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30 day cmia negative test

I had a unprotected insertive anal exposure to a HIV positive male that lasted 15 seconds with no ejeculation.
I was tested at 30 days using cmia methodology and tested negative.
Do I need to test at 12 weeks ?
3 Responses
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370181 tn?1595629445
I do not think you are arguing or saying that I am wrong. I do agree with you that doctors in different areas of the world have different ideas and personal beliefs concerning the point at which a person is considered CONCLUSIVELY NEGATIVE.

Using just a few examples from various national and international health organizations such as WHO, (World Health Organization) which is headquartered in Geneva, Switzerland, the NIH, (National Institute of Health in the UK and the CDC (The Center for Disease Control) in the US...............all of these organizations use the guideline that a 4th generation DUO test at 28 days post exposure give an excellent indication of a persons status, but a CONFIRMATORY test at 12 weeks (3 months) is required for a 100% conclusive negative result.

While late sero-conversion is VERY rare, it can and does happen, but it is virtually unheard of after 12 weeks. This is essentially the tenet of the confirmatory test at 3 months.

We always tell people to follow their doctors recommendations and guidelines for all follow up testing and I'll tell you the same thing. If you have complete trust and confidence in your doctor and he says you do not need  or require a confirmatory test at 12 weeks, then follow his advice.

Like you, I don't understand how you can be negative in one country and not conclusive in another. The only thing I know for sure is that if so many experts in the study of HIV/AIDS say a confirmatory test at 12 weeks is need for a conclusive result, the I'm going to have that test for my peace of mind.

And you, my friend, do not take MY comments as argumentative, they, too, are just me talking out loud as if we are having a normal conversation.

I wish you nothing but robust health
RubyWich    

Helpful - 0
370181 tn?1595629445
The guidelines we go by at MedHelp are the recommendations of some of the worlds most well known and respected HIV/AIDS experts. We recommend the 4th generation DUO test 28 days post exposure and a confirmatory test at 12 weeks for a 100% conclusive result.

Your doctor goes by different guidelines. Perhaps you should ask him why he thinks so many experts are wrong.  
Helpful - 0
1 Comments
Ruby witch
I am not arguing or saying you are wrong , I appreciate you took the time to respond !
I did ask the question you raised and he said guidelines in India are conclude at 6 weeks with cmia test, I said do you want to test me today as it is six weeks. He said no get on with your life I have tested you and you don't have HIV.
I am telling you this because because there seems to be variance in what doctors say depending on where they practice and their views.
I have seen dr hands field on this site say any duo test 4-6 weeks is not going to change and is conclusive.
I dont understand how you can be HIV negative in one country and not conclusive in a another country.
I am a novice when it comes to HIV , what happen between 4 to 12 weeks , is that people can seroconvert in week 11 ?
Ruby witch please don't take my comments above as arguementive, they are just me talking out aloud like we were having a normal conversation in the same room
370181 tn?1595629445
While the length of your exposure MAY lower your risk factor, the fact remains that you engaged in unprotected anal sex........the riskiest sex there is.
Your test at 30 days post exposure give you a fairly accurate indication of your status, but it will NOT be 100% conclusive until you take a confirmatory test at 12 weeks.

ALWAYS USE A CONDOM

I wish you the very best outcome.
Helpful - 0
2 Comments
Thank you ruby witch,
I also has a rapid test negative test followed by Eliza and western blot at 3 weeks that were negative does help or were the tests to early .
My doctor is telling me the 30 week cmia test ( combination ) is conclusive and get on with life but my mind keeps coming back to a 12 week test :
Sorry I meant 30 day not 30 week cmia test
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