To much worried HIv combo test

[johnwalsh123]

Hello doc. I had protected vaignal sex 2 times In two days i was drunk and dont know if the condom broke or not. on the second day I had an oral sex ( cunnling) with the same girl. Tai sex worker in a hotel in Bahrain. After 27 days i had combo test ( hiv ant hiv1/2 agn p24 test ) and the results were negative ( nonreact) . After 40 days or 39 days ( I'm not sure) I had a combo test again and the results were negative the viral load where 0.08 . My Qs are: Does these results conclusiv and if not how percent are they? I'm afraid that could turn positive in three months. Do uyou think that's gonna happen ? I'm sick of waiting until 3 months or to be clear I'm scared and can't wait. When I searched online many people said u should wait 3 months it may be positive. I can't study and work and set with family and friends cuz I'm always thinking I'm infected with HiV Dr I believe in this site and the doctors here , and I respect your opinion. And yes the laboratory guy on the 28 days told me you are not infected and he was so sure and the doctor on the 40 told me the same thing and believed him but after few days I returned to think about it. I also need u to tell me what should I do honestly and answer my questions. im the only child in my family and my mother believes in me im so Afraid.  Please. Sorry for my poor English .

[Edward W Hook, MD]

Welcome to our Forum.  I will be happy to comment.  The exposures you describe were low risk and your tests prove that you did not get HIV-- you have nothing to worry about.

Your exposures were low risk for HIV because HIV is very rare among commercial sex workers in Bahrain as well as because you used condoms for your vaginal sex.  The condoms are highly effective for preventing acquisition of HIV.  Further, even if your partner had HIV, you  unprotected cunnilingus on her was very low risk- less than 1 in 10,000 persons who perform cunnilingus on an infected partner will develop HIV.

Most importantly however, your tests are repeatedly negative at times when they provide reliable results.  The combination HIV p24 antigen/HIV antibody tests that you had at 27 and 39 days provide conclusive results at any time more than 28 days after exposure.  Thus your test results at 27 days (essentially the same as 28) and at 39 days were conclusive and prove that you did not get HIV.

You can be confident that you did not get HIV from the encounters you describe.  the risk was low and the tets prove that you were not infected. there is no reason for concern or for additional testing.   EWH

[johnwalsh123]

Thank you doctor. You are such a great and helpful doctor. Wish you the best

[Edward W Hook, MD]

Correct, you can be confident you did not get HIV.  EWH

[johnwalsh123]

Dear Dr. Thank you so much for your words it really made comfortable and I really do believe you. Any way from this time I'm going to forget this and not going to be worried to take tests in the future.in addition, when these thoughts come to my mind I will always remember your words. Just to be clear and to understand that you are telling me That I didn't get HIV because of two things 1 the risk is to low 2 the test are conclusive is that right?. How ever thank you for helping me doc.  have a great days.

[johnwalsh123]

In addition, I'm planing to go next week to complete my edu in the USA and I'm so scared cuz I will be complete 90 days there and afraid that when I take it it will be positive. Also I can't focus on my study while I'm having these thoughts in my mind.