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Is Negative HIV 1 DNA PCR Test Result After 3 Months Of Exposure Conclusive?

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Posted on Thu, 22 Jan 2015
Question: I am XXXXXXX from XXXXXXX XXXXXXX
I Had sexual exposure on 15 th august 2014 with condom but I did oral sex without protection by licking her vagina , I don't know her hiv status, except that oral sex every exposure is with condom only
My last sexual encounter was September 6th
I had HIV 1RNA PCR Test qualitative on 21 st. September which came viral load not detected . Detection limit of test is 70 IU/ml .this test is done 35 days post oral sex and which is 15 days from last sex encounter which is with condom .
Again I tested on 11th October 2014 for HIV 1 DNA PCR Test qualitative and P24 antigen and antibody Which is 55 days from oral sex exposure and 35 days from last sexual exposure which is with condom
These test also came as negetive
Hospital people told that they use 4th genrarion kit for p24 antigen and antibody
Further to which I had test on 14 . 11.2014 which is 90 days from first exposure where vaginal sex is with condom but oral without condom 70 days from last exposure which is with condom
Again on next day 15.11.2014
I tested again RNA PCR for HIV 1
and ELFA test which is fourth gen test , this is 70 n 91 days from first n last exposure
All came back negetive
Now on 10.12.2014 which is 115 days from first exposure and 94 days from last exposure I tested again in BGS global hospital using ELFA 4th gen test
Got report next day as negetive
My quiery is after all these test still is there a chance of hiv
As I see on net it shows hiv test post 3 months are conclusive but some other sites say 6months or even I have seen things like window period is 10 years
Please clarify I am emotionally very low n scared now
During my first encounter I had vaginal sex using condom but oral sex where I used my mouth with out condom in her vagina
Except that all other exposure is with condom
In these 90 days period I never had any sex with unknown partner
Please let me know can I resume my normal life based on above test results
Is 90 days window period is correct or it is beyond 90 days
I don't have any symtoms other than burning sensation only during sweat in under arm
I got checked from doctor he told no lymph node in my body

Please help me with detailed answer about my status and window period

Also Does following medication has any effect on hiv window period
I have tested for Hiv ELFA hiv 1 & 2.
4th genrarion ELFA testat 95 days from sexual exposure
Test result says hiv negetive

Tablets which I took during window period are following
Chymorol forte
Citrazene
IBUGESIC PLUS
2each per day took these for 4 days
Doctor gave these tablets for ear pain

Please confirm does these test delay or have any effect on accuracy of HIV test I did
from last week I have sore throat n cold
Do I have to repeat hiv test any time or is my test conclusive

Please confirm
My marriage process is going on
Help me

Once a while I get pain under arms
Pain is not continuous
Please confirm on these queries
doctor
Answered by Dr. Vivek Chail (38 minutes later)
Brief Answer:
Please get 6 months test done

Detailed Answer:
Hi XXXXXX,
Thanks for writing in to us.

I have read through your query in detail.
Continuing the earlier discussion we had in the last week of September 2014, it is good that you have got tested many times and the results are negative every time.

The 3 months test is most likely conclusive but for peace of mind it is best to do the 6 months ELFA test. I re assure you that in your case it will be normal. The long window periods of 10 years is unheard of and the longest in my knowledge is about one year. However it is rare and you should not be concerned about it.

The tablets which you took for 4 days will not cause any interaction with tests. Sore throat might be due to flu as there have been recent weather changes.

The pain under the arms looks unrelated to your sexual incident. Your marriage should not be a concern. Please do not worry.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (1 hour later)
Hi sir ,
I understand HIV WINDOW PERIOD IS 90 days every forum says same
As per your statement above I am free from hiv wat I believe why again 6month test
Please elobrare
I am worried
As per AIDS specialist In this forum they say I am free from hiv
Why you are suggesting for 6month test
doctor
Answered by Dr. Vivek Chail (49 minutes later)
Brief Answer:
I am stating international guidelines laid down by the CDC in USA

Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.

There are guidelines formulated by health authorities and one such famous authority is the Center for Disease Control CDC in USA. So if you have an HIV test with a negative result within 3 months of your last possible exposure to HIV, the CDC recommends that you be retested 3 months after that first screening test.

I feel you are having anxiety and are searching for a complete solution to your problem. Getting the test done for the final and last time at 6 months from last exposure will help say with confirmation and as per international guidelines that you are HIV negative.

It is agreed upon as said by the AIDS specialist that you are surely HIV free as you do not have any suspicious HIV symptoms and also your tests are negative.

I write 6 months test considering the rarest possibility and in accordance with international guidelines recommended by CDC, which is a reputed authority in the matters.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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Is Negative HIV 1 DNA PCR Test Result After 3 Months Of Exposure Conclusive?

Brief Answer: Please get 6 months test done Detailed Answer: Hi XXXXXX, Thanks for writing in to us. I have read through your query in detail. Continuing the earlier discussion we had in the last week of September 2014, it is good that you have got tested many times and the results are negative every time. The 3 months test is most likely conclusive but for peace of mind it is best to do the 6 months ELFA test. I re assure you that in your case it will be normal. The long window periods of 10 years is unheard of and the longest in my knowledge is about one year. However it is rare and you should not be concerned about it. The tablets which you took for 4 days will not cause any interaction with tests. Sore throat might be due to flu as there have been recent weather changes. The pain under the arms looks unrelated to your sexual incident. Your marriage should not be a concern. Please do not worry. Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements. Hope your query is answered. Do write back if you have any doubts. Regards, Dr.Vivek