do I need more test?

[hopelucky]

hello doctors, I am a man in China
firstly, I met a sex worker,I fingered her,and had intercouse with condom,what I worried about is my finger,because before I fingered her,my finger had some small cut or scratch,it was not bleeding that time but still red and pain.
Then I did 29 days hiv test, 65days HIV test ,I think both are the 3rd generation,because it did not include P24 test.
the result are both negative.
secondly , I had sex with a woman(with condom) and I do not familiar with her, after one week I asked her to get a test ,the result is negative, and she said the last time she had sex was 6 months ago. Also I fingered her ,but this time my finger is ok.no small cut or sth.
So my concerns are
1. do I need more test? P.S. In china the official window period is 3 months..
2.are my tests reliable?
3.Am I free to normal life?

[Edward W Hook, MD]

Welcome to our Forum.  I'll be pleased to comment.  The activities that you describe have no risk for HIV, if your partners had infection which is unlikely.  There is no risk for HIV from condom-protected sex and no risk from inserting your finger into a sexual partner's vagina.  Even with a cut on your finger there is no risk. There has never been a case of HIV transmission resulting from masturbation of the sort you describe.  

Further, your test results prove that you were not infected.  Antibody tests of the sort you describe provide definitive, reliable results 8 weeks after exposure, despite that often "official" sites claim that results are not definitive until 12 weeks (3 months) after exposure.  Thus not only were your exposures no risk but for your first situation, you have definitive results to prove that you were not infected.

In answer to your specific questions:
1. do I need more test? P.S. In china the official window period is 3 months..
No, there is no need for further testing. The "official" recommendation is more conservative than necessary.

2.are my tests reliable?
Yes.

3.Am I free to normal life?
Yes, there is no reason to worry further related to the exposures that you describe.

I hope my comments are helpful to you.  EWH

[Edward W Hook, MD]

We get many questions about the meaning of HIV test results at different time points.  This is now confused by the availability of a variety of different types of tests.  The traditional and most widely used tests for HIV are tests for antibodies to HIV which are available both as so-called "rapid" or point of care tests which can be done in the clinic and laboratory based antibody tests. For all practical purposes both of these types of test perform comparably and provide accurate information on the presence or absence of HIV infection in virtually everyone at 8 weeks following exposure.  The recommendations for testing at 3 and even 6 months are the result of two factors- data from older tests no longer used (you really do not need to worry about which generation of tests you were tested with, at this time virtually all tests are far more sensitive that they were even 2-3 years ago when the 3 month recommendation was made) and secondly, the fact that some, mostly governmental agencies which have to provide recommendations for virtually everyone without the sort of interactions such as those you get with your doctor or on personalized sites such as this one, feel they cannot "afford" to be wrong and therefore make recommendations and guidelines which leave most people unnecessarily nervous for 4-6 weeks longer than the 6-8 weeks it takes virtually everyone to develop HIV antibodies.   EWH

[hopelucky]

Thanks a lot, I will not do other tests,actually,some chinese  doctors also admit 6 weeks window period.
however, I notice that US CDC's official website says some individuals may develop antibody even more longer,more than 8weeks or 3 months.
Why? just because legal problem or？ have you ever seen such case?