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When are HIV test conclusive?

I understand I have posted here several times but I just want to know the accuracy of these tests. Doctor explained it to me but still I don't understand it very well. My exposure was on March 22 with an Asian sex worker. It was oral and anal sex where I don't remember if I wore protection or not. Here is my testing history. I honestly just need reassurance. P.S th clinic I go to run test twice.
1 month after exposure: April 20: HIV 1/2 AG/AB combo test: non reactive. Main HIV-1 RNA/NAAT= Non reactive.
3 months after exposure: July 1: Oraquick HIV home test: Negaitve.
3 months after exposure: July 10: HIV1/2 AG/AB combo test: Non reactive. Main HIV-1 RNA/NAAT= Non Reactive.
5 months after exposure: Septmeber 1: HIV AG/AB= Non reactive.  Here are my questions.
With all the testing I've done, are my results conclusive?
What is the difference between an HIV AG/AB test and a HIV RNA/ NAAT TEST? Which is more accurate and what is the window period for them?
I've read on some other websites saying HIV RNA/NAAT are only good for testing after recent exposure and not 3 months like in my case? Is that it true? Do I have to get tests again at 6 months? Please someone give me the reassurance to put this behind me. It really has taken its toll on me.
6 Responses
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13276481 tn?1451146767
It's been too long since I've read about the tests you are asking about so I can't answer that.
As James said it's really irrelevant being you tested negative during and after the 90 day window period.
A 4th generation test IS highly accurate and specific.
99.99 if I remember correctly when done by a professional lab.
Even 4th generation rapid test are 99. accurate.
Your first combo test was at 1 month. 28 days your p24 antigen is peaked before it starts to decline and antibodies rise. So at 1 month you had the correct test that would/ should had shown positive if you were infected.
Same test at 3 and 5 months.
You are good buddy.
Your anxiety is holding you back.
Go cowboys, I'm a fan to.
I'm happy you are conclusively negative.
Helpful - 0
13276481 tn?1451146767
It's been too long since I've read about the tests you are asking about so I can't answer that.
As James said it's really irrelevant being you tested negative during and after the 90 day window period.
A 4th generation test IS highly accurate and specific.
99.99 if I remember correctly when done by a professional lab.
Even 4th generation rapid test are 99. accurate.
Your first combo test was at 1 month. 28 days your p24 antigen is peaked before it starts to decline and antibodies rise. So at 1 month you had the correct test that would/ should had shown positive if you were infected.
Same test at 3 and 5 months.
You are good buddy.
Your anxiety is holding you back.
Go cowboys, I'm a fan to.
I'm happy you are conclusively negative.
Helpful - 0
Avatar universal
Thanks for info man, it's just anything little thing that happens to me I assume it's related to HIV or an STD. Doctors themselves tell me I'm overthinking this..
Helpful - 0
Avatar universal
Thanks for that info. But what kind of test is a RNA/ NAAT? I was told that the AG/AB are not as sensitive  as the  RNA/NAAT? Is that true? Thank for your help again.
Helpful - 0
13276481 tn?1451146767
If you only had the 4th generation test, ( AG/AB ) you are conclusively negative. You had 3 of them. 1, 3, & 5 months. CDC guidelines is a 90 window period though the 4th generation test is considered conclusive at 28 days post exposure.
You are negative, you had two of those test outside the window period plus the oralquick outside the window period.
Try and move on, you had a very accurate and specific test multiple times and have more than satisfied CDC requirements.
Helpful - 0
Avatar universal
All that matters is that you are conclusively negative.  Everything else is irrelevant.  You can move on from this knowing you are okay.
Helpful - 0
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