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Is HIV Combo Test Done 8 Months Post Exposure Conclusive?

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Posted on Sat, 19 Aug 2017
Question: I have concern ragrding hiv and std.
I had an exposure with CSW in sept16.
I used condom for the vaginal sex.
But since I lost erection in between i removed the condom using palm and with the same hand I touched my penis and foreskin immideatly.
Since the vaginal fluid was there on the condom & i used the same hand to touch my genital inner foreskin and Glans of penis,can i be infected for hiv and std.
After 3 months I developed red rashes on my right arm which disappeard with in 3 to 4 days. And since than feeling cronic fatigue,weight loss,loss of appetite,muscle pain & Body pain,pain in eyes,
I have gone through 6 hiv test(3 rapid test,2 -3rd gen antibody hiv screening ECLIA method ,1- combo test p24 cmia method (at 8 month), inbetween 3 to 9 months of incedence which all are non-reactive
Tested for hep B,C,VDRL, siphilis,urine culture, CBC at 4 months also. All are non reactive
except CBC in which total leyucocytes count is 13700 and in absolute leucocyte count -neutrophills9.70thou/mm3,lymphocytes 3.22 thou/mm3 which are above normal range.
Now i Got red scratch like rash on my face after 10 months.

Can i be amongst the seronegative persons who does not produce antibody for HIV because of their genitic reasons??
In current report of CBC my TLC is 13000 and lymphocytes% is 15.9% which is below the normal range
Seeing all the symptoms and CBC report should i go for further testing.would you suggest PCR test for Hiv.
Do The test done in the private laboratory has its authenticity in XXXXXXX or it may be wrongly reported to avoid the process of reporting it to the local govt. Healthcare authority.??
I am in a bit of a panic so would appreciate some advice.
Thanks
doctor
Answered by Dr. Sunil Jangid (2 hours later)
Brief Answer:
No further testing for HIV is required.

Detailed Answer:
Dear XXXX,

Welcome to HealthcareMagic.

You had protected vaginal sex with CSW and HIV Combo test after 8 months of exposure is negative then you need not to worry at all about HIV as this result is 100% conclusive and no further testing is required. You are absolutely safe and risk free.

Muscle pain, weight loss, appetite loss and other symptoms you had are due to some other reason but not related to HIV. Consult your physician to isolate the cause and follow the treatment regime. For any further query feel free to ask me again.

Allay the fear and anxiety of HIV. The result of HIV test done in reputed private lab is also as reliable as government. Be relaxed and move on in life happily with your family. As your friend I will also advice you to stay away from such unsafe sexual practices to prevent the future risk of HIV or STDs.

Thank You
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Sunil Jangid (17 minutes later)
Thanks sir for the quick response.
Sir i get 2 to 3 red rashes which get disappear with in 2 to 3 days and feel like feverish but in thormo meter it always shows appx95to 96f
I have attached my current reports also to review also.
My TLC count is high since last 6 months,I have taken antibiotics prescribed by the doctors 3 times but still it is high and my lymphocytes % has reduced to 15.9%
On internet i read that lymphocyte count low can be the reason of Hiv infection.
Kindly suggest the next course of action after reviewing my reports and symptoms.
I have met physicians also in my area but not able to get the relief.
Kindly suggest.
Thanks&Regards,
doctor
Answered by Dr. Sunil Jangid (46 minutes later)
Brief Answer:
The reports are within normal range.

Detailed Answer:
Dear XXXX,

Welcome back and thanks for follow-up.

The reports you had attached are within normal limit except lymphocyte count which might be due to some infection in your body but it is not related to HIV infection any how so don't get worried or tensed. You can consult any other physician for second opinion and go for some more precise investigations to isolate the cause. If still any query left ask me again and I am here to help you out.

Thank You
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Sunil Jangid (1 hour later)
Thanks Sir,
I have gone through all the tests suggested by the Doctors.
What may be the reasons for high leucocytes and low lymphocytes??
As i understand that the lymphocytes are always down when there is some viral infection.
Can I be 100% confident that it is not because of hiv infection.
I feel pain in my eye balls also and feverish like with all the symptoms farigue,muscle pain etc.
Which test should i go for??
Would you recommond PCR test for hiv if some doubt left.
Regards,

doctor
Answered by Dr. Sunil Jangid (15 minutes later)
Brief Answer:
Yes absolutely, it is not due to HIV.

Detailed Answer:
Dear XXXX,

Welcome back once again.

The reason for high neutrophils and low lymphocytes is definitely some infection but not HIV because your test result is 100% reliable and conclusive as it was done after 3 months of exposure so no need to go for PCR test. I suggest to do x-ray chest and ESR to rule out the cause. Get in touch with your physician and follow the treatment regime as per the advice. Calm down, forget about the episode and move on in life happily. For any further query feel free to ask me again.

Thank You
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Sunil Jangid (21 hours later)
Dear Sir,
Have you ever seen 9 months negative turn into positve later on??
Or being false negative every time till 9 months because of delay in antibody production.
My CMEIA COMBO test with p24 was done from dr. Lal pathology at 8 month.
Can we doubt on the accuracy of the report??
doctor
Answered by Dr. Sunil Jangid (19 hours later)
Brief Answer:
The test result is absolutely conclusive.

Detailed Answer:
Dear XXXX,

I have not seen any such case where 9 months negative result turned into positive and Dr. Lal Pathology is reputed one so the chances of false negative are nil. CMIA Combo test result after 9 months is 100% accurate and there is no doubt about the accuracy of the report so be relaxed, close the chapter and move on in life happily. If still any doubt left you can ask me any time and I am always here to help you.

Thank You
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Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Sunil Jangid

HIV AIDS Specialist

Practicing since :2009

Answered : 2017 Questions

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Is HIV Combo Test Done 8 Months Post Exposure Conclusive?

Brief Answer: No further testing for HIV is required. Detailed Answer: Dear XXXX, Welcome to HealthcareMagic. You had protected vaginal sex with CSW and HIV Combo test after 8 months of exposure is negative then you need not to worry at all about HIV as this result is 100% conclusive and no further testing is required. You are absolutely safe and risk free. Muscle pain, weight loss, appetite loss and other symptoms you had are due to some other reason but not related to HIV. Consult your physician to isolate the cause and follow the treatment regime. For any further query feel free to ask me again. Allay the fear and anxiety of HIV. The result of HIV test done in reputed private lab is also as reliable as government. Be relaxed and move on in life happily with your family. As your friend I will also advice you to stay away from such unsafe sexual practices to prevent the future risk of HIV or STDs. Thank You