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Sir I Had Sex On 14 Th Nov And 19

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Posted on Sat, 7 Jan 2023
Question: Sir i had sex on 14 th nov and 19 nov with csw .on 14 nov i haven’t done any intercourse but she was on me .i ejaculated .one 19 there was proper sex with comdom . I had done cmia test from lal path lab after risky exposer on 28th nov 5dec and ,12 dec my reading were 0.06,0.07and 0.08 respectively. Iam am felling very fatigued,nausea, werid thoughts sweats loosing weight .please provide me good information .should i relax because my last test was after 28 days of my risky exposure .
doctor
Answered by Dr. Sankaranantham Murugan (12 hours later)
Brief Answer:
your HIV risk is negligible

Detailed Answer:
Hi,
Welcome to ASK A Doctor through HCM.
Thanks for posting your query.
Your sexual activities were not of high risk type for HIV transmission.
In the first event you were not having any penetrative sex and in the second instance you had a protected intercourse. So your HIV risk is negligible only.
Regarding your test report, CMIA Combo HIV test is highly accurate, but only after 12 weeks after the exposure. It may detect HIV earlier. But any individual will develop antibodies against HIV in the presence of an infection only 6 weeks after the exposure and may be delayed up to 12 weeks (Window period). IF it is a COMBO test, it could detect both antigen and antibodies against HIV. Antigen detection is possible much earlier, but can detect only HIV 1 infection and not HIV 2 which is a very rare possibility.
As far as your test is concerned, test done on 28th day (28 days after the first exposure and not after the second exposure) may rule out the possibility of HIV1 infection. HIV 2 can be detected only with antibodies which can be expressed conclusively only after 12 weeks after the exposure.
Dr S Murugan

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sankaranantham Murugan (2 hours later)
What about my symptoms weight loose ,i think i have swollen lymph nodes also , nausea , fatigued and yes that test was duo combo test hiv1/2 p24 antigen . I read in your previous answers that 28 days is good for a cmia test from lal path lab . I an having nightmares. Muscle pains .
doctor
Answered by Dr. Sankaranantham Murugan (20 hours later)
Brief Answer:
HIV risk is negligible only.

Detailed Answer:
Hi,
Welcome back.
Yes, you are correct. CMIA combo test is very well reliable by 4 weeks after the exposure as far as HIV 1 is concerned and not for HIV 2, the prevalence of which is less than 0.5% only throughout the world except in certain countries of XXXXXXX But your 2nd exposure was on 19th November. Then the test done by you was within 28 days.
Moreover, You had not mention anything about oral sex.
Symptoms explained by you are not exclusive for HIV infection alone. They can occur with any ordinary viral or bacterial infections. Weight loss in HIV is a feature only in advanced HIV disease and not in early infection.
So, your symptoms are not necessarily be due to HIV infection.
Dr S. Murugan
Above answer was peer-reviewed by : Dr. Saisudha Kotla
doctor
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Follow up: Dr. Sankaranantham Murugan (2 hours later)
Yes i had done oral sex also on 19 but with condom on . She had given me bj but with condom on .As on 14 November is concerned she was giving me body to body meassage i ejaculated thats .
Should i be relax after 28 days negative report
After 14 th exposure . I am just worried about my symptoms.
Is these symptoms can be of anxiety and overthinking.
I am having night mares with sweating .
I should relax ??
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Follow up: Dr. Sankaranantham Murugan (14 hours later)
I am having dry skin ( dandruff, scaly skin over skin) all over the body arms legs.what should i do. Felling of swelling nodes ,i continuously fell them touch them .confusion .not felling eating .apetite loss . After 14 th exposure 28 days cmia test is negative .and after 19 th that test was on 23th day . How much conclusive is 28 th day test after my risky exposure as cmia also test for p24 antigens .i also attached my report after 28 th day of 14th November exposure.please suggest me good suggestions.
doctor
Answered by Dr. Sankaranantham Murugan (8 hours later)
Brief Answer:
Your HIV risk is almost 'NIL'

Detailed Answer:
Hi,
Welcome back.
As per sexual activities explained by you, your HIV risk is almost 'NIL'. Not to worry.
Consult a Dermatologist for dandruff and scaly skin.
All the other symptoms are likely to be due to your anxiety and fear.
You can also consult a psychiatrist. This will help you much.
Dr S. Murugan
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sankaranantham Murugan (2 hours later)
I am felling extreme nauseatic every morning .this is my last question .after this i will move on with my life .should i relax . When i search google about symptoms then i very much tensed . Should i relax and move on ???
doctor
Answered by Dr. Sankaranantham Murugan (49 minutes later)
Brief Answer:
Your HIV risk is almost 'NIL'. Go ahead with your normal activities.

Detailed Answer:
Hi,
Welcome back.
These symptoms explained by you are not specific only for HIV.
The can occur with many other conditions.
You consult your physician regarding your problems and get well soon.
Forget about the incidence and carry on your routine.
Dr S. Murugan
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sankaranantham Murugan (14 hours later)
Sir i am having stomach issue all time my stomach making noises gargle noise what should i do .i am having face ,forehead acne also . What is this after those exposure?? I am going 2 another hiv1/2 p24 antigen cmia test . Should i go .i am unable to concentrate. Paining body felling of lymph nodes.please. I am barely leaving bed.
doctor
Answered by Dr. Sankaranantham Murugan (5 hours later)
Brief Answer:
You need to meet your physician and get treated.

Detailed Answer:
Hi,
Welcome back.
You should consult your physician. Get examined and investigated for any cause for your physical problem and follow their advice and get well soon.
It is very much unlikely to be related to HIV infection.
Dr S. Murugan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (2 hours later)
Here physicians are only to earn money they are not giving me solution they are just confusing me me. You please read my all questions again and answers me what should i do now . I will follow you.
And what can anxiety do to body . Andtreated for what ? My test are conclusive ?? After 28 days ?cmia test ? I have attached my report also
doctor
Answered by Dr. Sankaranantham Murugan (20 hours later)
Brief Answer:
Your HIV risk is almost 'NIL'

Detailed Answer:
Hi,
Welcome back.
First of all. I am not a general physician. I am a specialist in dermatology, Sexual diseases and HIV infection. Not a XXXXXXX of all. Moreover, without examining you in person, I cannot prescribe any drugs.
You described loss of appetite, gargling sounds in stomach, dandruff, scaling of skin, enlargement of nodes etc.
Without seeing, confirming, and without any investigations, I cannot treat you on line. These are all could be due to your anxiety. In this situation, you need to get an advice from a psychiatrist also.
I cannot say that your test is conclusive. but as per your description about sexual activities and about protection, I can say that your HIV risk is almost 'NIL'
.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (2 hours later)
28 days are not enough for 4 th generation test cmia ?? According to your previous answers on website i read 28 days is enough
doctor
Answered by Dr. Sankaranantham Murugan (9 hours later)
Brief Answer:
You are free from HIV 1 infection.

Detailed Answer:
Hi,
Welcome back.
You had two exposures. Protected exposures are safe, but are not 100% safe.
CMIA 4th generation HIV test is highly reliable, it can be taken as conclusive 28 days after the first exposure as far as the HIV 1 is concerned and not for HIV 2 infection which is a rare possibility. I do get cases of HIV 2 in my practice. As you had another contact (protected one), the test can't be taken as 100% conclusive. I can say with your activities explained by you, you are free from HIV 1 infection.
Dr S. Murugan


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (17 hours later)
I have done one more hiv 1/2 p24 combo test (cmia) at dr lal path labs that cost Rs 480 after 28 days of my last export . That comes negative with value 0.06.is this conclusive?
doctor
Answered by Dr. Sankaranantham Murugan (1 hour later)
Brief Answer:
You are free from HIV 1 infection beyond any doubt.

Detailed Answer:
Hi,
Welcome back.
Now you are free from HIV 1 infection beyond any doubt.
Dr S. Murugan
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Sankaranantham Murugan

HIV AIDS Specialist

Practicing since :1974

Answered : 3110 Questions

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Sir I Had Sex On 14 Th Nov And 19

Brief Answer: your HIV risk is negligible Detailed Answer: Hi, Welcome to ASK A Doctor through HCM. Thanks for posting your query. Your sexual activities were not of high risk type for HIV transmission. In the first event you were not having any penetrative sex and in the second instance you had a protected intercourse. So your HIV risk is negligible only. Regarding your test report, CMIA Combo HIV test is highly accurate, but only after 12 weeks after the exposure. It may detect HIV earlier. But any individual will develop antibodies against HIV in the presence of an infection only 6 weeks after the exposure and may be delayed up to 12 weeks (Window period). IF it is a COMBO test, it could detect both antigen and antibodies against HIV. Antigen detection is possible much earlier, but can detect only HIV 1 infection and not HIV 2 which is a very rare possibility. As far as your test is concerned, test done on 28th day (28 days after the first exposure and not after the second exposure) may rule out the possibility of HIV1 infection. HIV 2 can be detected only with antibodies which can be expressed conclusively only after 12 weeks after the exposure. Dr S Murugan