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odds against contracting hiv if a condom breaks

What are the odds of contracting hiv if a condom breaks
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Certain acts carry more risk than others. Being the receptive partner also increases the risk. On the other hand, their are other variables too; STDs - partners viral load (if known to be + in the first place), which are medical aspects of the risk. Then there's the personal aspects; where a certain person is from - sexual orientation...
That is why sometimes people are told to take PEP and others are not.

Bottom line, HIV isn't a  game of odds. When you have a risk, you MUST get tested, and that's the only sure way of knowing.
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I got tested a month after is that a good time range
Yes it's a good time range. But not conclusive. If you took a DUO test, some people may say it's conclusive. Personally, I always go for the 12-week mark. But any negative at 1 month ((4 weeks)) is a good indication.
And just before anyone jumps in to say "Many experts say a DUO at 4 weeks is conclusive", I will give you my reasons for advising testing at 12 weeks below. It's a bit long, but if you have the time, you may want to read it.


Reason 1:

Kindly check the following links and their DATES. They both include comments of Dr Sean and Dr Jose.

http://www.freedomhealth.co.uk/forum/f3/worrying-needlessly-dr-sean-342/

In 2008, both doctors talk about the merits of the DUO test at four weeks, with Doctor Sean taking a slightly more conservative stance.
                                ------------------------------------------

In 2014, and with 8 years more experience, you see Dr Sean still going for the 12 week mark saying:

"The standard guidance is that people should test 12 weeks after finishing PEP or 16 weeks after the original exposure.

I'M AFRAID YOU CAN'T RELY ON ANYTHING ELSE."

http://www.medhelp.org/posts/HIV---International/4th-generation-5-weeks/show/2210578
                              ------------------------------------------

Furthermore, you see doctor Jose in 2011 also going for three months and quoting UK guidelines despite not having seen any cases turn negative after 8 weeks.

"However current UK guidelines still recommend to have a final test at 12 weeks for it to be considered final and fully conclusive"

http://www.medhelp.org/posts/HIV---International/hiv-test-and-reliability/show/1640103

The doctors know when to say conclusive or inconclusive based on their OWN assessments.

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Reason 2

Please bear in mind that at 4 weeks an antibody test is NOT conclusive, and that is exactly what the DUO at 4 weeks is for HIV-2.
It detects antibodies and antigen for HIV-1, but only relies on the detection of antibodies for HIV-2. ((HIV-2 is VERY rare, but unfortunately very real)).

An antibody test at 12 weeks would CERTAINLY detect antibodies for both types.

======================================================

Reason 3:

Please take a look at the link below.

http://www.medhelp.org/posts/HIV-Prevention/What-is-this-centaur-test/show/2831076

People from ALL OVER THE WORLD post questions on this forum. Sometimes with high command of English and sometimes with lower.

Sometimes the word "DUO" or "4th gen" may be lost in translation, but the term "12 weeks" is more likely to stick. So, a person with low English proficiency may remember the "4 weeks" from the sentence "Get a DUO test at 4 weeks", but may not comprehend, remember the name of the test or even fail to communicate the word DUO to the lab in their own language. So, that person may get the wrong test at 4 weeks THINKING it’s either a DUO or that a normal antibody test is conclusive at that time, and if they ONLY remember the words “12 weeks” they would be safe no matter which test they took.

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Emily_MHmoderator

Only test manufacturers can set actual guidelines for testing. The CDC makes recommendations, and the doctors in the filed can interpret them.

I am not a doctor, nor is anyone in this thread. That is why I said it is a personal decision when to test, and a person can take all of this information and make their choice.

No one in this thread is actually wrong, so have a great day, everyone. This thread is now closed.

Thanks,

Emily




http://www.medhelp.org/posts/HIV---Prevention/Are-my-test-conclusive/show/2064508

Dr. Hunter Handsfield
"The HIV blood tests are probably the most accurate diagnostic tests ever developed, for any medical condition.  As long as testing is done sufficiently long after the last possible exposure (for the duo test, any time more than 4 weeks, as you already seem to know), the results overrule all other considerations.  No matter how high your risk might have seemed at the time, and no matter what symptoms there are, the test results rule.  Your results -- multiple times -- prove that you do not have HIV. "


"Many people misunderstand the duo (4th generation) HIV test. It might seem that after the period in which p24 antigen can no longer be detected in the blood (around 4-6 weeks), the test behaves just like a stand-alone antibody test. This would seem to leave open a possibility that after p24 antigen disappears, there could be brief time before antibody shows up, and therefore a possible false negative test result.

But it doesn’t work that way. The tests for HIV antibody and p24 antigen that are incorporated into the duo test are not independent of one another. It is the HIV antibody that clears p24 out of the blood. If p24 antigen is no longer detectable, then antibody MUST be present -- that's the very reason that p24 is gone. Therefore, in every person with an HIV infection of 4 or more weeks induration, either antibody or p24 is always detectable in the blood. (Both may be present for a couple of weeks in the 2-6 week time frame.) "


http://www.medhelp.org/posts/HIV---Prevention/High-risk-exposure-from-Canada/show/1550500

Dr. Hook
"The DUO test which tests for both the p24 antigen and antibodies to HIV provides definitive information on the presence or absence of HIV infection at 4 weeks following exposure and beyond.  Perhaps what the person you spoke if was referring to is the fact that in some persons with HIV the p24 antigen may no longer be detectable after a few weeks if infection. In such situations however, antibodies are present and thus the test does detect infection accurately even when there is no p24 antigen.

At this time the DUO test will provide you with the answers you seek sooner than any other approved test and long before the 3 month guideline (which is overly conservative anyway"

http://www.medhelp.org/posts/HIV---Prevention/How-can-I-get-a-conclusive-test-quickly/show/1963506

Dr Handsfield

"Instead, I recommend a duo test at 2 weeks.  If the result is negative, which it probably will be, it will be 80-90% reliable -- not quite as good as a negative RNA test, but very reliable and much less expensive.  Then you can have another duo test at 4 weeks, which will be definitive.  The 8 week test really won't be necessary.  There's a lot of misunderstanding about the time for reliable testing.  All the debate about 3 months versus earlier testing is relevant only if antibody testing is all that is done.  With the combination of p24 antigen plus antibody, 4 weeks is definitive."

http://www.medhelp.org/posts/HIV---Prevention/How-can-I-get-a-conclusive-test-quickly/show/1963506


To kindoffreakedout,

one thing is for sure, NOBODY can say an antibody test at 4 weeks is conclusive, and NOBODY can say that "if" a person were to be infected by the rare HIV-2 virus, the DUO at four weeks would be conclusive, as it ONLY detects antibodies of that type.
That is why I sometimes try to rely on my own judgement rather than merely repeating other people.
At the end of the day, it's always up to the person to take whatever action they deem necessary. One thing I can say is that what I just wrote is FACT not OPINION. If anyone can provide solid proof that this test at 28 days is conclusive for HIV-2, I'd be glad to hear it.
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