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Are Negative HIV RNA Test And Third Generation Antibody Test Within Window Period Conclusive?

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Posted on Thu, 18 Jun 2015
Question: I am a 40 year old male and had a low risk protected encounter with another male, about 8 1/2 weeks ago. This is a one time thing for me and I have no reason to believe the other person was positive, in fact, he assured he was safe and clean. Approximately 10 days after the encounter I started developing several ARS symptoms,without any real fever.

I went to my GP who told me that i tested positive for recent Mono, although those results were disputed by other doctors and confirmed to be a Epstein Barr reactivation by stress, from another.
EBNA Ab/IgG                       >8.0 *      <0.9      AI                NJ1            C               
EBV CAPSID Ag.Ab/IgG                       >8.0 *      <0.9      AI                NJ1            C               
EBV EARLY Ag.Ab                       2.6 *      <0.9      AI                NJ1            C               
EBV CAPSID Ag.Ab/IgM                 0.9 *      <0.9      AI                NJ1            C     

As far as testing, I have had many including a negative RNA test at almost 21 days and a negative Third generation test at 7 weeks. I went for what I was hoping to be a conclusive 4th generation test at 8 weeks and the lab is very cryptic about timing and won't answer any questions about reflex tests, making me paranoid that the initial tests were positive. My anxiety has escalated to the point where I am not productive at work and I am no longer functioning, I came to this forum , hoping someone can help reduce my anxiety with some reassuring words or advice. I plan to test again at 3 months, just to be sure. This 8 week 4th generation(assuming it is negative) would get me to a normal place again.

Please help and many thanks to anyone who takes a moment to respond.
doctor
Answered by Dr. Sunil Jangid (11 hours later)
Brief Answer:
You need not to worry for HIV at present as all tests results are negative.

Detailed Answer:
Dear XXXXX, welcome to HCM.

First of all I will say be relaxed and don't be so anxious about HIV. As you have told that RNA test at 21 days and third generation antibody test at 7 weeks both are negative, then no need to be so anxious and get worried about HIV. I hope that your 4th generation test result at 8 weeks will also come negative. As you are thinking I also advice you to repeat test at 3 months and then again after 6 months to be absolutely sure. So without thinking too much just focus on your work and avoid excessive stress as much as possible. If any doubt you can contact me anytime.

Thank you and take care.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Sunil Jangid

HIV AIDS Specialist

Practicing since :2009

Answered : 2017 Questions

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Are Negative HIV RNA Test And Third Generation Antibody Test Within Window Period Conclusive?

Brief Answer: You need not to worry for HIV at present as all tests results are negative. Detailed Answer: Dear XXXXX, welcome to HCM. First of all I will say be relaxed and don't be so anxious about HIV. As you have told that RNA test at 21 days and third generation antibody test at 7 weeks both are negative, then no need to be so anxious and get worried about HIV. I hope that your 4th generation test result at 8 weeks will also come negative. As you are thinking I also advice you to repeat test at 3 months and then again after 6 months to be absolutely sure. So without thinking too much just focus on your work and avoid excessive stress as much as possible. If any doubt you can contact me anytime. Thank you and take care.