition improved but my anxiety was not going and I was having acidity & gas issues for which my urologist prescribed antacid & advised me on lifestyle alterations like slow eating, 8 hours sleep, yoga, meditation and exercising. After 3 weeks on medication and following lifestyle advise my condition became better. However fear of STI & HIV was not allying and I did following tests.
2 weeks from exposure - HIV 1&2 AB CHEMILUMINESCENCE Quest Diagnostics. RESULT - NEGATIVE
3 weeks and 4 days from exposure (25days) - HIV 1&2 AB CHEMILUMINESCENCE Quest Diagnostics. RESULT - NEGATIVE
4 weeks and 5 days from exposure - STI test (hsv 1+2 IgG & IgM, anti HCV, HBsAG Qualitative, Hepatitis B Profile, Chlamydia Trachomatis IgG & IgM, VDRL Serum) . RESULT - ALL TESTS NON REACTIVE and reports reviewed by my Urologist who had physically examined me and told me earlier that I had no STIs but wrote these test on my request.
6 weeks and 3 days from exposure - HIV 1&2 AB CHEMILUMINESCENCE Quest Diagnostics. RESULT - NEGATIVE
10 weeks and 3 days from exposure - HIV Ag/Ab Combo-CMIA(ABBOTT Architect) Dr Dangs Lab . RESULT - NON REACTIVE
11 weeks and 6 days from exposure (83days) - HIV 1&2 AB CHEMILUMINESCENCE Quest Diagnostics. RESULT - NEGATIVE
13 weeks and 3 days from exposure - HIV 1&2 AB CHEMILUMINESCENCE Quest Diagnostics. RESULT - NEGATIVE
17 weeks and 3 days from exposure - HIV Combo (Roche COBAS) & QUANTITATIVE ASSAY OF HIV-1 RNA Dr Dangs Lab. RESULT - NEGATIVE
18 weeks and 5 days from exposure - HEPATITIS C ANTIBODY Quest Diagnostics. RESULT - NON REACTIVE
24 weeks from exposure - HIV 1&2 AB CHEMILUMINESCENCE Quest Diagnostics. RESULT - NEGATIVE

Kindly advise do I need further testing for HIV or do I take my tests as final & conclusive that I am free from infections. Getting confused if 6 months means 24 weeks or 180 days. Since 29th May 15 I have had no risky sexual encounters at all.

PS- I am feeling completely normal otherwise and subsequent visits to Urologist after taking medication for Prostatitis showed recovery & doctor had put me off medication after 3 weeks course & advised me to continue Roliflo OD till October. I have stopped roliflo after feeling normal and now only medicine I am taking is Thyronorm under GPs guidance.

Hi Doctor, do I need to get any specific test for HIV 1 Sub Type O. Confused whether QUANTITATIVE ASSAY OF HIV-1 RNA test and HIV 1&2 Ab CHEMILUMINESCENCE look for this rare sub type as well.

Doctor I have attached the report of the last test done 24 weeks after exposure. Which test is this, 3rd or 4th Generation ELISA ?
Hi, I have provided some attachments. Please review them.