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Sexual diseases and Fertility - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Sexually Transmitted Diseases
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3622 Questions
User :   Want to know the result detail
User :   HIV Viral Load Limit of Detection: 20 copies/ml Measuring range : 20-10,000,000 copies/ml Specificity : 100% (one sider lower 95% confidence limit: Above or equal 99.6% Results: HIV-1 RNA Quantification Below 20 copies / ml Log value Not Applicable
Doctor :   Hi
User :   Hi doctor it is my result on HIV
Doctor :   Let me read it
User :   Can you tell me what exactly does it mean?
Doctor :   Ok
Doctor :   It does not say that there is HIV virus
Doctor :   in your blood
User :   For VDRL, it says Non Reactive - does it mean no any virus exit or it exit but not active
Doctor :   VDRL is negative test
User :   So, you believe that i am not infected with HIV, right? The test I did is PVR DNA test
Doctor :   Yes, it is not positive
User :   Sorry, i think it is PCR
User :   I was told that the RCR test gives 100% accuracy
Doctor :   Yes , it is
User :   I had one Elisa test, but not sure so i gave this test again.
Doctor :   What was the report from ELISA?
User :   One more doubt, I feel very tired and weak these days and i feel i am really infected with something and can you advice how i can build up my body
User :   I did the Elisa test some 2 months ago from manipar hospital, and the result was negative
Doctor :   ok
User :   but i could not believe it, so i did this test again
Doctor :   When was the exposure?
User :   some three months before
Doctor :   Ok
Doctor :   You should not worry further
Doctor :   after 6 months of exposure, you can repeat one more ELISA
Doctor :   that would be just for a reconfirmation
Doctor :   as of now, there is no HIV virus
Doctor :   so RELAX
User :   I had unprotected sex with one lady in march, and i started worrying about it and i thus went to manipar for test but i was not sure about the result, so i took this test
Doctor :   ok
User :   So, you mean whatever the result i have from PCV cannot be 100% and need another check up after another six months?
Doctor :   It is 100%
Doctor :   it is just for a reconfirmation
Doctor :   with just ELISA
User :   What is Elisa precisely?
User :   I think it is HIV also
Doctor :   Elisa is a methodology to detect such infections
User :   So, you mean result from Elisa after six month could be very correct one
Doctor :   Yes
User :   Doctor, can you tell me if i would be informed if i am infected for many of my friends told me even if i am infected, the doctor would not tell me. So i am worried about it
Doctor :   Ok
Doctor :   You are not as per the test results
Doctor :   I can reassure you that
User :   Thanks doctor
User :   One more doubt, doctor i feel there is no blood in my body as the nurse could not took much blood from me, is there anyway i can increase my body blood quantity?
Doctor :   there is no concept like that
User :   Hehehe
Doctor :   nurse would have found it difficult to access your vein
Doctor :   not because you are lacking blood
Doctor :   but vein localization would have been difficult
Doctor :   thats it
User :   Do you aware any other sexual problem if you do not mind i ask you any
Doctor :   Yes, you can proceed
User :   Sorry for bring such topic to you
Doctor :   Not a problem at all
Doctor :   I am here to clear your doubts
User :   One more thing i noticed is that i find sperm quantity is very less from me and it is because i am old
Doctor :   May I know your age?
User :   or it is because i am infected with other disease
User :   I am now 34
Doctor :   ok
User :   Some told me that it is because some sexual problem
Doctor :   Semen quantity does vary with age, sexual frequency, degree of stimulation, etc.
Doctor :   if it is about 5ml, then it is quite normal
User :   Okay and i found it is just few drop
Doctor :   but the lower limit is 1ml
Doctor :   even with 1ml, one can result in pregnancy
User :   So, does the quantity affect sexual performance
User :   Oh, and i think it is all right
User :   but she never got pregnant, hehe
Doctor :   How about sperm count?
User :   So, it could be that my sperm is not working and it has been affected by some other factor
Doctor :   have you got a semen analysis done
Doctor :   that shall tell about your fertility level
User :   No and I have not got semen analysis done yet.
User :   I used to have quite good quantity of sperm, but for the past one year i found it is getting very less and less
Doctor :   ok
Doctor :   Are you married?
User :   I am not married
User :   So i have girl friend and we do it
Doctor :   Ok
Doctor :   Have you tried for a pregnancy?
User :   I have not idea how to try that, and but we do not use any safety when do sex
Doctor :   Ok
Doctor :   Like having sex during her midcycle
Doctor :   is the way for pregnancy
User :   Okay and beside this midcycle, is there any other way to get pregnancy
Doctor :   To have sex atleast on alternate days during the midcycle
Doctor :   that is for 8-10 days of mid cycle
Doctor :   for example from 10-20th day of her cycle, if it is a normal 28 day cycle, counting 1st day as the day the bleeding starts
User :   okay and that is the best way to have it, right
Doctor :   Yes
User :   So, can this semen test being done at any clinical
Doctor :   It can be done in a hospital setup
User :   Doctor can i ask something very professional if it is allowed to discussed here
Doctor :   Sure, you can proceed with it
User :   May i know which hospital actually are you from?
Doctor :   I am from Healthcaremagic, which is an online health portal
User :   I wish to have a doctor friend
User :   Hehe
Doctor :   Ok
User :   So, can we become very close friend
Doctor :   Sure, not an issue
User :   Okay and thanks lot doctor
Doctor :   I would be happy to have friends like any one
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