Test accuracy

[Faiiaf]

Dear DR.
I'll try to make it short
I'm 33 years old , male
I had protected sex with tow girls from the street in one of the
Aisan countries and the condom broke twice.

Had all type of symptoms such as flu , fever, swollen lemph armpit , neck ....

I had hiv antibody test after 30 days and it was negative
I had another  hiv antiybody  test after 15 weeks and it  was negative , don't no which generation though

1. Are my tests conclosive  and difintef ?
2. Have you ever seen a negative after 15 weeks change ?
3. I had a vaccine for hepatitis B , after 1 month and the second vaccine after 60 days . Does this affect my hiv test ?
4. Can I have unprotected sex with my partner ?

I also had cbc , wbc and  urine cultivation 2 times and every thing was ok

Should I be confident now and move on

Thank you

[H. Hunter Handsfield, M.D.]

From the standpoint of the exposure, and assuming you didn't develop any sort of open sore of your lips or penis in the few weeks after the exposure, no syphilis testing is needed.  However, the secondary stage of syphilis is often a possibility for an otherwise unexplained skin rash, including "spots" on the trunk, palms, and soles of the feet.  So go ahead and get tested to be on the safe side.  (If you have syphilis, it has to be from an exposure before the ones you have described here.)

That will wind up this thread.  Let me know if you have a syphilis test with a positive result.  Otherwise I won't have any other comments or advice.

[Faiiaf]

Dear DR

I'm sorry but I have one last question

I didn't have sephilils test , do you think I should have because of French kissing and receiving unprotected oral .

Ps. I had my spots on my hands and the bottom feet in the first month and now after 5 months I have some on my cheast.

Sorry agin Dr and this is my last question .

[H. Hunter Handsfield, M.D.]

Nobody ever needs to be tested more than 3 months after the last exposure.

Thanks for the kind words.  take care.

[Faiiaf]

Thank you DR

So I do not have to retest after 24 weeks or six months , and I don't think I'm gonna be the first one .


Thanks again DR , you are dining a great job .

[H. Hunter Handsfield, M.D.]

Welcome to the forum. Thanks for your question.

The HIV diagnostic tests are among the most accurate tests for any medical condition.  As long as testing is done sufficiently long after the last possible exposure to the virus, the results overrule all other factors. And there are few if any medical conditions that have any effect on test reliability.

Therefore, regardless of the nature of the exposure and how high the risk was, regardless of symptoms no matter now typical they seem to be, and regardless of any illnesses or immunizations you have had, your negative test results prove you were not infected.  Test "generation" makes a difference only in the first few weeks.  Beyond about 8 weeks, and for sure beyond 3 months, negative results are equally reliable for all test generations.

Those comments cover all your questions, but to be specific so there is no possible misunderstanding:

1) Your negative test results are definitive.

2) No, I have never seen this.  

3) No effect.

4) Yes.  You cannot infect your partner with something you don't have!

I hope this has helped.  Best wishes--  HHH, MD