Question: ONLY HIV Specialist please.

Exposure : Unprotected anal receptive sex with positive person (later found out) while I have had grade 3 internal hemorrhoids.

All the TEXTBOOK ARS symptoms. Please understand that I'm not writing all but I have experienced all of them severely.

Last 3 months have been a hell of a journey. Following symptoms still persist: Gums has been turned white, loose stool from 1 1/2 month and so much growling sound in stomach throughout the day. Rashes come and go.

Tests:
6 weeks - 4G Ab/AG -ve, RNA TMA -ve
8 weeks - 4G Ab/AG -ve, PCR RNA qualitative/quantitive
10 weeks - 4G Ab/AG -ve,
12 week - 4G Ab/AG -ve,

I think actual symptoms were between 2-4 weeks , right now I'm just recovering from ARS.

1) Am I converting slowly and will be in 1% who shows up at +ve at 6 MONTHS ?
2) I'll be OO country and while I'm there planning to get NAAT, HIV RNA qualitative and quantitative, viral load , CD4 count and HIV Combo test.
3) Would it be possible to get all above test done in 1-2 days (results can come in later) while I'm in XXXXXXX (lalpathlab or metropolis? Would Dr. prescription required ?
4) What can I do to preserve my immune system ?

Thank you doctor for your information. When I got the RNA qualitative and quantitative test done in XXXXXXX while I was there, Dr. took just blood in plastic test tubes and sent it to labs. When I had the test done in Bangkok, they had very professional test tubes and they refrigerated the blood right away for lab to be accurate. So I'm not sure if the test that was done right way or wrong... But What's gone is gone.

I'll definitely consult but I've already had my colonoscopy done and nothing coming out from that and still having loose stool from 1 1/2 Month. My health was never like this in last 20 years... and messed up after this sex act.

1) Can I get all the test done at Metropolis, XXXXXXX without any Dr. prescription ?
2) How accurate those labs are ?

I've read numerous stories about people converting to sero positive status after 3 month specially with high risk situation like mine. I feel like my Body has been changed totally internally, mentally and physically.

Regrading loose stool from 1 1/2 month, I had stool test and colonoscopy done and so far those are normal. However, All the symptoms are pointing to ARS.

After exposure, I've had flu-like symptoms with fever, tiredness, rash, night sweats, joint pains, oral ulcer, body fat loss, sores on anus, sore throat, and others as well. These these went away slowly.... leaving my body so much damaged at first place.

Now, From that point, I had GI problems, stomach rumbling sound, loose stool, my gums has turned in white color, I've lost most of the good body fat, I do have severe tinnitus.

Despite negative antibody tests, my body is not feeling good about it and I personally feel that I'm seroconverting slowly.

I know that initially viral load increased drastically then reduces to set point and remains in mostly asymptomatic state for some years. But your CD4 count goes does meanwhile and your immune system looses it's capability to fight infections...

I feel like that's what's happening with me as I sneeze a lot, bruises does not heal quickly, i get all allergies, etc.. all in last 3 months, despite my negative results.

And that's why i was thinking to get all detailed tests including cd4 count, etc....
I forgot to add additional information so adding it. My knowledge says that XXXXXXX has large HIV population.

1) Have you seen anyone's 3 month negative results turn out to be positive by 6 month ? considering they are NOT on the conditions that you mention earlier...

2) Can I simply walk-in to Metroplis and request to get my blood drawn for test ? I exactly know what tests to get as my dr. earlier prescribed those...

3) Would HIV-2 antibody production would be same window period ? as I read it that HIV-2 is slow progressing and may take longer to get detected...

In my recent (1 month ago) CBC following shows up as problems

Lymphs (Absolute) 3.3 HIGH (Normal range 0.7-3.1)
BUN/Creatinine Ratio 20 HIGH (Normal range 8-19)
Alkaline Phosphatase, 118 HIGH (Normal range 39-117)
Urin Specific Gravity <=1.005 ABNORMAL (range 1.005-1.030)

Ty. DR. I also have few earlier posts...can you help me with that?
Do i have hiv based on results?
Do i need more testing?
If i can get complete hiv profile including cd4,viral load, 4th gen ab/ag and rna qualitative and quantative...would that help?

Hi,

Have you seen anyone turning positive after window period of 3 month?

I've tested negative but had "worst flu ever" symptoms...

Ty Dr. CDC had revised the window period to 3 month in recent 10 years. I'm sure that means even in early years ppl were seroconverting within 3 months even though window period was 6 month.

Whats your recommendation for my further test? 100% conclusive based tests or needs more based on symptoms?

Ok. I personally does not WANT to get any test further but do i NEED to? If medical science proves that everyone with infection converts within 3 months then i guess i dont...but i have seen numerous stories online that ppl tested positive after 3 months those who does not have those specific condition..

I'm worried. If i dont need to then i wont. My only fear is that what if i get converted at 5 month and in few years find out that i have aids because i did not get tested at 6 months...