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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Negative Quantitative Real-Time PCR Test After 18 Days Of Sexual Exposure Conclusive?

Dear doctor, I am tirtha from india , I had an event on dated 08.09.2015. during my night stay with a prostitude i have done sex three times with condom. After one session i removed the condom, then she washed her vagina and then i washed my hand with same bucket water and after some time i weared another condom for 2nd session. similarly weared 3rd condom for third session after washing hand. After 21 days of my event i feeling fever occasionally, when measured it was below 99F and continuing till now. then i got hairy leukoplakia and it gets ok within five days. i also have oral thrush which is existing still now (08.10.2015), there is also a sore throat till now. feeling excess tiredness some time. My both side of the toungue is red. after 18 days of my event i did Real time quantitative pcr for hiv and result was Negative. Then after 30th day of incident (08.10.2015) i did hiv1/2 antibody test including p24 antigen.( CMIA -METHOD) in Dr lal path lab. The result was non reactive and value was 0.07. Now i am very much worried. please give me some suggestion. on dated 29.09.2015 i went to doctor for sore throat and i did not tell him about my incident but just shown the thorat. He told me that it is viral phyryonus and gave me medicine. forcef cv 500 , Monvoc, Limcee. After taking all the medicine i feel not well. Medicine reacts on my hand and leg. so stopped medicine.
Thu, 26 Nov 2015
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General Surgeon 's  Response
Hi.
First all come out of the guilt that you look to have developed due to 3 sexual encounters with a prostitute .
All were safe and with new condom and vaginal wash everytime.
Real-time PCR and HIV I and II are negative even after 30 days. So you may please stop worrying.
Symptoms of HIV/AIDS may not develop so early.
This looks to be local oro-pharyngeal problem, take a proper taste and a course of an antibiotic, metronidazole, oral anti-fungal medicines , local anti-fungal applications and you will be fine. You may repeat the tests after 08/12/15 to be sure if you wish to.
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Is Negative Quantitative Real-Time PCR Test After 18 Days Of Sexual Exposure Conclusive?

Hi. First all come out of the guilt that you look to have developed due to 3 sexual encounters with a prostitute . All were safe and with new condom and vaginal wash everytime. Real-time PCR and HIV I and II are negative even after 30 days. So you may please stop worrying. Symptoms of HIV/AIDS may not develop so early. This looks to be local oro-pharyngeal problem, take a proper taste and a course of an antibiotic, metronidazole, oral anti-fungal medicines , local anti-fungal applications and you will be fine. You may repeat the tests after 08/12/15 to be sure if you wish to.