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History - Unprotected Contact ( High Risk Exposure ) (

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Posted on Mon, 4 Feb 2019
Question: History - Unprotected Contact ( High Risk Exposure ) ( Single time) Test Done after 3 weeks - Hiv 1/2 RNA PCR, Chlamydia (IGG 0.05,IGA 0.24,IGM 0.18), HSV 1
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Answered by Dr. Kakkar S. (48 minutes later)
Brief Answer:
Regarding HIV and STDs

Detailed Answer:
Hello and welcome to ask a doctor service. I have reviewed your query and here is my advice.

Unprotected sex is a high risk for transmission of STDs including HIV. Your HIV 1&2 RNA PCR at 3 weeks is highly sensitive and makes it unlikely, however, it is not considered a diagnostic test. Therefore I would suggest a follow up test for anti-HIV antibody at 12 weeks for a conclusive result. Apart from that I would suggest screening for other STDs like Syphilis with VDRL as well as for Herpes Simplex Virus (HSV 1&2) with HerpeSelect at 12 weeks. These are blood tests. For other STDs like Gonorrhoea and Chlamydia I would suggest a Urine Spot test which is highly sensitive and specific and therefore recommended. Blood test for chlamydia is not routinely used as a diagnostic test.

Hope I have answered your query. Let me know if you need any more assistance
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Kakkar S. (30 minutes later)
Can i start taking antibiotics for sore throat infection and will it hamper the result of 3rd month...i have still 5 weeks left to complete 3rd month.. Can you prescribe the lab test because majority of the diagnostics centre ask for prescription for clinical history?
doctor
Answered by Dr. Kakkar S. (2 hours later)
Brief Answer:
Regarding STDs

Detailed Answer:
Hi.

Oral antibiotics won't hamper screening test results at 12 weeks. You need to contact your General Practitioner for him/her to refer you to a lab for tests.

take care
let me know if you need any more assistance
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
Dr.
Dr. Kakkar S.

Dermatologist

Practicing since :2002

Answered : 9386 Questions

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History - Unprotected Contact ( High Risk Exposure ) (

Brief Answer: Regarding HIV and STDs Detailed Answer: Hello and welcome to ask a doctor service. I have reviewed your query and here is my advice. Unprotected sex is a high risk for transmission of STDs including HIV. Your HIV 1&2 RNA PCR at 3 weeks is highly sensitive and makes it unlikely, however, it is not considered a diagnostic test. Therefore I would suggest a follow up test for anti-HIV antibody at 12 weeks for a conclusive result. Apart from that I would suggest screening for other STDs like Syphilis with VDRL as well as for Herpes Simplex Virus (HSV 1&2) with HerpeSelect at 12 weeks. These are blood tests. For other STDs like Gonorrhoea and Chlamydia I would suggest a Urine Spot test which is highly sensitive and specific and therefore recommended. Blood test for chlamydia is not routinely used as a diagnostic test. Hope I have answered your query. Let me know if you need any more assistance