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what are my chances of HIV after condom breaking

i am a male from Ghana in africa where hiv rate is high, i had sex with a girl i picked from the club and my condom broke as i pulled out when i noticed the change in sensation, i was exposed for about 20 secs maximum am sure , i asked her about her status and she opened up she is HIV positive and i got really scared , she further said that she thinks she was infected three months ago and claimed she has started treatment but i am very scared, these are my questions
1. what are my chances as she recently got infected though claimed she is on treatment  ?
2. has any one ever gotten infected from this kind of exposure with a confirmed hiv positive person?
am scared as my gf is pressurizing me for sex
13 Responses
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15695260 tn?1549593113
You have been answered fully by our members at this point and we are closing this discussion.

***  thread closed ***
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188761 tn?1584567620
COMMUNITY LEADER
The chances are pretty obvious that you did not contract the virus from that exposure. By fourth week,  most people would have already tested positive,  if they had contracted the virus.  Just get the 6 weeks negative to put things behind you and move on.  I promise it will be negative.
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Avatar universal
I took an alere determine HIV antibody test at 5 weeks past exposure and it came back negative, how good are my chances at this point?
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188761 tn?1584567620
COMMUNITY LEADER
Well,  that certainly is encouraging. Get the same combination of test done at 28 days.
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9 Comments
Not picking up p24 at this stage is really good news.  However,  if you retest with the same Ag/Ab combination at 28 days,  you can attain definitive result.
What are my chances after this?
You are one person, and statistics are only useful for large groups of people so you will not get the average result. You can go to Vegas and win the big prize or be like 10,000 others and win nothing. Only a test can provide the result so you will be best off if you relax as much as possible and stop thinking about it for now.
Chances are pretty good to get an all clear. Most people would test positive on a p24 AG by 18 days if they really contracted the virus.  

There is a specific process in which the body works , if the individual is seroconverting, seroconversion usually takes place between 7-21 days post acquiring the virus. P24 AG has a high possibility of detection. As the body will be releasing the viral protein during the aforesaid phase.

P24 antigen is a protein which is found in one's body (assuming the person's HIV infected) at about 14 to 32 days after the infection, once detectable amount of antibody is formed, detection of p24 would subside.

I'd say just hang in there, Kofi.  Just get the same combination of test on 28 days.
27 days negative alere determine antibody test, what are my chances at this point
27 days negative alere determine antibody test, what are my chances at this point?
You tested early as you know. An early test is a waste of time.
Would have been more encouraging if it was a combo. Nevertheless that is still something to hold on to. I would be comfortable with 42 day antibody test
there is no "basically negative" and telling him to test at 6 weeks is unnecessary as well. he was provided with all the time frames for a 4th and 3rd gen test to be conclusive, 4 weeks and 13 weeks respectively.  thats all he needs to know.
Avatar universal
i did a p24 antigen test and also an alere determine antibody test today the 18th day  after my exposure and both results are Negative
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Avatar universal
i cant find a place i can do  duo test, its not in this country , i am in nigeria presently
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2 Comments
Any other test is conclusive after 12 weeks, so that is the only alternative.
If your test was a p24 AG (Antigen) test and you fared a negative on it at 17 days,  it would be highly encouraging.

Optimum time to get a stand alone p24 AG test is 14-21 days post exposure that is the time when measurable amount of p24 proteins are surfacing in the body , However, a negative on a p24 AG is not a conclusive result.

You would have to test at 6 weeks for a conclusive with any standard antibody test.
Avatar universal
what about an antigen test at 17 days post exposure?
Helpful - 0
1 Comments
The earliest test you can do for a conclusive result is a duo after 4 weeks.
Avatar universal
negative alere determine antibody test at 16th day post exposure, i know its too early anyway
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1 Comments
That was a wasted test.  Antibodies do not start to form until 3-4 weeks post-exposure, so even if you were infected, a test at 16 days would not find any antibodies.
188761 tn?1584567620
COMMUNITY LEADER
You need to seek assistance on testing from an HIV specialist in your area and follow the right course.

An RT RNA PCR might be recommended.

It is a Nucleic Acid Test (Polymerase Chain Reaction)

PCR RNA would directly look for the genetic material of HIV in the body

RNA PCRs are lately approved for diagnostic purpose. Doctors may order for NATs if they feel that one is going through ARS since it enables appropriate treatment by early detection of the virus.

In theory,  RNA PCR can detect the genetic material of HIV as early as 72 hrs after the infection. For practical purpose one should wait atleast for 11 - 14 days after the exposure in order to get an RNA PCR test.


PCR DNA tests are best used from 28 days on, but as early as 2 weeks.

In short, less then a month or during ARS, PCR RNA tests is better  - (11 to 14 days after the exposure) but after a month a PCR DNA test would be best, but at this point a IV gen HIV test would work just as good and without the risk of false positive.

RNA PCR is for early detection, test at the 14 th day after the exposure backed up by an antibody test at the 8 week or IV Gen HIV test at 4 weeks is good to rule out HIV.
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3 Comments
she said she doesn't know who infected her but have only been on the medication for only two months, i do not know if 4th  generation test will be available in GHANA
4th generations test is available in Ghana...Go to MDS Lancet laboratory and  get it done...Which  side are you in Ghana please?
I know how you’re feeling since I have been in situation before, Unprotected sex with unknown person which I was pretty sure gave me something....I have had all symptoms in the book. Kofi you can also get the RNA PCR for early detection of the virus but Ikno you gon get a negative results....have the courage and go in for the test my dear.HANG IN THERE!!!
Avatar universal
Hi KofI.  I know how you are feeling man. About 6 months ago I was in the same situation.  Had sex with someone,  condom broke, got exposed for about 10 seconds. I then confirmed that the lady was HIV positive, that freaked me out of tell you. But through this forum,  I got advised on the next steps.  14 days after exposure I took a DNA Qualitative PCR HIV test (-ve) 28 days after exposure did a duo 4th Generation HIV test (-ve) and did my Last 4th Generation at 42 Days after exposure. I also did pointless 4 other 3rd and 4th Gen HIV test inbetween 10 and 42 days out of anxiety.  I don't know if it was by luck or beating the odds that I ended negative,  but all I know is that you have to take the right tests to know your status. Get a PCR at 14 days, 4th Gen at 28 and 42;to confirm your status.  The Internet will make u crazy, if you go looking for odd and answers, hang in there buddy.
Helpful - 0
188761 tn?1584567620
COMMUNITY LEADER
1. You need to go see a specialist at the soonest.  Get on PEP if you are still in the 72 hrs time frame.  

2. Female to male transmission odds are low.  However,  it will be absolutely ludicrous to quantify odds here.

3. You  need get an RNA PCR at 12-14 days in order to figure if you have been infected,  that will help you in starting treatment at the earliest if you did get infected.

4. You definitely need a professional guiding you through this course,  your answers are not here on the internet.  

You will be in my thoughts and prayer,  mate.  Godspeed, Kofi.

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1 Comments
this is the 10th day after exposure
3191940 tn?1447268717
COMMUNITY LEADER
No one can give you odds.  Yes, people have been infected with HIV this way - otherwise, we would not say it is a risk.  Do not have unprotected intercourse until after you have tested.  If you can get a 4th generation test, test at 28 days, and then again at 42 days (or longer) to get your conclusive result.  If you cannot get a 4th generation test, you will need to wait until 90 days after the event.
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Avatar universal
oral is zero risk for HIV. Do not have unprotected vaginal or anal with your girlfriend until you have been proven by a test that you are negative, because the main way HIV is spread is from people who don't realize the other person had HIV. .You can  make up a story that your doc thinks you have cancer and you don't want to risk her getting it until the doc is sure of your diagnosis.
A duo is conclusive at 4 weeks and any other test after 12 weeks. Only the head needs protection, so was the split on the base or did it occur at the head?
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3 Comments
the condom ripped off and the head of my penis was exposed, has anyone ever tested positive from this kind of exposure considering she was recently infected but is on hiv medication?
i need all the opinions i can get please
Any unprotected vaginal or anal with the head exposed is a risk. do not take a chance with your girlfriend's life. if you can get away with a lie that she accepts so you use a condom and not scare her, it is best, however if she insists on unprotected vaginal or anal then you have to be honest with her and not do it.
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