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When to get tested for confirmed HIV results?

Despite all the advances in HIV testing and widespread awareness about how to test for HIV,  HIV still remains a taboo. Advanced treatment with highly effective antiviral drugs has made it possible to live a near normal life with HIV. What is important in successful management of HIV is early detection and prompt initiation of drugs. Methods to detect the number of virus particles present in the blood stream have made it possible to detect  the progression of the disease early in the course and also to determine the extent to which the person can be infectious to others.

If you are thinking about getting yourself tested, here is all you need to know about how to test for HIV.

Today there are different types of HIV tests available in India. Each of the different tests vary in their accuracy, window period, time taken for obtaining results and also the cost. The window period of an HIV test is the time lapsed after infection with HIV, beyond which the test may become positive. Having learned that there are many different types of tests, let us go into the details of how to test for HIV.

Most of the times if one has shown risky behaviour in the past and fears having been infected with HIV, anxiety is so much that they would like to know their HIV status as soon as possible. The hassle of waiting for the test reports for a couple of days may be traumatizing. Besides, for purposes such as hospital based screening of a patient in view of a planned surgical procedure may also demand quick reporting tests for HIV. We will go into the details of rapid HIV testing and the scope of the test.

HIV Testing and Treatment Center in Chennai
Rapid HIV Testing Kit in Chennai

Rapid HIV test

Rapid HIV test is a card test which takes only about few minutes to give you the result. Thus called the rapid card test. It avoids a long and stressful wait for your report. It is the most accessible of the HIV testing methods and is the most commonly used screening test.

The rapid HIV test works by detecting the antibodies formed in your body against the HIV virus. Following an infection with HIV, a persons body takes at least 3-4 weeks to produce antibodies against the virus.Though antibodies do not succeed in eliminating HIV from the body,they are helpful in diagnostic tests.Therefore the rapid HIV test may become positive after 3-4 weeks of infection with HIV in about 90% of the people.It means that the window period of the rapid HIV test is anywhere between 3-4 weeks and  within than time 90% of the HIV infected people develop enough antibodies against the virus, so as to be detected by the test.

The accuracy of the Rapid HIV test is comparable to the standard ELISA test. If one tests negative for HIV by rapid card test, no further tests need to be done. If the rapid HIV test results are positive further confirmatory tests may be required.

Now that you know that each test has a window period, You may have on your mind questions such as how soon can HIV be detected by a blood test? There are few tests which make early detection of HIV possible. Read on to know methods of early detection of HIV.

Early detection of HIV

If you have had a recent exposure to HIV and want to get clarity on your HIV infection status at the earliest, there are a few tests which can be done as early as 2 weeks after possible infection.

HIV PCR / NAT

It is a test which can detect HIV infection as early as 9-11 days post exposure. It detects the RNA which is the genetic material of the HIV virus in your blood. The cost of the test is very high. As it is based on detection of the viral genetic material, antibody production in the body against HIV is not necessary before the test becomes positive. It takes about 4-5 days before you can get the result of the test.

Even if the quantity of the virus in your body is small, the test can detect the presence of the virus as it employs a technology wherein the RNA of the virus is multiplied to many folds. Through this method even the viral load in the infected person can be detected.

As the test detects viral RNA and also quantifies it, the test is considered to be highly accurate.

when-to-get-tested-for-hiv-infection

p24 antigen test

It is a method of early HIV detection in which the p24 antigen or protein present in HIV is detected. It can detect HIV infection in about 16 days post exposure on an average. The window period of the P24 antigen test is between 1-8 weeks post infection with HIV and about 95% people infected test positive during that period. It takes about 4-5 days for you to get your report.

The drawback of the test is that the p24 protein levels decline after 5-6 weeks of infection and may not get detected despite being infected with HIV. It means that if 5-6 weeks have passed following infection, the test may give a false negative result.Therefore the test is ideal only for early detection of HIV infection,i.e. within 3-4 weeks of the potential exposure.

It is now clear that the earliest you can take an HIV test following exposure is after 2 weeks.

Standard HIV test/ ELISA test for HIV

The standard test for HIV is ELISA which detects the antibodies against HIV present in the persons blood. It takes atleast 3-4 weeks post infection for antibodies against HIV to develop.

ELISA involves the analysis of the reaction of antibodies present in blood with a HIV antigen containing sample. If the antibodies contained in the blood sample are found to have reacted with HIV antigens,it is a positive reaction. Sometimes it may happen that other nonspecific antibodies present in the blood sample may show a cross reaction with HIV antigen giving rise to a false positive result or a indeterminate result.

The present day ELISA kits have been adapted to detect both HIV-1 and HIV-2 strains of the virus. ELISA kits adapted for differentiating between HIV-1 and HIV-2 have also been developed and are in use currently.The importance of differentiating between the strains lies in the fact that the they behave differently with respect to progression and disease load.

If a person screens positive by rapid HIV test card ,ELISA test has to be performed for further confirmation of the screening test.It takes about 2-3 days to obtain the test results by ELISA method.

3rd generation ELISA

A 3 rd generation ELISA kit detects only antibodies against HIV.

4TH generation ELISA /combination kit /Antigen antibody test

The fourth generation ELISA kit detects both the p24 antigen and the antibody against HIV, in the infected persons blood. It is way more superior to the old 3rd generation ELISA kits. They are successful in detecting HIV infection within 3-4 weeks in most cases. It is costlier than the 3rd generation kits but less costly in comparison to HIV PCR tests.

Having done the above tests can your HIV status be confirmed? No, except for HIV PCR /NAT the tests mentioned above cannot be considered confirmatory test for HIV.You may be interested in what is the confirmatory test for HIV?

If you have tested negative for HIV by rapid card test or ELISA, you do not need any further tests.But testing negative for p24 doesn’t confirm your HIV negative status as the test may not detect the viral protein if it has been more than 5-6 weeks since infection with HIV. p24 antigen test is recommended only for early detection of HIV infection if the exact time of potential exposure is known.

If one tests positive for rapid card test or ELISA,they may need further testing to confirm the positive report. The confirmatory test for HIV is western blot.

Western blot for HIV

It uses electrical fields to separate protein molecules based on their sizes and charges. By this method the HIV specific antibodies are detected. In western blot test antigen antibody reaction is not involved. Hence, the possibility of antibodies against HIV reacting with antigens other than that of HIV and thereby giving a false positive result, is eliminated. False positive given by ELISA can be detected by western blot. Indeterminate results by ELISA also may be confirmed by western blot.

With access to advanced testing methods such as HIV PCR wherein the presence of virus can be confirmed and the viral load also can be quantified, western blot test is becoming obsolete as a confirmatory test.

After having gone through this article,are there are still more queries on your mind regarding how to test for HIV? If so,our HIV testing and counseling team is anytime approachable.

Pre-test counselling:

Our counselors with immense experience in handling HIV related issues will be available to speak to you and provide you with all the details that you require. The privacy and confidentiality of our clients is of utmost importance to us. The counselor will compassionately listen to your concerns and also prepare you psychologically to face the outcome of the test.If during the time of counseling it is known that the potential exposure was very recent, the option of post exposure prophylaxis will also be discussed with you. You will be referred to our experts if you express willingness to take post exposure prophylaxis.

Post exposure prophylaxis in HIV :

Post exposure prophylaxis drugs are given to people following potential exposure to HIV. It is given so as to prevent the development of HIV infection. It needs to be initiated within 72 hours of potential exposure to HIV and needs to be continued for 28 days for maximum effectiveness. It is effective when administered correctly but not 100% effective. So, you cannot be assured of not contracting HIV after post exposure prophylaxis.

Post test counseling:

The counselor will meet you again with your test reports. You will be explained in detail the meaning of the reports and advised on further tests if required. All our clients are treated with respect and compassion irrespective of the outcome of the test. If your results are positive, you will be guided through further confirmatory tests and referred to our medical experts for prompt and timely initiation of treatment. You will be provided psychological support and reviewed at frequent intervals.

181 Comments

  1. Hi sir,
    I am sundar… Am a bisexual guy… I did anal sex with my frd (receptive side). After the incidend I am having more fear because it’s my first experience…after took hiv eliza test after 37 days of incident and the result came as negative… Till am having Anxiety…kindly give a better solution

  2. Good morning Doctor,
    I had unprotected insertive vaginal sex for a few seconds, and was really scared after that. I took a fourth generation HIV duo test after 34 days of exposure.
    Result was (0.18) non reactive. Am I safe? Please help me, I’m very anxious doctor.

      • Good afternoon Doctor.
        I had unprotected insertive vaginal sex, and was really scared after that. I took a fourth generation HIV DUO test after 34 days of exposure. Result was:
        0.18 non reactive.
        My question is should I retest after 90 days? Can the result of my test change after 90 days? I’m really anxious to wait for so long! Please give me your valuable advise doctor.
        Thank you!

      • Hi Sir, I had a unprotected sex on 16th Nov. After ten days I took two hiv test both came a negative report. Again on 30th Nov, I took genexpert rna pcr test and result came not detected. I am bit worried so again on 9th Dec I have tested a HIV RT PCR test in a leading laboratory and result came not detected. But yesterday I got an ulser in my mouth on the inside cheek right wall. So again I took HIV p24 AB/AG COMBO test and result is negative. I couldn’t sleep well for the past few days because of the stress. Pls kindly advice.

        • Instead of you going and getting tested all by yourself, you should see a good doctor and then go for testing.
          1. The doctor will tell you which test you should get done.
          2. He/she will check your symptoms and can tell you if you need to be worried.
          3. Seeing a good sexologist within 3 days after unprotected sex is important if you are worried. You will be put under Post Exposure Prophylaxis that can prevent HIV.

    • Hi Doctor I am sai ganesh , I have sex with unknown person with condom but end of the time after sperm out I do continuously girl pushed me then my condom stuck in her vagina I have doubt my mind can spread hiv or anything then I removed her condom from her vagina I asked her sperm come inside to vagina she said no but I have doubt doctor can I get STI ???or disases my sex yesterday any STD transmission Possible??

  3. Good afternoon Doctor. I wanted to know if a fourth generation HIV DUO test can be considered accurate and conclusive after 33 days of exposure? Have you personally seen anyone turn positive after a `Negative fourth generation duo test after 5 weeks´. I have read so many articles, but your valuable knowledge and experience will be trustworthy.
    Awaiting your response doctor, thank you so much.

  4. Good evening doctor, I had unprotected vaginal sex 30 days back. If I do fourth generation HIV DUO test now to check whether I have been infected, will the result be accurate? Waiting for your response.
    Thank you in advance. I am getting very anxious. Also, does circumcision reduce the risk of hiv transmission?

    • Rajesh, in many cases, by 30days the person will run a fever. You can get tested now but most accurate will be the test done after 90 days.
      Don’t stress yourself, get tested and if the result is negative, you should be good.

  5. Hello doctor, myself Sharath. I had unprotected vaginal sex, and after two days I got a sore throat, no fever. I was worried and waited for 34 days and did fourth generation HIV DUO test from metropolis to check if I got HIV. Result was non reactive. Am I safe doctor? It’s causing me a lot of stress.

  6. Hi doctor, I have too much anxiety thinking about hiv. I had unprotected sex for barely a minute with a girl.
    I did fourth generation test after 35 days, result was non reactive. The clinician there told me it’s not accurate till 90 days. Now I’m getting very tensed sir. Can my result change after 90 days? Please reply doctor. Thanks I’m advance.

  7. Good evening doctor,
    I had unprotected vaginal sex 3 months back. I was waiting for the window period to get over and did the HIV DUO fourth generation test now. Result was non reactive 0.22. Is this conclusive since it has been 3 months now since exposure? Or should I retest after 6 months?
    Thank you in advance,
    Kind regards.

  8. Hi doctor,
    I had unprotected sex with a girl about 4 months back. I want to get tested for all STD’s including HIV. Can you please tell me the name of the test that I should do? Is it a STD panel test? I stay in Chennai.
    Thank you Doctor!

  9. Hi doctor,
    I have too much anxiety thinking about hiv.
    . I had protected vaginal sex on 21st, 22nd and 29th June 2021
    I’m getting very tensed sir. Please reply doctor. Thanks I’m advance.

  10. Hello doctor… June 14 th … I was sex with a sexual work lady… Before a sex I weard condom to vaginal sex … I worried to much may cause HIV… I don’t sex with oraly…
    After 12 days I check with… Vdrl and HIV 1 AND HIV 2 antibody test for rapid card… That is negative… Some people said 90 days to check… I’m using condom sir…I’m What I do sir … I’m too much worried about this… Tell me a clear sollution sir please

    • You are good, don’t worry too much. When you worry too much, it puts stress in your brain.
      Natural tendency of people is to go to google for every damn thing. When you read about the symptoms, the stress will show all the symptoms in your body after 2 or 3 days and you will get more stressed.

      Don’t worry, you should be fine.

      • Sir I had sex with prostitutes with condom after one week I got mild fever body pains fatigue and I am worried about this symptoms plc tell me when to do blood test to get correct accurate result and I don’t why this symptoms are showing me now I had wear protection

      • Hi sir.. I had sex with before 15 days and I have used condom.. but still I have doubt. Even though I have tested after 10 days with hiv test kit..it’s showed negative. But still I’m fear about hiv..even though I have used condom. And I have seen the google about symptoms and I feeling Its happening me . Like fever and headache and little ithching my hand sometimes.. but after busy in work or other jobs it’s looking gone away.. pls give your suggestion..

        Headache also whenever drink tea or tablet it’s gone away..

  11. Sir June 14 th I was sex with sexual Works lady… Before sex I’m using condom … Is it safe?? And I worried too much … Can I have to take any further test … Or is it I am safe ? So please tell the clear solution doctor

      • Sir Iam not hard too make sex… So just 2 min with sex…its not possible to break the condom sir… And I no use to a long time sex… Just 2 min… So I am safe ah sir…

        Can I have to any other test sir

      • Sir I had sex with a prostitute with a condom , but I had done oral sex with her without her having condom. I am worried about getting std . What should I do please help me

        • Transmission of STD through oral route has some restrictions.
          You (if you have given oral), should have sores or open wounds or cuts around your mouth. If you don’t have such sores around your mouth, you are good.
          Chances of the woman having STD and you having sores around your mouth are very minute. However, please get tested, you should be safe mostly, but better to be sure than sorry.

    • I had sex with sex worker with condom 15 days before but now I affected urinary infection like frequently urine, pain in penies and little patches on penies and abdominal pain. Iam fear about hiv.

      • Arul,
        1. You are saying that you had protection. So, the chances of contracting HIV are nearly 0.
        2. You don’t know if that lady had HIV, so, the chances are even smaller.
        If you are worried, please get tested. RT PCR should give good result because your window is small.

        Generally, fever, rashes, throat infection are commonly seen symptoms in HIV infected individuals.

  12. Good evening sir,
    I went to test for HIV ( Fourth generation test) after I finished my workout in the gym. Would this affect the outcome of my report? I tested after 100 days, and got non reactive 0.22.
    Please advise. Thank you in advance.

  13. Hello doctor… June 21st ,22nd and 29th… I was sex with a sexual work lady… Before a sex I weard condom to vaginal sex … I worried to much may cause HIV…I’m using condom sir…I’m What I do sir … I’m too much worried about this… Tell me a clear Sollution sir please

  14. Hello doctor… June 21st ,22nd and 29th… I was sex with a sexual work lady… Before a sex I weared condom to vaginal sex … I worried to much may cause HIV…I’m using condom sir…I’m What I do sir … I’m too much worried about this… and Can I have to take any further test … Or is it I am safe ? So please tell the clear solution doctor.

  15. Good evening Doctor,

    I had unprotected vaginal sex with a girl 4 months back. Today, I tested for hiv using HIV DUO, and the result was 0.22 non reactive. Should I test for other stds? I do not have any symptoms as of yet. Its been 4 months now. Please advise doctor,

    Regards,
    Shyam

  16. Good evening Doctor,

    I had unprotected vaginal sex with a girl 4 months back. Today, I tested for hiv using HIV DUO, and the result was 0.22 non reactive. Should I test for HEPATITIS? I have no symptoms, it’s been 4 months now. Or should I test for any other std?
    Regards,
    Shyam

  17. Hello doctor, i had sex on yesterday with transgender sex, no oral & no anal and i used condom. Now i stressed too much, fear of HIV .
    What should i do now.

  18. Sir I’m using condom before sex ..But I’m anxiety.after 87 days I tested for rapid card test negative.this test enough ah sir. I am safe sir

  19. Hi doctor. What is the window period for the hepatitis C Antibody test? I got myself tested after 4 months of unprotected exposure, and result was non reactive. Am I safe?

  20. Dear sir, thanks for your reply. Now 7days gone. Now am having slight head ache & fever symptoms , neck muscle also paining in back side. Its because of the rain here or seriously its effect of HIV.

    Please help.

  21. Sir before sex I’m using condom… But some anxiety from about my side… I don’t use any oral sex…

    Now after 36th day sample given healthian lab… They test for ( rapid immuno chromatography )… It’s non reactive … Can I take fourth generation test … Or it’s enough ah sir

  22. Hello Dr,
    What are the bands should one get in HIV western blot in order to consider it as Positive?
    Awaiting for your reply Doctor.
    Thank you.

  23. Hello doctor,
    I have tested positive for secondary syphilis and I got my HIV western blots results done .Both were done at the same day. I took western blot after 15 days from the date of exposure.The bands showing are gp160, gp120 and p31 (only these 3 bands) and no additional bands are present. Does it mean positive or indeterminate?
    Thank you Doctor.

  24. Sir Actually…when hiv test is conclusive??….How many days after the exposure??….some articles says 3 months & some says 6 month or one year……

  25. Sir I take 4th generation duo combo(CMIA) after 42th day … The result 0.06 non reactive sir… What I do sir am I safe sir… In my life

  26. I didn’t have an unprotected sex …….I didn’t even allow him to kiss …But he kissed on my lips ……..He rubbed his cock against my shorts ….I gave him a handjob…We hold our cock together ..Not head to head …But side ways …….Do i need to start with PEP?

      • Doctor sir 4th generation test CMIA 42th day given blood test 0.06 non reactive… You are telling safe don’t worry… can I take again test for 90 days if ( it’s necessary or not sir? )Please tell me sir ….anxiety about my side sir day to day … Is am safe life long negative person …

  27. Hi Doctor,

    By a chance if the semen of an infected person came in contact with my skin(Hand) or in general if the semen gets in touch with the skin(apart from penis), do I need to worry about it? do I need to get tested for HIV? If yes after how many days I need to take the test from the day it happened and what test is necessary? In need of your advice in this doctor. Please do reply. Thanks in advance.

  28. Hi sir
    I had sex with unknown girl for 2mins with condom in this Feb month she gave me blow job without condom and unknowingly I made contact with her vagina thorugh my mouth.
    I did hiv 1 and 2 spot test after 4months and results are non reactive.
    I test for hiv by elisa after 4months and 5months(July end)and its results are non reactive .
    Bt I had symptoms like sore throat and white tongue for past 10days and falling hair for past 2months

    Other tests Hepatits b non reactive and vdrl non reactive..
    For herpes 1 and 2 values shows 0.4 in results it mentioned as negative but made in block letters

    Am I safe?

    Pls reply doctor.

  29. Good evening doctor. I wanted to know the window period for ANTI- HCV test. A lot is sites are saying 3 months after exposure and some are saying 6 months. Which is correct, please guide me?

  30. Sir kindly help me to save from anxity.
    After 35 days of exposure with a sex worker (unprotected ) i had done the test of
    Western blot
    Elisha
    VDRL
    HEPETITIS B
    …….

    All are negative …can it be turn to postive after 3 months …..
    Now i have anxity about the gentile herps , HPV …
    There are pain in my testicle….i don’t have fever from last 40 days…..
    Please suggest me what to do…..
    And what the tests should i have to done more.

      • Hi Doctor,

        I had unprotected oral sex with a sex worker and also had a condom slip a bit during vaginal sex. I started taking PEP from the third day (50th hour).

        How likely I’ll be catching up with the STD’s? It’s been 25 days now and I’m having some mild discomfort continuing throughout the day in my penis and testicles. Apart from that I don’t have any other trouble.

        I wanted to check with you doctor, can you please help!!

  31. I had protected sex with condom with 2 sex workers yesterday. The condo w as intact and I checked with water after the act. There was no damage of leak. Should I test for hiv. I’m anxious

  32. Good afternoon Doctor. I did the HIV DUO test 4 months after an unprotected exposure. Result was 0.22 non reactive. Do I need to repeat the test at 6 months? I also did HBSag, and ANTI HCV test. Both were non reactive. Should I repeat these at 6 months?

  33. I did protected sex with condom with csw and was so anxious that I tested for HIV on the 11th day after exposure with HIV qualitative RNA PCR test and result came non detected. I being a paranoid kind is still afraid. please provide your valuable advice sir.

  34. Hi sir.. I had sex with before 15 days and I have used condom.. but still I have doubt. Even though I have tested after 10 days with hiv test kit..it’s showed negative. But still I’m fear about hiv..even though I have used condom. And I have seen the google about symptoms and I feeling Its happening me . Like fever and headache and little ithching my hand sometimes.. but after busy in work or other jobs it’s looking gone away.. pls give your suggestion..

    Headache also whenever drink tea or tablet it’s gone away.. fever not always also mild only 30min fever after that’s I’ll be fine..

  35. Hi sir sep 29 2021 i had a unprotected sex with a trans women feeling annex now as i did erroneously as i was drunk at that time.. What should i do now feeling scared on that now

    • When such things happen, you need to see a doctor in person immediately instead of posting online. Please take an appointment and see me immediately.
      99% of the time, you should be safe but you need to get tested to be sure.

  36. Hi doctor ,I had a unprotected recieving oral sex from a sex worker , and I have not even experienced any other sexual intercourse with/without protection till now , Finally I got tested for HIV after 2years from the exposure ,I went for 4th generation test , result is negative and the index value is 0.06 non – reactive , is I am fine , should I need to get tested again for hiv.thank you doctor in advance , egearely waiting for your response doctor.

  37. When we calculates the hiv window period from the day of sex or from the day of completing the 30 days pep medicine? does pep delay elisa test window after 90 from day of sex occurs?

  38. Sir, I was unprotected sex on 28/08/2021. After I took Tri dot kit test non reactive on 25/09/2021. After wester blot test negative on 30/09/2021. I took test PCR qualitative test on 06/10/2021. Any possible This test result will change ?

  39. Hi sir,

    I had sex with csw on Feb 2021with protection and had oral sex without protection
    I made contact with her vaginal fluids with my mouth

    Its almost 7months now.. I didn’t had any other exposure in between
    I did test at mid of 5-6 months for below tests
    hiv 1&2 elisa – Negative (0.05)
    Hbs Ag – Negative(0.001)
    Hsv 1 and 2 igm – 0.4 value
    Vdrl – Non reactive

    Is there any chance of getting hcv and hpv sir due to this exposure..
    I have not tested for that till now..

    I having throat infection and cold white tongue for more than 2months..
    Facing some red spots inside upper mouth..

  40. I’m sathiya I have I know parson sex with condom i have hiv all test for 5 month 12 days . test for non reactive so I have repeat more test?pls tell me doctor

  41. Hi sir I’m Ramesh sir 5 month back I had sex with sex worker girl so I’m going to hospital counsel for doctor hiv test for
    1] HIV1 HIV2 (NON REACTIVE)
    2]HBsAg (Negative)
    3]Anti HCV (Negative)
    4]VDRL (Negative)

    I had sex 18 /4/2021
    I have test for 1/10/2021
    All Test for negative
    So I’m again for test ?
    What I do sir am I safe sir… In my Life? Please tell me sir

  42. Hii sir I had a protected sex ( 2 Condom ) with a sex worker. I found white fluid on the outside tip of the condom. After 35 days I went to the doctor for consultation. Took IDNAT test…
    Results :- ( NAT screening done for Viral RNA/DNA )

    IDNAT test HIV 1/2 – Not detected
    HCV – Not detected
    HBV – Not detected

    The test is conslusive sir….?

  43. Hii sir I had a protected sex ( 2 Condom ) with a sex worker. I found white fluid on the outside tip of the condom. After 35 days I went to the Apollo doctor for consultation. Took IDNAT test , 4th generation Elisa test and RPR test for Syphilis…
    Results :- ( NAT screening done for Viral RNA/DNA )

    IDNAT test HIV 1/2 – Not detected
    HCV – Not detected
    HBV – Not detected

    4th generation Elisa test – Negative

    RPR – Non reactive

    The test is conslusive sir or need to take any further test in future….?

  44. Hello sir,
    I had sex with sex worker (sex exposure Date :26-10-2021) allmost 16days gone sir protected sex only i do this is first time I had sex. And i remove the condom I checked few hours later and I found white fluid outside of the condom is there any problem sir. But I do oral sex also without protection licking vagina. In my inner and side tongue little bit itching last 7days and very small small red dot is there in only side and front tongue only and no pain. I don’t no this thing in tounge before itself is there or after sex is there. I am in eveyday stressful sir because it willcome HIV or anyother sex disease. Till now I didn’t take any test. Which test I want to take and which day I want to take sir. Is there in your clinic test is available sir. I am in very stress please reply me. If i replayed this message 2times means sorry because connectivity problem.

  45. Hi sir..
    My first and last exposure was feb 2021 with csw
    Sex With condom but oral sex without condom she gave me blow job and I give oral sex to her vagina and made contact with her vaginal fluids
    After that I did test after 3months
    HIV 1& 2 elisa – non reactive
    Rpr/Vdrl – non reactive
    Hbsg – non reactive

    After mid of 5-6months took below test
    HIV 1&2 elisa – non reactive
    Hbsg – non reactive
    Rpr/vdrl – non reactive
    Hsv 1 and 2igm – 0.4

    After 6 months
    HIV 1 and 2 with p24 clia test – non reactive

    After 7-8 months
    HCV – non reactive
    Hbsg – non reactive

    But now I having throat infection and uvala grown and touching the tongue some white dots over upper lips

    Is this anything related to that exposure

    Any chance of hpv ,gonnherra clamdiya I didnt test for these..
    Also now I’m going through anixety problems
    I met you one time at clinic on aug 2021
    Pls help sir..

    • Ronney, you need to give more information.
      1. Do you have any cuts or wounds around your mouth?
      2. Did you have unprotected oral sex with a man or a woman?
      3. Did you take in any of the fluids into or around your mouth during the act?

      If it has been 3 months and if you didn’t have any fever or rash, most likely you are good. It is better you take HIV antibody test.

      • Hi sir I’m vicky I had sex with sex worker girl Sex With( condom ) so after 162 day I’m going to hospital counsel for doctor hiv test for
        1 HIV1 HIV2 (NON REACTIVE)
        2 HBsAg (Negative)
        3 Anti HCV (Negative)
        4 VDRL (Negative)
        All test for negative
        Is it conclusive?
        I’m again for test ?
        What I do sir am I safe sir…?
        Next month my marriage I have Full stressed pls help me sir 😭

  46. Good Morning Doctor,

    I have given oral sex to the commercial sex worker on last month 18th and ejaculation is done by mastrubation using condom.

    After that I had taken three test

    4th generation eclia test
    PCR HIV RNA QUALTATIVE TEST FOR BOTH HIV 1 AND HIV2

    Is I am safe or I need to take test once again after 90 days

  47. Respected sir,
    Myself a Bisexual 28yr old,had involved in unprotected oral sex (as fellator) ,with a male partner on 10 Nov 2021.Though it was for about a minute and had stopped befor my partner ejaculated.I fear of having accquired an STD.
    On around 13th day i had neck pain ,a lymph node pain may be and very mild fever like symptoms…And also every googles symptom makes me more worried.

    Fearing STD I had given the following teste on the 15th day.
    HIV 1 and 2 Spot: Negative
    P24 ag/Ab:0.11(Non Reactive).

    I had also given the RT PCR HIV qualitative test also and awaiting the results . Kindly guide me through as to what to be done next..Thank you sir.

  48. Hi doctor
    I had sex before 67 day and did a rapid test and it states negative should I test after 90 days ?
    But my body is always tied having fatigue symptoms, body ache , fever, cold, diarrhea.

    • Hi I had unprotected sex with boyfriend that I don’t know his status. I got checked after 22 days post exposure with 4 gen cambo came bck negative. Then, after 91 days I took 4 generation test ag/ab with reflex came non reactive also. Again at another month I took 2 test one is rapid test finger prick antibody test and 4 gene test both are negative. So my question is I don’t need any further test like final at 6 months after past exposure?
      Please could reply to me. Kindly appreciate

  49. Hi good morning sir
    I had intercourse on 13th sep 2021 I test hiv on 27 oct 2021 it shows negative. After the test I had serve body ache, muscle pain and tiedness and slight fever 2 times for 1 hour. I m really worried so much. On 20th nov 2021 I took rapid test and it showed negative. But past 2 days I am having fever, cold, cough and diarrhea. Saw a doctor and gave some medicine for fever cold cough and diarrhea. Urinating having burning at tip . I m desperate need of help. What test and when should I take to close this hiv topic.? Shall I test on 14th dec 2021? If so which test? Please suggest? For pain in tip of urine I didn’t have any discharge. I took urine pcr test on 27th oct 2021 it showed negative for Chlyamedia and gonorrhea. Pls reply. Always google and not able to do next activity. Not able to sleep properly also doctor. Please suggest.

  50. Hi respected doctor ,I went for HIV test after 1 year from exposure ,I went for Ag/Ab Combo fourth generation, automated ECLIA test , index value is 0.06 is i am safe doctor

  51. Hi Doctor,
    During a date, I was holding hands of an unknown girl for about an hour. She said she had sex with many ppl. I did not have kiss or sex When I came back, I saw a small scratch in my finger. I am worrying so much for hiv wound to wound transmission since then.

    • Your doubts are valid. The chances of contracting HPV are less because, you don’t know for sure if the lady is infected with HPV.
      Yes, HPV can be tested, please see a good sexologist near you or see me at my clinic and we can take it from there.

  52. Hello sir,
    Impressed by your way of clarifying the doubts.
    My wife got scanned intravaginally for uterus 4 days before. She said they dint use any sleeve or dint sterilise the probe. She is much annoyed that she may get HIV infection. Seeking Your valuable suggestion sir

    • It is less likely that any good clinic won’t sterilize their instruments. Most of the good clinics do but they may not have done in her presence.
      I feel that there is nothing to worry. If you or she is worried, please see a good female sexologist and talk to her and if she advises you get tested, then please get it done.

  53. Hi sir,
    Pls help me
    I had a sex with sex worker on Feb 2021 with protection but oral sex without protection she gave a blow job and I made contact with her vaginal fluids with my mouth
    Tested after 3months
    Hiv 1&2 – non reactive
    Hbsg – non reactive
    Vdrl – non reactive

    Tested after 5 months
    Hiv 1-2 Elisa – non reactive
    Hsv 1&2 igg -0.4 but mentioned in bold
    Hbsg – non reactive
    Vdrl – non reactive

    After 6months
    Hiv 1 &2 clia – non reactive

    After 7-8 months
    Hcv antibody -non reactive
    Hbsg – non reactive

    But I had a sore throat for long time and some pimples like lession on under skin of penis and lips
    Visited dermatologist he said Fordyce spot.nthing to worry
    But Thorat infection is still there and also noted uvala grown and touching tounge

    I don’t know y .
    I didn’t test for hpv gonnherra clamdiya still now
    Is there any chances for this sir?

    I met you at your clinic on August 2021

    I’m going through lot of anixety and not able to do the regular work and becoming stress.
    I don’t know whether this causing white tongue and Thorat infection or some thing else is causing
    Thinking more about that expoure
    I’m married now I consulted u before marriage only on August

    Pls help me to get out anixety
    Am I safe?
    Can myself and wife plan for baby?
    Pls reply sir

  54. Hi doctor ,I went for HIV test after 1 year from exposure ,I went for Ag/Ab Combo fourth generation, automated ECLIA test , index value is 0.06 is i am safe doctor from hiv , please help doctor

    • Hi doctor , i received a unprotected oral sex and no other intercourse involved and I went for HIV test after 1 year from exposure ,I went for Ag/Ab Combo fourth generation, automated ECLIA test , index value is 0.06 is i am safe doctor from hiv , please help doctor help me

  55. Hello Doctor,
    I had unprotected vaginal sex with a girl on Dec 8th. On Dec 10th night I have got extreme chills and fever. On Dec 11th I had sore throat which continued till Dec 13 morning. Now all have subsided.
    Am I in danger ? When should I get tested? I am having a lot of anxiety.

    • 1. Is the girl a call girl. If the answer is yes, please see a good sex specialist near you or see me at my clinic.
      2. If she is not a call girl, you might be safe but still better to see a me asap.
      Usually, the window period after getting infected with HIV is minimum a week to 10 days. If you really got your symptoms after just 2 days after the act, I don’t suspect HIV but still would recommend seeing a doctor and getting tested.

          • Hi sir,
            Pls help me
            I had a sex with sex worker on Feb 2021 with protection but oral sex without protection she gave a blow job and I made contact with her vaginal fluids with my mouth
            Tested after 3months
            Hiv 1&2 – non reactive
            Hbsg – non reactive
            Vdrl – non reactive

            Tested after 5 months
            Hiv 1-2 Elisa – non reactive
            Hsv 1&2 igg -0.4 but mentioned in bold
            Hbsg – non reactive
            Vdrl – non reactive

            After 6months
            Hiv 1 &2 clia – non reactive

            After 7-8 months
            Hcv antibody -non reactive
            Hbsg – non reactive

            But I had a sore throat for long time and some pimples like lession on under skin of penis and lips
            Visited dermatologist he said Fordyce spot.nthing to worry
            But Thorat infection is still there and also noted uvala grown and touching tounge

            I don’t know y .
            I didn’t test for hpv gonnherra clamdiya still now
            Is there any chances for this sir?

            I met you at your clinic on August 2021

            I’m going through lot of anixety and not able to do the regular work and becoming stress.
            I don’t know whether this causing white tongue and Thorat infection or some thing else is causing
            Thinking more about that expoure
            I’m married now I consulted u before marriage only on August

            Pls help me to get out anixety
            Am I safe?
            Can myself and wife plan for baby?
            Pls reply sir

  56. Hi doctor , i received a unprotected oral sex and no other intercourse involved and I went for HIV test after 1 year from exposure ,I went for Ag/Ab Combo fourth generation, automated ECLIA test , index value is 0.06 is i am safe doctor from hiv , please help doctor

  57. Dr I have had a unprotected vaginal sex and it has been more than 2 months now I have symptoms like prolonged headache with muscle and joint pain and fatigue, yeast in my tongue and my lips remain dry most of the time. I also have neck pain and pain under armpit and groin but no lumps. Most of the time I google and that makes me more worry. The symptoms remain more than 2 months now. Pls advice me

    • 1. Stop googling, you will only make things worse physically and mentally.
      2. You didn’t mention fever or rashes in your mouth or skin in your comment, which are common symptoms. Many times, symptoms of HIV show up and subside. You seem to have more stress than any other medical condition I feel.
      To-do for you:
      a. See a doctor and get tested for HIV, you should be fine.
      b. If there is any other medical condition, your doctor will treat you.

  58. Hi sir ,
    Need your help
    I having one blister on under skin of penis and white fluid coming from that sometimes
    Had a sexual exposure with csw on Feb month 2021
    Tested after that exposure at 5-6month that is sep-aug 2021
    Hiv antibody Elisa and clia two test – negative
    Hsv 1&2 igm – 0.4
    Vdrl(Rpr) – negative
    Hbsg – negative
    Anti Hcv antibody – negative

    I don’t why these blister present now.
    Pls help I consulted you at your clinic on Aug 2021 before my marriage

  59. Doctor please help me ,I got tested after 1 year of exposure ,I went for HIV 1 and 2 CMIA ,Eclia fourth generation test , index value 0.06 ,non reactive is this conclusive and accurate doctor ,so please help me out doctor

  60. Hi doctor

    Had exposure with csw on last year Feb protected but unprotected oral sex both
    I intake some of her vaginal fluids with mouth and bj without condom

    Tested for hiv after 6months from that exposure
    Hiv 1&2 combo clia – negative
    Hsv 1 &2 igm – 0.4
    Vdrl – Negative
    Hbsg ab – Negative
    Anti hcv – Negative

    Now I’m experiencing thorat infection and very low sperm after ejaculation

    Pls tell I have not tested for chlamdiya and goneherra still now
    Is the current infection are due to that sir
    Any testing required?
    Shall I come to meet you at your clinic

    Pls reply

  61. Hello Sir, I had unprotected sex on December 11th 2021, after that 2 weeks later I had a blister on my lip, which went away on its own, I was scared I had HIV, so I went to do an antibody test on the 23rd of December, which came out negative, I did another one on the 31st of December it also came out negative, I also did another one on the 17th of January this year and it was negative but I used oraquick home testing kit, for the 31st and 17th respectively. On the 17th made it 38 days after possible exposure and still it showed negative, I have a small whitish rash on my arm, I am scared it is hiv Sir, but no fever or any of that sort, but I also goggle a lot and I tend to become scared and anxious about it. Sir please what is your take on this?

  62. hi doctor,

    i had unprotected anal sex on the 12th november. I was the insertive partner. The other person said they was hiv negative and on prep. Showed me the pills.

    I have done a 5th generation duo test on week 4 and 8 and both negative. The other person said they have done 2 tests aswell both neg.

    Will i be ok?

  63. Hello Sir .

    What is the window period for rapid test .
    Is there 4th generation rapid test available in the testing center .

    If tested negative at 70 days can consider as conclusive

  64. Hello sir,

    I did vaginal fingering am not aware of hiv status of partner so I took RAPID serum test from metomale clinic for hiv 1 &2 on 65 day and 100th day it came out negative…is it conclusive ? Should I do any follow up

  65. Hello Sir ,
    After a possible exposure on 25th day I took 4th generation combo non reactive and 75 days I took rapid test( in clinic they said it was 4th gen)it was negative.

    Whether this 2 test are conclusive or I need to go for further testing.

      • Hello Sir,
        I had sex with a sex worker and I used condom but it broke and I changed it immediately. It’s been 40 days now, I was tested for HIV using a Rapid test kit. It showed a very faint line on my test. The Test was repeated with two different types of Rapid test and all the two were Negative. The test was also repeated with thesame type of kit that showed positive but this time was Negative. I’m worried, please what should I do. I am scared

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